diff --git a/anatomy/static/js/anatomy.js b/anatomy/static/js/anatomy.js
index 25e7132a..579a101f 100644
--- a/anatomy/static/js/anatomy.js
+++ b/anatomy/static/js/anatomy.js
@@ -176,6 +176,37 @@ $(document).ready(function () {
   });
 
 
+  // Table row selection
+  // Delegate click event to all table rows
+  document.querySelectorAll('.row-selector tbody tr').forEach(function(row) {
+      row.addEventListener('click', function(e) {
+          // Ignore clicks on links or checkboxes
+          if (e.target.tagName === 'A' || e.target.tagName === 'INPUT') return;
+
+          // Find the checkbox in this row
+          const checkbox = row.querySelector('input[name="selection"]');
+          if (checkbox) {
+              checkbox.checked = !checkbox.checked;
+              row.classList.toggle('selected', checkbox.checked);
+          }
+      });
+
+      // Keep row visually in sync with checkbox state (e.g. after page reload)
+      const checkbox = row.querySelector('input[name="selection"]');
+      if (checkbox && checkbox.checked) {
+          row.classList.add('selected');
+      }
+      // Also toggle row selection when checkbox is clicked directly
+      if (checkbox) {
+          checkbox.addEventListener('click', function(e) {
+              row.classList.toggle('selected', checkbox.checked);
+              // Prevent row click event from firing
+              e.stopPropagation();
+          });
+      }
+  });
+
+
 });
 
 window.loadDicomViewerEvent = new Event('loadDicomViewer');
@@ -482,6 +513,8 @@ async function setUpDicom(element) {
 
 }
 
+window.setUpDicom = setUpDicom;
+
 //function keyUpHandler(e) {
 //  if (e.key == "Control") {
 //    dicomViewer.registerPrimaryDicomInterface(e);
@@ -681,4 +714,5 @@ function initializeClock(id, endtime) {
   updateClock();
 }
 
-window.initializeClock = initializeClock
\ No newline at end of file
+window.initializeClock = initializeClock
+
diff --git a/atlas/tables.py b/atlas/tables.py
index f39e1156..e5976728 100755
--- a/atlas/tables.py
+++ b/atlas/tables.py
@@ -183,6 +183,8 @@ class CaseTable(tables.Table):
         )
         sequence = ("view", )
         order_by = "-created_date"
+        attrs = {"class": "table row-selector"}
+
 
 
 class PopupLinkColumn(tables.Column):
@@ -231,6 +233,8 @@ class SeriesTable(tables.Table):
         )
         sequence = ("view", "popup", "images", "case")
         order_by = "-created_date"
+        attrs = {"class": "table row-selector"}
+
 
     def __init__(self, data=None, *args, **kwargs):
         super().__init__(
@@ -271,6 +275,8 @@ class ConditionTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ("primary", "subspecialty", "rcr_curriculum_map", "rcr_curriculum")
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
     def __init__(self, data=None, *args, **kwargs):
         super().__init__(
@@ -307,6 +313,8 @@ class FindingTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ("name", "primary")
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
     def render_synonym(self, value, record):
         return format_html(record.get_synonym_link())
@@ -334,6 +342,8 @@ class StructureTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ("name", "primary")
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
     def render_synonym(self, value, record):
         return format_html(record.get_synonym_link())
@@ -360,6 +370,8 @@ class PresentationTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ("name",)
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
 
 class PathologicalProcessTable(tables.Table):
@@ -381,6 +393,8 @@ class PathologicalProcessTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ("name",)
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
 
 class SubspecialtyTable(tables.Table):
@@ -402,6 +416,8 @@ class SubspecialtyTable(tables.Table):
         template_name = "django_tables2/bootstrap4.html"
         fields = ()
         sequence = ("name",)
+        attrs = {"class": "table row-selector"}
+
 
     def render_synonym(self, value, record):
         return format_html(record.get_synonym_link())
@@ -436,6 +452,8 @@ class CaseCollectionTable(tables.Table):
             "author",
         )
         sequence = ("view", )#, "series")
+        attrs = {"class": "table row-selector"}
+
 
     def __init__(self, data=None, *args, **kwargs):
         super().__init__(
@@ -463,6 +481,8 @@ class QuestionSchemaTable(tables.Table):
         model = QuestionSchema
         template_name = "django_tables2/bootstrap4.html"
         fields = ("name", "description", "schema")
+        attrs = {"class": "table row-selector"}
+
 
     def render_schema(self, value, record):
         return format_html("<details><summary>Schema</summary>{}</details>", value)
\ No newline at end of file
diff --git a/atlas/templates/atlas/case_view.html b/atlas/templates/atlas/case_view.html
index 41ecf0cf..1c8e9c66 100755
--- a/atlas/templates/atlas/case_view.html
+++ b/atlas/templates/atlas/case_view.html
@@ -20,7 +20,45 @@
             </div>
             View my <a href='{% url "atlas:case_view" %}?author={{request.user.id}}'>cases</a>.
         </details>
+
+        <form>
+        <details id="actions-detail" class="mt-3">
+            <summary>
+                <strong>Actions</strong>
+            </summary>
+<div class="row mb-2">
+    <div class="col-auto">
+        <select id="collection-select" name="collection_id" class="form-select form-select-sm">
+            <!-- Dynamically load collection options via HTMX -->
+            <option value="">Loading collections...</option>
+            <option hx-trigger="every 1s[document.getElementById('actions-detail').open] once" hx-get="{% url 'atlas:collection_options' %}" hx-target="#collection-select" hx-swap="innerHTML"></option>
+        </select>
+    </div>
+    <div class="col-auto">
+        <button id="add-to-collection-btn"
+            class="btn btn-sm btn-outline-primary"
+            hx-post="{% url 'atlas:add_cases_to_collection' %}"
+            hx-include="[name='selection']:checked, #collection-select"
+            hx-target="#action-result"
+            hx-swap="innerHTML"
+            >
+            Add selected cases to collection
+        </button>
+        <button id="remove-from-collection-btn"
+            class="btn btn-sm btn-outline-danger ms-2"
+            hx-post="{% url 'atlas:remove_cases_from_collection' %}"
+            hx-include="[name='selection']:checked, #collection-select"
+            hx-target="#action-result"
+            hx-swap="innerHTML"
+            >
+            Remove selected cases from collection
+        </button>
+        <span id="action-result"></span>
+    </div>
+</div>
+        </details>
         {% render_table table %}
+    </form>
     </div>
 
     <div id="exam-options"></div>
diff --git a/atlas/templates/atlas/partials/collection_options.html b/atlas/templates/atlas/partials/collection_options.html
new file mode 100644
index 00000000..9e2f125d
--- /dev/null
+++ b/atlas/templates/atlas/partials/collection_options.html
@@ -0,0 +1,5 @@
+        {% for collection in collections %}
+            <option value="{{ collection.pk }}">{{ collection.name }}</option>
+        {% empty %}
+            <option value="">No collections available</option>
+        {% endfor %}
\ No newline at end of file
diff --git a/atlas/templates/atlas/series_view.html b/atlas/templates/atlas/series_view.html
index 5041a75a..87c150ca 100755
--- a/atlas/templates/atlas/series_view.html
+++ b/atlas/templates/atlas/series_view.html
@@ -21,7 +21,7 @@
 
         <details class="mt-3">
             <summary>
-                <strong>Extra options</strong>
+                <strong>Actions</strong>
             </summary>
             <form id="bulk-delete-form" method="post" action="{% url 'atlas:series_bulk_delete' %}">
                 {% csrf_token %}
@@ -62,34 +62,6 @@ document.getElementById('bulk-delete-form').addEventListener('submit', function(
 {% block js %}
     <script>
 document.addEventListener('DOMContentLoaded', function() {
-    // Delegate click event to all table rows
-    document.querySelectorAll('.table tbody tr').forEach(function(row) {
-        row.addEventListener('click', function(e) {
-            // Ignore clicks on links or checkboxes
-            if (e.target.tagName === 'A' || e.target.tagName === 'INPUT') return;
-
-            // Find the checkbox in this row
-            const checkbox = row.querySelector('input[name="selection"]');
-            if (checkbox) {
-                checkbox.checked = !checkbox.checked;
-                row.classList.toggle('selected', checkbox.checked);
-            }
-        });
-
-        // Keep row visually in sync with checkbox state (e.g. after page reload)
-        const checkbox = row.querySelector('input[name="selection"]');
-        if (checkbox && checkbox.checked) {
-            row.classList.add('selected');
-        }
-        // Also toggle row selection when checkbox is clicked directly
-        if (checkbox) {
-            checkbox.addEventListener('click', function(e) {
-                row.classList.toggle('selected', checkbox.checked);
-                // Prevent row click event from firing
-                e.stopPropagation();
-            });
-        }
-    });
 });
     </script>
 {% endblock %}
@@ -97,16 +69,6 @@ document.addEventListener('DOMContentLoaded', function() {
 
 {% block css %}
     <style>
-/* Highlight row on hover */
-.table tbody tr:hover {
-    background-color: darkblue;
-    cursor: pointer;
-}
-/* Highlight selected row */
-.table tbody tr.selected {
-    background-color: #b3d7ff !important;
-    color: #333;
-}
 </style>
 {% endblock css %}
     
\ No newline at end of file
diff --git a/atlas/urls.py b/atlas/urls.py
index c4a54d5e..5c37a43f 100755
--- a/atlas/urls.py
+++ b/atlas/urls.py
@@ -101,6 +101,21 @@ urlpatterns = [
         views.collection_history,
         name="collection_history",
     ),
+    path(
+        "collection/add_cases",
+        views.add_cases_to_collection,
+        name="add_cases_to_collection",
+    ),
+    path(
+        "collection/remove_cases",
+        views.remove_cases_from_collection,
+        name="remove_cases_from_collection",
+    ),
+    path(
+        "collection/options",
+        views.collection_options,
+        name="collection_options",
+    ),
     path(
         "collection/<int:exam_id>/history/<int:user_pk>/user",
         views.collection_history_user,
diff --git a/atlas/views.py b/atlas/views.py
index 51281006..ce4fab4c 100755
--- a/atlas/views.py
+++ b/atlas/views.py
@@ -633,6 +633,46 @@ def user_collections(request):
 
     return render(request, "atlas/user_collections.html", {"collections": collections})
 
+@login_required
+def collection_options(request):
+    if not request.htmx:
+        return Http404
+
+    collections = CaseCollection.objects.filter(author=request.user).order_by("name")
+    html = render_to_string("atlas/partials/collection_options.html", {"collections": collections}, request=request)
+    return HttpResponse(html)
+
+@login_required
+def remove_cases_from_collection(request):
+    if not request.htmx:
+        return Http404
+    case_ids = request.POST.getlist('selection')
+    collection_id = request.POST.get('collection_id')
+    if not case_ids or not collection_id:
+        return HttpResponse("No cases selected or collection ID provided.")
+    collection = get_object_or_404(CaseCollection, pk=collection_id)
+    if request.user not in collection.author.all():
+        return HttpResponse("You do not have permission to remove cases from this collection.")
+    cases = Case.objects.filter(pk__in=case_ids)
+    for case_ in cases:
+        collection.cases.remove(case_)
+    return HttpResponse(f"Removed {len(cases)} cases from collection {collection.name} (refresh to see)")
+
+@login_required
+def add_cases_to_collection(request):
+    if not request.htmx:
+        return Http404
+    case_ids = request.POST.getlist('selection')
+    collection_id = request.POST.get('collection_id')
+    if not case_ids or not collection_id:
+        return HttpResponse("No cases selected or collection ID provided.")
+    collection = get_object_or_404(CaseCollection, pk=collection_id)
+    if request.user not in collection.author.all():
+        return HttpResponse("You do not have permission to add cases to this collection.")
+    cases = Case.objects.filter(pk__in=case_ids)
+    for case_ in cases:
+        collection.cases.add(case_)
+    return HttpResponse(f"Added {len(cases)} cases to collection {collection.name} (refresh to see)")
 
 def add_case_to_collection(request, collection_id):
     if not request.htmx:
@@ -1905,7 +1945,7 @@ def collection_detail(request, pk):
     return render(
         request,
         "atlas/collection_detail.html",
-        {"collection": collection, "casesdetails": casedetails, "can_edit": True},
+        {"collection": collection, "casesdetails": casedetails, "can_edit": True, "exam": collection},
     )
 
 
diff --git a/generic/templates/generic/exam_overview_headers.html b/generic/templates/generic/exam_overview_headers.html
index 2da24226..5a8952fb 100644
--- a/generic/templates/generic/exam_overview_headers.html
+++ b/generic/templates/generic/exam_overview_headers.html
@@ -96,22 +96,10 @@ Open access: {{ exam.open_access }}<br />
 {% endif %}
 
 
-<div class="parent-help" title="Click to enable / disable the exam">
-    Exam active: <input type="checkbox"
-                        {% if not can_edit %}
-                            disabled
-                        {% endif %}
-                        id="exam-active-switch" {% if exam.active %}checked{% endif %} data-posturl="{% url exam.get_app_name|add:':exam_toggle_active' pk=exam.pk %}"> <span class="help-text">[When checked the exam will be available to take in the test system]</span>
-</div>
+{% include "generic/partials/exams/exam_status.html#exam-active" %}
 {% if exam.exam_mode %}
-    <div class="parent-help" title="Click to enable / disable the exam results">
-        Publish results: <input type="checkbox"
-                                {% if not can_edit %}
-                                    disabled
-                                {% endif %}
-                                id="exam-publish-results-switch"  data-posturl="{% url exam.get_app_name|add:':exam_toggle_results_published' pk=exam.pk %}"
-                                {% if exam.publish_results %}checked{% endif %}>  <span class="help-text">[When checked the exam results will be available to users on this site]</span>
-    </div>
+
+        {% include "generic/partials/exams/exam_status.html#publish-results" %}
     {% if exam.get_app_name == "anatomy" or exam.get_app_name == "longs" %}
         <p><a href="{% url exam.get_app_name|add:':mark_overview' pk=exam.pk %}"><button>Mark exam</button></a></p>
     {% endif %}
diff --git a/generic/templates/generic/partials/exams/exam_status.html b/generic/templates/generic/partials/exams/exam_status.html
index f2d4831b..7a130cfd 100644
--- a/generic/templates/generic/partials/exams/exam_status.html
+++ b/generic/templates/generic/partials/exams/exam_status.html
@@ -1,15 +1,15 @@
 {% load partials %}
 
 {% partialdef publish-results %}
-<div id="publish-results-status">
-        Publish results: <span>{{collection.publish_results}}</span>
+<div id="publish-results-status" >
+        Publish results: <span>{{exam.publish_results}}</span>
         <button 
-            hx-post="{% url 'atlas:exam_toggle_results_published' collection.pk %}"
+            hx-post="{% url exam.get_app_name|add:':exam_toggle_results_published' exam.pk %}"
             hx-swap="outerHTML"
             hx-target="#publish-results-status"
             class="btn btn-sm btn-outline-primary reduce-opacity"
         >
-            {% if collection.publish_results %}Unpublish Results{% else %}Publish Results{% endif %}
+            {% if exam.publish_results %}Unpublish Results{% else %}Publish Results{% endif %}
         </button>
 </div>
 {% endpartialdef publish-results %}
@@ -17,14 +17,14 @@
 
 {% partialdef exam-active %}
 <div id="exam-active-status">
-        Exam active: <span>{{collection.active}}</span>
+        Exam active: <span>{{exam.active}}</span>
         <button 
-            hx-post="{% url 'atlas:exam_toggle_active' collection.pk %}"
+            hx-post="{% url exam.get_app_name|add:':exam_toggle_active' exam.pk %}"
             hx-swap="outerHTML"
             hx-target="#exam-active-status"
             class="btn btn-sm btn-outline-primary reduce-opacity"
         >
-            {% if collection.active %}Deactivate Exam{% else %}Activate Exam{% endif %}
+            {% if exam.active %}Deactivate Exam{% else %}Activate Exam{% endif %}
         </button>
 </div>
 {% endpartialdef exam-active %}
\ No newline at end of file
diff --git a/generic/urls.py b/generic/urls.py
index 5efa64b7..5aa73aa8 100755
--- a/generic/urls.py
+++ b/generic/urls.py
@@ -388,12 +388,12 @@ def generic_exam_urls(generic_exam_view: GenericExamViews):
         ),
         path(
             "exam/<int:pk>/toggle_active",
-            generic_exam_view.exam_toggle_active,
+            generic_exam_view.exam_toggle_active_htmx,
             name="exam_toggle_active",
         ),
         path(
             "exam/<int:pk>/toggle_results_published",
-            generic_exam_view.exam_toggle_results_published,
+            generic_exam_view.exam_toggle_results_published_htmx,
             name="exam_toggle_results_published",
         ),
         path(
diff --git a/helpers/images.py b/helpers/images.py
index 9dbcd5eb..27f01761 100644
--- a/helpers/images.py
+++ b/helpers/images.py
@@ -2,6 +2,7 @@ import base64
 from collections import defaultdict
 import hashlib
 import mimetypes
+from pydicom.uid import ExplicitVRLittleEndian
 
 from io import BytesIO
 
@@ -19,6 +20,7 @@ try:
     from .pydicom_PIL import get_PIL_image
 except:
     from pydicom_PIL import get_PIL_image
+import numpy as np
 
 def image_as_base64(image_file):
     """
@@ -284,3 +286,42 @@ def compare_dicom_datasets(*datasets: pydicom.Dataset):
     return differences
 
 
+def combine_dicom_images_side_by_side(dicom_path1, dicom_path2):
+    """
+    Combines two DICOM images side by side, using the metadata from the first image.
+    If the heights differ, pads the shorter image with zeros at the bottom.
+    Returns a new pydicom.Dataset with the combined image.
+    """
+    ds1 = pydicom.dcmread(dicom_path1)
+    ds2 = pydicom.dcmread(dicom_path2)
+
+    arr1 = ds1.pixel_array
+    arr2 = ds2.pixel_array
+
+    h1, w1 = arr1.shape[:2]
+    h2, w2 = arr2.shape[:2]
+
+    # Pad arrays if heights differ
+    if h1 != h2:
+        max_h = max(h1, h2)
+        def pad(arr, target_h):
+            pad_height = target_h - arr.shape[0]
+            if pad_height > 0:
+                pad_shape = ((0, pad_height), (0, 0)) if arr.ndim == 2 else ((0, pad_height), (0, 0), (0, 0))
+                arr = np.pad(arr, pad_shape, mode='constant', constant_values=0)
+            return arr
+        arr1 = pad(arr1, max_h)
+        arr2 = pad(arr2, max_h)
+
+    combined = np.hstack((arr1, arr2))
+
+    ds1.PixelData = combined.tobytes()
+    ds1.Rows, ds1.Columns = combined.shape[:2]
+
+    if hasattr(ds1, 'PhotometricInterpretation'):
+        ds1.PhotometricInterpretation = ds1.PhotometricInterpretation
+
+    # Ensure output is uncompressed
+    ds1.file_meta.TransferSyntaxUID = ExplicitVRLittleEndian
+
+    return ds1
diff --git a/rad/static/css/anatomy.css b/rad/static/css/anatomy.css
index 24909617..ace6bc26 100644
--- a/rad/static/css/anatomy.css
+++ b/rad/static/css/anatomy.css
@@ -1395,4 +1395,17 @@ span#user-id {
 }
 .btn.reduce-opacity:hover, .btn.reduce-opacity:focus {
     opacity: 1;
+}
+
+
+
+/* Highlight row on hover */
+.row-selector tbody tr:hover td {
+    background-color: darkblue;
+    cursor: pointer;
+}
+/* Highlight selected row */
+.row-selector tbody tr.selected td {
+    background-color: #b3d7ff !important;
+    color: #333;
 }
\ No newline at end of file
diff --git a/sbas/views.py b/sbas/views.py
index 5185f949..52379f92 100644
--- a/sbas/views.py
+++ b/sbas/views.py
@@ -435,3 +435,4 @@ def exam_clone2(request, exam_id):
     exam = get_object_or_404(Exam, pk=exam_id)
     new_exam = exam.clone_model()
     return redirect("sbas:exam_update", pk=new_exam.id)
+
diff --git a/shorts/admin.py b/shorts/admin.py
index 2165b8fc..57e04efe 100644
--- a/shorts/admin.py
+++ b/shorts/admin.py
@@ -2,11 +2,12 @@ from django.contrib import admin
 
 # Register your models here.
 
-from .models import Question, SampleAnswer, Exam, ExamUserStatus, UserAnswer
+from .models import Question, SampleAnswer, Exam, ExamUserStatus, UserAnswer, QuestionImage
 
 admin.site.register(Question)
 admin.site.register(SampleAnswer)
 admin.site.register(UserAnswer)
+admin.site.register(QuestionImage)
 
 #class RapidImageInline(admin.TabularInline):
 #    model = QuestionImage
diff --git a/shorts/models.py b/shorts/models.py
index 1ec2abdd..ccf68f14 100644
--- a/shorts/models.py
+++ b/shorts/models.py
@@ -31,6 +31,9 @@ from rapids.models import Abnormality, Examination, Region
 
 from helpers.images import get_image_hash, image_as_base64
 from django.utils.html import format_html
+from helpers.images import combine_dicom_images_side_by_side
+from django.core.files import File
+import tempfile
 
 
 def image_directory_path(instance, filename):
@@ -108,6 +111,43 @@ class Question(QuestionBase):
             except pydicom.errors.InvalidDicomError:
                 pass
 
+    def combine_images_side_by_side(self, image1_id, image2_id):
+        """
+        Combines two DICOM images side by side and saves the new image.
+        Marks the original images as feedback images.
+        """
+
+        img1 = self.images.get(id=image1_id)
+        img2 = self.images.get(id=image2_id)
+
+        dicom_path1 = os.path.join(settings.MEDIA_ROOT, img1.image.name)
+        dicom_path2 = os.path.join(settings.MEDIA_ROOT, img2.image.name)
+
+        # Combine images (returns a FileDataset)
+        combined_dataset = combine_dicom_images_side_by_side(dicom_path1, dicom_path2)
+
+        # Save new image directly to storage
+        combined_image_name = f"combined_{img1.filename}_{img2.filename}.dcm"
+        combined_image_path = os.path.join("shorts/picture", combined_image_name)
+        full_path = os.path.join(settings.MEDIA_ROOT, combined_image_path)
+        combined_dataset.save_as(full_path)
+        with open(full_path, "rb") as f:
+            new_image = QuestionImage(
+            question=self,
+            image=File(f, name=combined_image_path),
+            feedback_image=False,
+            is_dicom=True,
+            )
+            new_image.save()
+
+        # Mark originals as feedback images
+        img1.feedback_image = True
+        img1.save()
+        img2.feedback_image = True
+        img2.save()
+
+        return new_image
+
     def check_user_can_edit(self, user):
         if user.is_superuser:
             return True
@@ -169,6 +209,11 @@ class Question(QuestionBase):
         user_answers = set([i.answer for i in queryset])
 
         return user_answers
+
+    def get_examination_string(self):
+        """Returns a string of the examinations associated with the question."""
+        examinations = self.examination.all().values_list("examination", flat=True)
+        return ", ".join(examinations)
         
 
 class QuestionImage(models.Model):
@@ -358,7 +403,7 @@ class Exam(ExamBase):
                 if i.description:
                     image_titles.append(i.description)
                 else:
-                    image_titles.append("")
+                    image_titles.append(q.get_examination_string())
 
             exam_questions[q.id] = {
                 "images": images,
diff --git a/shorts/templates/shorts/combine_error.html b/shorts/templates/shorts/combine_error.html
new file mode 100644
index 00000000..4497d87c
--- /dev/null
+++ b/shorts/templates/shorts/combine_error.html
@@ -0,0 +1 @@
+<div class="alert alert-warning">{{ error }}</div>
\ No newline at end of file
diff --git a/shorts/templates/shorts/combine_result.html b/shorts/templates/shorts/combine_result.html
new file mode 100644
index 00000000..e383e78a
--- /dev/null
+++ b/shorts/templates/shorts/combine_result.html
@@ -0,0 +1,19 @@
+    
+        
+    <span class="image-block">
+        Image {{ forloop.counter }}{% if image.description %} ({{image.description}}){% endif %}{% if image.feedback_image %} [feedback image]{% endif %}:
+        <div class="dicom-image shorts-img {% if image.feedback_image %}feedback-img{% endif %}"
+                data-url="{{ remote_url }}{{ image.image.url}}"></div>
+    </span>
+
+    <script>
+        document.body.addEventListener("htmx:afterSwap", function(evt) {
+            const dataUrl = "{{ remote_url }}{{ image.image.url}}";
+            console.log(dataUrl);
+            const dicomDiv = document.querySelector('.dicom-image[data-url="' + dataUrl + '"]');
+            console.log(dicomDiv);
+            if (dicomDiv) {
+                setUpDicom(dicomDiv);
+            }
+        });
+    </script>
\ No newline at end of file
diff --git a/shorts/templates/shorts/question_display_block.html b/shorts/templates/shorts/question_display_block.html
index fc3eb33a..743030ad 100755
--- a/shorts/templates/shorts/question_display_block.html
+++ b/shorts/templates/shorts/question_display_block.html
@@ -18,23 +18,66 @@
     </p>
     <p class="pre-whitespace"><b>Abnormality:</b> {{ question.get_abnormalities }}</p>
     <div class="pre-whitespace multi-image-block"><b>Images:</b>
-        {% for image in question.images.all %}
-            <span class="image-block">
-                Image {{ forloop.counter }}{% if image.description %} ({{image.description}}){% endif %}{% if image.feedback_image %} [feedback image]{% endif %}:
-                <div class="dicom-image shorts-img {% if image.feedback_image %}feedback-img{% endif %}"
-                     data-url="{{ remote_url }}{{ image.image.url}}"></div>
-            </span>
-        {% endfor %}
+        <form>
+            {% for image in question.images.all %}
+                <span class="image-block" style="display: inline-block; vertical-align: top; margin-right: 10px;">
+                    Image {{ forloop.counter }}{% if image.description %} ({{image.description}}){% endif %}{% if image.feedback_image %} [feedback image]{% endif %}:
+                    <div class="dicom-image shorts-img {% if image.feedback_image %}feedback-img{% endif %}"
+                         data-url="{{ remote_url }}{{ image.image.url}}"></div>
+                    <input type="checkbox" class="combine-image-checkbox hide" name="combine-image-checkbox" value="{{ image.pk }}">
+                </span>
+            {% endfor %}
+
+            <details id="combine-images-details">
+                <summary>Combine Images</summary>
+                    <button id="combine-images-btn"
+                            class="btn btn-sm btn-outline-primary"
+                            hx-post="{% url 'shorts:combine_images_side_by_side' question.pk %}"
+                            hx-include=".combine-image-checkbox:checked"
+                            hx-target="#combine-images-result"
+                            hx-swap="innerHTML"
+                            hx-indicator="#combine-images-progress">
+                        Combine Selected Images Side by Side
+                    </button>
+                    <div id="combine-images-progress" class="htmx-indicator">
+                        <span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span>
+                        Combining images, please wait...
+                    </div>
+                    <div id="combine-images-result"></div>
+            </details>
+            <script>
+                document.addEventListener("DOMContentLoaded", function() {
+                    const checkboxBlocks = document.querySelectorAll(".combine-image-checkbox");
+                    const details = document.getElementById("combine-images-details");
+                    console.log("checkboxBlocks", checkboxBlocks);
+                    function updateVisibility() {
+                        if (details.open) {
+                            checkboxBlocks.forEach(cb => cb.style.display = "inline-block");
+                            // Auto-select if only two checkboxes
+                            if (checkboxBlocks.length === 2) {
+                                checkboxBlocks.forEach(cb => cb.checked = true);
+                            }
+                        } else {
+                            checkboxBlocks.forEach(cb => cb.style.display = "none");
+                        }
+                    }
+                    if (details) {
+                        updateVisibility();
+                        details.addEventListener("toggle", updateVisibility);
+                    }
+                });
+            </script>
+        </form>
     </div>
     <a href='{% url "shorts:question_findings" question_id=question.pk %}'>Click here to view/add findings</a>
     <div>
         Exam(s): {% for exam in question.exams.all %}
             <a href="{% url 'shorts:exam_overview' pk=exam.pk %}">{{ exam }}</a>,
         {% endfor %}
-            <button class="btn btn-sm" hx-get="{% url 'shorts:question_add_exam' question_id=question.pk %}"
-            hx-target="#exam-list"
-            hx-swap="innerHTML">Edit exam(s)</button>
-            <span id="exam-list"></span>
+        <button class="btn btn-sm" hx-get="{% url 'shorts:question_add_exam' question_id=question.pk %}"
+                hx-target="#exam-list"
+                hx-swap="innerHTML">Edit exam(s)</button>
+        <span id="exam-list"></span>
 
     </div>
     <p class="pre-whitespace"><b>Open Access:</b> {{ question.open_access }}</p>
@@ -56,8 +99,8 @@
                                 {{ answer }}
                             </span>
                         </td>
-                                <td>{{answer.score}}</td>
-                            </tr>
+                        <td>{{answer.score}}</td>
+                    </tr>
                 {% endfor %}
             </table>
         </details>
@@ -119,7 +162,7 @@
                     json_toolstates.push(JSON.stringify(toolstate[image]));
                 }   else if ("wadouri:" + image in toolstate) {
                     json_toolstates.push(JSON.stringify(toolstate["wadouri:" + image]));
-                } 
+                }
             }
             console.log("json_toolstates", json_toolstates)
 
diff --git a/shorts/urls.py b/shorts/urls.py
index 74f27aaa..a2be0009 100644
--- a/shorts/urls.py
+++ b/shorts/urls.py
@@ -46,6 +46,7 @@ urlpatterns = [
         views.question_add_exam,
         name="question_add_exam",
     ),
+    path('question/<int:question_id>/combine-images/', views.combine_images_side_by_side, name='combine_images_side_by_side'),
     #path("answer/<int:answer_id>/confirm", views.confirm_answer, name="confirm_answer"),
     #path("answer/<int:answer_id>/delete", views.delete_answer, name="delete_answer"),
     path(
diff --git a/shorts/views.py b/shorts/views.py
index c6ebd813..5034adef 100644
--- a/shorts/views.py
+++ b/shorts/views.py
@@ -1,6 +1,7 @@
 import json
 from django.shortcuts import render, get_object_or_404, redirect
 from django import forms
+from django.views.decorators.http import require_POST
 
 # from django.contrib.auth.models import User
 from django.contrib.auth.decorators import login_required, user_passes_test
@@ -42,6 +43,7 @@ from generic.views import (
 )
 from generic.mixins import CheckCanEditMixin, SuperuserRequiredMixin
 from atlas.models import Finding, Structure, Condition
+from rad import settings
 from shorts.decorators import user_is_author_or_shorts_checker
 
 from .models import (
@@ -949,3 +951,14 @@ def question_findings(request, question_id, finding_pk=None):
         },
     )
 
+@require_POST
+def combine_images_side_by_side(request, question_id):
+    image_ids = request.POST.getlist('combine-image-checkbox')
+    print(image_ids)
+    if len(image_ids) != 2:
+        return render(request, "shorts/combine_error.html", {"error": "Please select exactly two images."})
+    question = get_object_or_404(Question, pk=question_id)
+    image = question.combine_images_side_by_side(*image_ids)
+    return render(request, "shorts/combine_result.html", {"image": image,
+                "remote_url": settings.REMOTE_URL,
+                                                          })
\ No newline at end of file