diff --git a/dicom-viewer/src/App.tsx b/dicom-viewer/src/App.tsx
index 2fcc5b0..af772c3 100644
--- a/dicom-viewer/src/App.tsx
+++ b/dicom-viewer/src/App.tsx
@@ -1455,6 +1455,7 @@ function App({ container_id, imageStacks, autoCacheStack, ...props }: AppProps)
   const numVisible = viewportGrid.rows * viewportGrid.cols;
   const viewports = [];
   //for (let i = 0; i < MAX_VIEWPORTS; i++) {
+  // Viewports rendering loop
   for (let i = 0; i < numVisible; i++) {
     // Determine if this viewport should be visible in the current grid
     const isVisible = i < viewportGrid.rows * viewportGrid.cols;
@@ -1640,6 +1641,103 @@ function App({ container_id, imageStacks, autoCacheStack, ...props }: AppProps)
             </span>
           )}
         </button>
+        // Annotations buttons
+{viewportModes[i] === "stack" && (() => {
+  // Get all annotations for this stack
+  const imageIds = viewportImageIds[i];
+  const allAnnotations = cornerstoneTools.annotation.state.getAllAnnotations() || [];
+  const stackAnnotations = allAnnotations.filter(
+    ann =>
+      ann.metadata &&
+      ann.metadata.referencedImageId &&
+      imageIds.includes(ann.metadata.referencedImageId)
+  );
+  if (!stackAnnotations.length) return null;
+  return (
+    <div
+      style={{
+        position: "absolute",
+        left: "50%",
+        bottom: 60,
+        transform: "translateX(-50%)",
+        zIndex: 30,
+        display: "flex",
+        gap: 4,
+        pointerEvents: "auto",
+      }}
+    >
+      <button
+        style={{
+          background: "rgba(30,30,30,0.7)",
+          color: "#fff",
+          border: "none",
+          borderRadius: "50%",
+          width: 28,
+          height: 28,
+          fontSize: "16px",
+          fontWeight: "bold",
+          cursor: "pointer",
+          opacity: 0.7,
+          display: "flex",
+          alignItems: "center",
+          justifyContent: "center",
+          boxShadow: "0 1px 4px rgba(0,0,0,0.18)",
+          transition: "opacity 0.2s",
+        }}
+        title="Previous Annotation"
+        aria-label="Previous Annotation"
+        onClick={() => {
+          const renderingEngine = renderingEngineRef.current;
+          const viewport = renderingEngine?.getViewport(`CT_${i}`);
+          if (!viewport || typeof viewport.getCurrentImageIdIndex !== "function") return;
+          const currentIdx = viewport.getCurrentImageIdIndex();
+          const prevIdx = findNextAnnotationIdx(currentIdx, imageIds, stackAnnotations, -1);
+          if (prevIdx !== null && typeof viewport.setImageIdIndex === "function") {
+            csUtilities.jumpToSlice(viewport.element, { imageIndex: prevIdx });
+            updateOverlay(i, viewport);
+          }
+        }}
+      >
+        <span aria-hidden="true">◀</span>
+      </button>
+      <button
+        style={{
+          background: "rgba(30,30,30,0.7)",
+          color: "#fff",
+          border: "none",
+          borderRadius: "50%",
+          width: 28,
+          height: 28,
+          fontSize: "16px",
+          fontWeight: "bold",
+          cursor: "pointer",
+          opacity: 0.7,
+          display: "flex",
+          alignItems: "center",
+          justifyContent: "center",
+          boxShadow: "0 1px 4px rgba(0,0,0,0.18)",
+          transition: "opacity 0.2s",
+        }}
+        title="Next Annotation"
+        aria-label="Next Annotation"
+        onClick={() => {
+          const renderingEngine = renderingEngineRef.current;
+          const viewport = renderingEngine?.getViewport(`CT_${i}`);
+          if (!viewport || typeof viewport.getCurrentImageIdIndex !== "function") return;
+          const currentIdx = viewport.getCurrentImageIdIndex();
+          const nextIdx = findNextAnnotationIdx(currentIdx, imageIds, stackAnnotations, 1);
+          if (nextIdx !== null && typeof viewport.setImageIdIndex === "function") {
+            csUtilities.jumpToSlice(viewport.element, { imageIndex: nextIdx });
+            updateOverlay(i, viewport);
+          }
+        }}
+      >
+        <span aria-hidden="true">▶</span>
+      </button>
+    </div>
+  );
+})()}
+// ...existing code...
         {/* Overlay info (bottom left of viewport) */}
         <div
           style={{
@@ -2693,3 +2791,30 @@ function setupTools(MAIN_TOOL_GROUP_ID) {
 
   return mainToolGroup;
 }
+
+// Add this helper to find the next/previous annotation index for the current viewport
+function findNextAnnotationIdx(currentIdx: number, imageIds: string[], annotations: any[], direction: 1 | -1) {
+  if (!annotations.length || !imageIds.length) return null;
+  // Find all annotation indices in this stack
+  const annIndices = annotations
+    .map(ann => imageIds.findIndex(id => id === ann.metadata.referencedImageId))
+    .filter(idx => idx !== -1)
+    .sort((a, b) => a - b);
+
+  if (!annIndices.length) return null;
+
+  // Find the next/prev annotation index
+  if (direction === 1) {
+    // Next
+    for (let idx of annIndices) {
+      if (idx > currentIdx) return idx;
+    }
+    return annIndices[0]; // wrap around
+  } else {
+    // Previous
+    for (let i = annIndices.length - 1; i >= 0; i--) {
+      if (annIndices[i] < currentIdx) return annIndices[i];
+    }
+    return annIndices[annIndices.length - 1]; // wrap around
+  }
+}
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