Automated selection, arrangement, and processing of key images

A method and system is provided for automatically determining a key image for display to a user as part of analyzing an image study generated as part of a medical imaging procedure. The system includes a memory storing a plurality of image studies, a display device for displaying images and an electronic processor interacting with the memory and the display device. The electronic processor is configured to determine a first key image within a plurality of images included in a first image study and to automatically determine, by executing one or more rules associated with one or more of the first key image, a user, a type of the first image study, a modality generating the first image study, an anatomy, a location of the modality, and patient demographics, a second key image included in at least one second image study. The system displays the second key image with the first key image to aid a user.