Disclosed is a mammographic imaging system and tools for processing mammographic images to enhance image acquisition and review workflow. The systems and tools enable rapid access to digital image information providing for improved workflow management and identification of images, upon initial review. The system and tools also allow for background processing of image information to reduce workflow delay. Specifically, digital images are processed in the background, i.e., they are automatically processed, free from specific task-orientated direction by a user, using resources that are not otherwise occupied addressing user-directed tasks. Background processing that may be supported includes preprocessing and interim processing. Preprocessing refers to processing of an image that occurs prior to initial review of that image by a physician. Interim processing refers to background processing that occurs during a review session, e.g., in a time period between initial review and a subsequent review of an image.