A computing device (126) includes a recommender (134) that evaluates at least one of a user interaction with a displayed image of a scan of an imaging examination protocol or information about the scan in an electronically formatted radiology report, and generates a signal including a recommendation to remove the scan only in response to at least one of the user interaction or the radiology report information satisfying predetermined criteria and a output device (140) that visually presents the signal, thereby visually presenting the recommendation.