A method includes obtaining, in electronic format, an image (102) including a medical image display region (104) and an information display region (106). The at least one of the medical image display region or the information display region includes graphical indicia representing at least one of an annotation (110, 112, 114, 116) or alphanumeric information (118, 120, 122, 124, 126, 128, 130, 132, 134, 136, 138, 140). The method further includes evaluating pixels of the image to identify pixels including the graphical indicia representing an annotation or alphanumeric information of interest in the image. The method further includes extracting the annotation or alphanumeric information of interest from the identified graphical indicia from the image. The method further includes inserting the extracted annotation or alphanumeric information of interest in an electronically formatted clinical report for the image.