diff --git a/dental-server/dental-client/src/components/ThumbImg.jsx b/dental-server/dental-client/src/components/ThumbImg.jsx
new file mode 100644
index 0000000..9e8861d
--- /dev/null
+++ b/dental-server/dental-client/src/components/ThumbImg.jsx
@@ -0,0 +1,46 @@
+import { useState } from 'react';
+
+/**
+ * Renderiza um thumbnail com fallback automático quando a imagem falha
+ * (404 ou erro de rede). Enquanto aguarda reenvio pelo cliente Windows
+ * exibe placeholder com ícone e label configuráveis.
+ */
+export default function ThumbImg({ src, className, style, placeholder = '🦷', label = 'Aguardando reenvio' }) {
+  const [failed, setFailed] = useState(false);
+
+  if (!src || failed) {
+    return (
+      <div
+        className={className}
+        style={{
+          ...style,
+          display: 'flex',
+          flexDirection: 'column',
+          alignItems: 'center',
+          justifyContent: 'center',
+          gap: 4,
+          background: 'var(--border, #e8edf5)',
+        }}
+      >
+        <span style={{ fontSize: '1.8rem', lineHeight: 1 }}>{placeholder}</span>
+        {label && (
+          <span style={{ fontSize: '0.6rem', color: 'var(--text-secondary, #888)', textAlign: 'center', padding: '0 6px', lineHeight: 1.3 }}>
+            {label}
+          </span>
+        )}
+      </div>
+    );
+  }
+
+  return (
+    <img
+      className={className}
+      src={src}
+      alt=""
+      loading="lazy"
+      decoding="async"
+      style={style}
+      onError={() => setFailed(true)}
+    />
+  );
+}
diff --git a/dental-server/dental-client/src/pages/DashboardPage.jsx b/dental-server/dental-client/src/pages/DashboardPage.jsx
index 50ca5f8..88241b9 100644
--- a/dental-server/dental-client/src/pages/DashboardPage.jsx
+++ b/dental-server/dental-client/src/pages/DashboardPage.jsx
@@ -5,6 +5,7 @@ import { useSocket } from '../contexts/SocketContext';
 import { useToast } from '../contexts/ToastContext';
 import { useAuth } from '../contexts/AuthContext';
 import TransformModal from '../components/TransformModal';
+import ThumbImg from '../components/ThumbImg';
 import CreatePatientModal from '../components/CreatePatientModal';
 import SettingsModal from '../components/SettingsModal';
 import UserManagementModal from '../components/UserManagementModal';
@@ -336,10 +337,11 @@ export default function DashboardPage() {
                       return (
                         <div key={`${fullName}-${idx}`} className="image-card patient-card" onClick={() => openPatient(p)}>
                           <div className="image-preview">
-                            {thumb
-                              ? <img className="preview-img" src={thumb} alt="" loading="lazy" decoding="async" style={{ background: '#e0e7ff' }} />
-                              : <div className="preview-img-placeholder">🦷</div>
-                            }
+                            <ThumbImg
+                              className="preview-img"
+                              src={thumb}
+                              style={{ background: '#e0e7ff' }}
+                            />
                             <button
                               type="button"
                               className="delete-patient-btn"
@@ -387,7 +389,7 @@ export default function DashboardPage() {
                           data-id={image.id}
                         >
                           <div className="image-preview">
-                            <img className="preview-img" src={thumbUrl} alt="" loading="lazy" decoding="async" />
+                            <ThumbImg className="preview-img" src={thumbUrl} label="Aguardando reenvio" />
                           </div>
                           <div className="image-info">
                             <div className="image-meta"><span>📅 {formatDate(image.created_at)}</span></div>
diff --git a/dental-server/dental-client/src/pages/PatientsPage.jsx b/dental-server/dental-client/src/pages/PatientsPage.jsx
index 79aaad8..1522a19 100644
--- a/dental-server/dental-client/src/pages/PatientsPage.jsx
+++ b/dental-server/dental-client/src/pages/PatientsPage.jsx
@@ -3,6 +3,7 @@ import api from '../api/client';
 import { useToast } from '../contexts/ToastContext';
 import { useAuth } from '../contexts/AuthContext';
 import Sidebar from '../components/Sidebar';
+import ThumbImg from '../components/ThumbImg';
 import CreatePatientModal from '../components/CreatePatientModal';
 import EditPatientModal from '../components/EditPatientModal';
 import SettingsModal from '../components/SettingsModal';
@@ -179,10 +180,11 @@ export default function PatientsPage() {
                         >
                           <td style={{ padding: '12px 16px', fontWeight: 600, maxWidth: 200 }}>
                             <div style={{ display: 'flex', alignItems: 'center', gap: 10 }}>
-                              {p.thumb_url
-                                ? <img src={p.thumb_url} alt="" style={{ width: 36, height: 36, borderRadius: 6, objectFit: 'cover', flexShrink: 0, background: '#e0e7ff' }} loading="lazy" />
-                                : <div style={{ width: 36, height: 36, borderRadius: 6, background: 'var(--border)', display: 'flex', alignItems: 'center', justifyContent: 'center', fontSize: 18, flexShrink: 0 }}>🦷</div>
-                              }
+                              <ThumbImg
+                                src={p.thumb_url}
+                                style={{ width: 36, height: 36, borderRadius: 6, objectFit: 'cover', flexShrink: 0, background: '#e0e7ff' }}
+                                label=""
+                              />
                               <span style={{ overflow: 'hidden', textOverflow: 'ellipsis', whiteSpace: 'nowrap' }} title={p.patient_name}>
                                 {p.patient_name || 'Sem nome'}
                               </span>