---
title: Drawing, adding information and modifying Images
description: Learn how to draw, modify and save copies
---

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1. [XDR Radiology](https://kb.xdrradiology.com/?hsLang=en-us)
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July 1, 2025

# Drawing, adding information and modifying Images

## Learn how to draw, annotate, modify, add information to images and save copies of images

**Step 1:** Open Exam.

**Step 2:** Double click on the image.

**Step 3:** Click on the DRAW tab. This will open the annotation and text options.

![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-05-44-29-9221-PM.png?width=670&height=437&name=image-png-Mar-20-2025-05-44-29-9221-PM.png)

**Step 4:** Set the Annotation Color:

- **Important:** Choose the pen color before selecting the drawing tool.
- The default color is white.
- To change to black, click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-09-09-9693-PM.png?width=44&height=30&name=image-png-Mar-20-2025-07-09-09-9693-PM.png) **white pen option**. The button will change to black.
- Click the button again to toggle between white and black.

**Step 5:** Click on the Drawing button to being annotating.

**Note:** See **Step 6**, for instructions on how to save your drawings.

**Freehand Drawing:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-10-10-2433-PM.png?width=47&height=30&name=image-png-Mar-20-2025-07-10-10-2433-PM.png) **swirled button**.
- Move the cursor to the image.
- Click and drag to draw your line.
- Release the mouse button to stop drawing.

**Drawing an Arrow:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-10-36-2433-PM.png?width=45&height=29&name=image-png-Mar-20-2025-07-10-36-2433-PM.png) **arrow button**.
- Move the cursor to the image.
- Click and drag to create the *tail* of the arrow.
- Release the mouse button to create the arrowhead .

**Drawing a Circle:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-11-56-6872-PM.png?width=44&height=31&name=image-png-Mar-20-2025-07-11-56-6872-PM.png) **circle button**.
- Move the cursor to the center of the desired area.
- Click and drag to create the circle.
- Release the mouse button.

**Adding Text:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-12-28-4172-PM.png?width=43&height=29&name=image-png-Mar-20-2025-07-12-28-4172-PM.png) **T button**.
- Move the cursor to the desired text location.
- Click and drag from the top-left to the bottom-right to create a text box.
- Type your text. It will automatically wrap to the next line.
- Click the **T button again** to lock the text in place.  
  **Note :** Use the **PgUp** and **PgDown** keys to adjust the text size.

**Erasing Annotations:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-13-19-3210-PM.png?width=44&height=30&name=image-png-Mar-20-2025-07-13-19-3210-PM.png) **Eraser button**.
- Move the cursor to the area you want to erase.
- Click and drag to erase.
- Release the mouse button.

**Cropping an Image:**

- Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-13-43-8774-PM.png?width=54&height=37&name=image-png-Mar-20-2025-07-13-43-8774-PM.png) **double rectangle button**.
- Move the cursor to the top-left corner of the desired crop area.
- Click and drag to the bottom-right corner.
- Release the mouse button.
- The software will prompt you to save a copy of the cropped image to the exam.  
  **Note :** If you release the mouse button too soon, click **UNDO** to restore the image.

**Note :** Double-clicking outside the text box too quickly, clicking **CLEAR**, or clicking **UNDO** will remove all annotations.

The original image's integrity is preserved. Annotations and cropping create copies.

**Step 6**: Click the ![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-16-14-1971-PM.png?width=56&height=38&name=image-png-Mar-20-2025-07-16-14-1971-PM.png) **Copy button** in the View Exam screen.

- This saves the annotated image within the same exam as the original.
- The annotated image will be stacked on top of the original image, and the original image will remain unchanged.

![](https://kb.xdrradiology.com/hs-fs/hubfs/image-png-Mar-20-2025-07-23-53-3423-PM.png?width=670&height=464&name=image-png-Mar-20-2025-07-23-53-3423-PM.png)

 

 

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