A system and a method are disclosed that forms a novel, synthetic, two-dimensional image of an anatomical region such as a breast. Two-dimensional regions of interest (ROIs) such as masses are extracted from three-dimensional medical image data, such as digital tomosynthesis reconstructed volumes. Using image processing technologies, the ROIs are then blended with two-dimensional image information of the anatomical region to form the synthetic, two-dimensional image. This arrangement and resulting image desirably improves the workflow of a physician reading medical image data, as the synthetic, two-dimensional image provides detail previously only seen by interrogating the three-dimensional medical image data.