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Thanks for the reproducible steps. I think the second image is the correct image actually for download, the first one was cropped. What do you think?

I think this requires just a render on the viewport after the size changed

This is not PT SUV Attenuation corrected. tmtv only makes sense for PT AT ![Image](https://github.com/user-attachments/assets/45bffdf6-0e0f-4a9a-9002-dac813f7bea3)

Before I begin investigating, can you check with the latest OHIF master and Cornerstone 3D?[https://viewer-dev.ohif.org/localbasic](https://viewer-dev.ohif.org/localbasic)[https://www.cornerstonejs.org/live-examples/local.html](https://www.cornerstonejs.org/live-examples/local.html)

It's not about the window level; rather, the PT viewports are all inverted. So, when we reset properties, they become non-inverted.

I'm gonna close this in favor of this https://github.com/OHIF/Viewers/issues/5372

It should work, we have proper surface generation for 3D volume viewports. See this example [https://viewer.ohif.org/viewer?StudyInstanceUIDs=1.3.6.1.4.1.14519.5.2.1.256467663913010332776401703474716742458](https://viewer.ohif.org/viewer?StudyInstanceUIDs=1.3.6.1.4.1.14519.5.2.1.256467663913010332776401703474716742458)

It is a DICOM SEG generated by some algorithm i gues, manual drawing should be fine as well