We have implemented a voice recognition interface using a Dragon Systems VoiceScribe-1000 Speech Recognition system installed on an AT&T 6310 personal computer. The Dragon Systems DragonKey software allows the user to emulate keyboard functions using the speech recognition system and replaces the presently used bar code system. The software supports user voice training, grammar design and compilation, as well as speech recognition. We have successfully integrated this voice interface in the clinical generation system for most standard mammography studies. We have found that the voice system provides a simple, user-friendly interface which is more widely accepted in a medical environment because of its similarities to tradition dictation. Although the system requires some initial time for voice training, it avoids potential delays in transcription and proofreading. This paper describes the design and implementation of this voice recognition interface in our department.