Disclosed are various embodiments for equitably assigning medical images for examination. Data describing medical image studies pending examination are obtained from a medical data
server. A relative complexity value is determined for each of the medical image studies. The medical image studies are assigned for examination by a respective user based on preferences associated with the respective user and the relative complexity value determined for each medical
image study. A user is prevented from viewing a particular medical
image study based at least in part on a lock status associated with the particular medical
image study.