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HOPPR Launches Presto Agent to Bring AI Draft Reporting into Existing Radiology Workflows

• By John K. Waters
• 07/15/2026

HOPPR, a company developing artificial intelligence tools for medical imaging, announced on June 24 the commercial availability of its Presto Agent, a product designed to bring AI-generated draft reporting into radiology reporting systems that practices already use, the company said in a statement.

Presto integrates with existing radiology reporting systems without requiring new software or platform migrations, according to the release. It uses information from AI models that practices select on their own to extract findings from imaging exams, then creates a draft report from those findings and imports it into each radiologist's existing templates, per the release.

The product organizes dictated text within report templates and automatically pulls measurements from DEXA images, scanned PDFs and ultrasound worksheets directly into reports, according to the release. Presto is described as working with any vision-language model, including open-source, commercial, or internally developed models, which, HOPPR says, gives practices flexibility as the underlying models change over time.

Presto is available for PowerScribe 360 and PowerScribe One, with additional reporting system integrations in development, according to the release and as confirmed by Axis Imaging News.

William Boonn, chief medical officer at HOPPR, said in the release that report generation has been a major source of frustration for radiologists, with little to do with interpreting images, and that Presto was built to fill that gap. "As practicing radiologists, we became frustrated that the promise of AI wasn't being delivered at the point of reporting," he said, according to the release.

Khan Siddiqui, founder and chief executive of HOPPR, said in the release that deployment in clinical workflows has become a universal bottleneck, preventing practices from realizing the benefits of AI, and that Presto is designed to get AI results in front of radiologists within the systems they already use.

Radiologists who participated in early access deployments described smooth integration with their existing workflows, according to the release. Shawn Lyo, of Radiology Associates of South Florida, said Presto was easy to set up and praised its flexibility for different reporting styles and preferences, per the release. Daniel Riherd, of Evansville Radiology, said the tool ran inside PowerScribe with nothing to configure and saved time by removing the need to dictate measurements manually. Joshua Adam Tarrence, of Radiology Physicians, Inc., said that Presto had reduced manual work on building reports after several months of daily use.

HOPPR describes Presto as an AI-agnostic workflow integration product that is independent from, but complementary to, its AI Foundry platform, a development environment for building, fine-tuning, validating and hosting AI models for medical imaging, according to HOPPR's product page for Presto Agent. HOPPR describes AI Foundry as supporting SOC 2 Type II, HITRUST e1 and HIPAA compliance, according to TipRanks' reporting on the launch.

HOPPR was founded in 2019 and describes itself as bringing together experts in clinical radiology, AI development and healthcare commercialization, according to the company description in the PR Newswire release. Additional information on requesting access or a demonstration of Presto is available at presto.run, per the release.