Improved systems and devices for pre-caching of related medical imaging are provided. A medical imaging order may be received from a medical facility that includes medical imaging of a site generated by a medical imaging device. The medical imaging order may include metadata, such as user data, site data, and modality data. A search may be executed for supplemental medical imaging of the user using the user data. The supplemental medical imaging may be filtered using the site data to return only that medical imaging related to the site. The filtered supplemental medical imaging may be prioritized using the modality data. The prioritized supplemental medical imaging may be appended to the request, and the request may be transmitted to a radiologist for generation of a medical imaging report.