1. A system for processing medical image files comprising: an unscreened files data structure configured to access unscreened medical image files created by at least one imaging modality; a distribution module comprising a selection processor, a workflow queue generation processor, and a transmission processor; at least one workstation comprising a receiving processor, a user display, and a user input; a system monitoring module configured to monitor and evaluate a user's interpretive output information of the unscreened files; a diagnostic output module; a distribution override processor in communication with the system monitoring module and the selection processor, wherein the distribution override processor is configured to adjust the number of unscreened medical image files presented to the user based on the monitoring and evaluation of the system monitoring module; and a feedback module configured to send and receive real-time electronic communication regarding a user's interpretation of the unscreened files.