The system was quickly accepted by users both within and outside the radiology department, and it required very modest resources to develop, deploy, and support. In a busy on-call setting at a high-volume academic institution, the system described was effective in obtaining more thorough patient histories from referring physicians, reducing the number of telephone calls required, and documenting more rigorously the communication between radiologists and clinical services. These benefits allow the generation of more informative and timely radiology reports.