Methods and systems are directed to training an artificial intelligence engine. One system includes an electronic processor configured obtain a set of reports corresponding to a set of medical images, determine a label for a finding of interest, and identify one or more ambiguous reports in the set of repots. Ambiguous reports do not include a positive label or a negative label for the finding of interest. The electronic processor is also configured to generate an annotation for each of the one or more ambiguous reports in the set of reports, and train the artificial intelligence engine using a training set including the annotation for each of the one or more ambiguous reports and non-ambiguous reports in the set of reports. A result of the training is generation of a classification model for the label for the finding of interest.