A system for context aware medical recommendations, comprising: a recommendation engine comprising one or more processors configured to identify at least one suggested recommendation according to a medical guideline and context, in response to a first input indicating a finding in a medical image of a patient, wherein the finding includes identification of at least one abnormality, an anatomical location of the identified at least one abnormality and at least one quantitative measure of the identified at least one abnormality, wherein the at least one recommendation is selected according to a rule which maps the finding and the context to the guideline and the at least one suggested recommendation within the guideline; a context unit comprising the one or more processors configured to determine the context which includes at least one of: context of the patient, context of the medical image, or context of the finding; and a user interface comprising the one or more processors configured to display on a display device the at least one suggested recommendation selectable as a second input, wherein the user interface further includes a ring menu with a transparent center through which the medical image is visible, which is positionable around an abnormality and includes a measuring tool and a findings tool, wherein the measurement tool measures the at least one quantitative measure of the identified at least one abnormality, and wherein the findings tool generates a list of possible findings based on the context, wherein the possible findings are limited to those based on the location of the ring menu relative to a specific anatomical location in the medical image, wherein the user interface is further configured to display on the display device the list of possible findings selectable as the first input. a recommendation engine comprising one or more processors configured to identify at least one suggested recommendation according to a medical guideline and context, in response to a first input indicating a finding in a medical image of a patient, wherein the finding includes identification of at least one abnormality, an anatomical location of the identified at least one abnormality and at least one quantitative measure of the identified at least one abnormality, wherein the at least one recommendation is selected according to a rule which maps the finding and the context to the guideline and the at least one suggested recommendation within the guideline; a context unit comprising the one or more processors configured to determine the context which includes at least one of: context of the patient, context of the medical image, or context of the finding; and a user interface comprising the one or more processors configured to display on a display device the at least one suggested recommendation selectable as a second input, wherein the user interface further includes a ring menu with a transparent center through which the medical image is visible, which is positionable around an abnormality and includes a measuring tool and a findings tool, wherein the measurement tool measures the at least one quantitative measure of the identified at least one abnormality, and wherein the findings tool generates a list of possible findings based on the context, wherein the possible findings are limited to those based on the location of the ring menu relative to a specific anatomical location in the medical image, wherein the user interface is further configured to display on the display device the list of possible findings selectable as the first input.