Various methods and systems are provided for graphical grading of medical findings during a diagnostic imaging exam. In one example, a method includes displaying an acquired medical image on a display area of a display device, displaying a virtual anatomical diagram on the display area adjacent to the ultrasound medical image, responsive to selection of an anatomical region from the anatomical diagram, displaying a plurality of icons representing graded diagnostic findings associated with the anatomical region, and responsive to selection of an icon of the plurality of icons, storing the ultrasound medical image in permanent memory.