1. How to annotate an X-ray in the client file PURPOSE - To mark up x-rays or other images after they are loaded to the client file PREREQUISITES - Basic Clinical Screen slide show; How to attach client image slide show; Training Manual Part 5/Image Manager

2. 2. Expand the Drawing Set in the Symbol Browser by clicking on the double arrow icon 1. Expand the list of X-rays in the Image Browser by clicking on ‘ + ’

3. 3. Open the Annotation tab 5. Then click on the “New Annotation” button on toolbar 4. Create an annotation copy of the image / X- ray by clicking on the image thumbnail in image ‘ Explorer’

4. Image annotation VISUAL OUTCOMES provides 17 symbols to help you annotate your images.

5. 1. Click on the symbol you want to use 2. Manoeuvre the symbol shape on the X-ray with your mouse left click held

6. 3. An initial drawing may be moved/edited either by moving the dots at the end of the line … … or moving whole line by selecting the cross that appears on mouse hover

7. Text Symbol - You can add comments to an image: 1. Click on the text box symbol (TT) in the Drawing Tools. This will display a Free Text box for your comments; 2. Type in your Text and close the Free Text box. 4. Your text appears on the X-ray 3. Close the Free Text box by clicking on ‘ x’.

8. Deleting a symbol 1. Right click on the symbol itself 2. Select Remove Symbol

9. Saving the annotation Once the annotation is complete, save it by… first selecting the Type of surface, then clicking on Save on Annotation tab toolbar

10. To review an existing annotation… 1.Select the x-ray in the Image Browser - thumbnail view, 2. Click on Existing button on toolbar and select date annotation have been made