A radiology workstation (14) includes a processor (16), user input devices (24, 26, 28), and at least one display device (20, 22) that displays a work list (32) of radiology examination reading tasks.A radiology examination reading task is selected from the work list, and radiology images are retrieved from a Picture Archiving and Communication System (PACS) and displayed. Entry of a radiology report is received via the at least one user input device. A challenge level assessment component (60) generates prospective challenge levels (88) for radiology examination reading tasks prior to entryof the radiology reports for the reading tasks, and the radiology workstation displays the work list with indicators (50, 54) of the prospective challenge levels generated by the challenge level assessment component for the radiology examination reading tasks. The indicators may be, for example, color indicators, icon indicators, colored icon indicators, or textual indicators.