A method and system for the diagnosis of 3D images are disclosed, which significantly cuts the time required for the diagnosis. The 3D images are for example an image volume dataset of a magnetic resonance tomography system which is saved in an RIS or PACS system. In at least one embodiment, the diagnostic finding are partially automatically generated, and details of the position, size and change in pathological structures are compared to previous diagnostic findings are generated automatically. As a result of this automation the diagnostic work of radiologists is significantly reduced.