The invention relates to a medical image report generation method and device, computer equipment and a storage medium. The method comprises the following steps: analyzing image data of a patient to obtain focus information and a disease type of the patient, obtaining a section image of a focus part of the patient according to the focus information and the image data, and obtaining pathological description information from a preset pathological knowledge base according to the disease type and the focus information, and finally, adding the pathological description information and the section image to the initial report template, obtaining an auditing result after auditing the added initial report template, and generating a medical image report of the patient according to the auditing result. In the process of generating the medical image report, due to the fact that the focus information, the disease type, the section image and the pathological description information are all obtained through automatic analysis of the medical terminal, the method can efficiently generate the medical image report, and the problem that the generated medical image report is inaccurate due to insufficient experience of doctors can also be solved.