diff --git a/dental-server/database.js b/dental-server/database.js
index 51587d3..81fbe3c 100644
--- a/dental-server/database.js
+++ b/dental-server/database.js
@@ -94,6 +94,7 @@ async function createTables() {
     // Garantir que a coluna exista caso a tabela já tenha sido criada antes
     await client.query('ALTER TABLE images ADD COLUMN IF NOT EXISTS thumb_filename TEXT;');
     await client.query('ALTER TABLE images ADD COLUMN IF NOT EXISTS clinic_name VARCHAR(100);');
+    await client.query('ALTER TABLE images ADD COLUMN IF NOT EXISTS image_remark TEXT;');
 
     console.log('✅ Tabela images criada/verificada no PostgreSQL');
     
diff --git a/dental-server/dental-client/src/pages/GtosPage.jsx b/dental-server/dental-client/src/pages/GtosPage.jsx
index 1dfd86f..be359a9 100644
--- a/dental-server/dental-client/src/pages/GtosPage.jsx
+++ b/dental-server/dental-client/src/pages/GtosPage.jsx
@@ -54,7 +54,7 @@ function GtoDetailModal({ isOpen, onClose, gto, onUpdated }) {
 
   useEffect(() => {
     if (selectedImage) {
-      setTempRemark(selectedImage.remark || '');
+      setTempRemark(selectedImage.image_remark || '');
       setIsEditingRemark(false);
     }
   }, [selectedImage]);
@@ -77,7 +77,7 @@ function GtoDetailModal({ isOpen, onClose, gto, onUpdated }) {
 
       const ext = getExtension(img.filename);
       const pName = (img.patient_name || 'paciente').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
-      const obs = (img.remark || '').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
+      const obs = (img.image_remark || '').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
 
       const fileName = obs ? `${pName}-${obs}.${ext}` : `${pName}.${ext}`;
 
@@ -139,7 +139,7 @@ function GtoDetailModal({ isOpen, onClose, gto, onUpdated }) {
     try {
       const ext = getExtension(img.filename);
       const pName = (img.patient_name || 'paciente').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
-      const obs = (img.remark || '').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
+      const obs = (img.image_remark || '').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
 
       const fileName = obs ? `${pName}-${obs}.${ext}` : `${pName}.${ext}`;
 
@@ -153,9 +153,9 @@ function GtoDetailModal({ isOpen, onClose, gto, onUpdated }) {
   const saveImageRemark = async () => {
     setSavingRemark(true);
     try {
-      await api.put(`/images/${selectedImage.id}/remark`, { remark: tempRemark });
+      await api.put(`/images/${selectedImage.id}/remark`, { image_remark: tempRemark });
       showToast('Observação atualizada com sucesso!', 'success');
-      setSelectedImage(prev => ({ ...prev, remark: tempRemark }));
+      setSelectedImage(prev => ({ ...prev, image_remark: tempRemark }));
       setIsEditingRemark(false);
       loadDetail();
       onUpdated?.();
@@ -344,14 +344,14 @@ function GtoDetailModal({ isOpen, onClose, gto, onUpdated }) {
                 </div>
               ) : (
                 <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', gap: 12 }}>
-                  <div style={{ fontSize: '0.95rem', color: selectedImage.remark ? 'var(--text-primary)' : 'var(--text-muted)', fontStyle: selectedImage.remark ? 'normal' : 'italic' }}>
-                    {selectedImage.remark || 'Nenhuma observação adicionada.'}
+                  <div style={{ fontSize: '0.95rem', color: selectedImage.image_remark ? 'var(--text-primary)' : 'var(--text-muted)', fontStyle: selectedImage.image_remark ? 'normal' : 'italic' }}>
+                    {selectedImage.image_remark || 'Nenhuma observação adicionada.'}
                   </div>
                   <button
                     type="button"
                     className="btn btn-secondary btn-small"
                     onClick={() => {
-                      setTempRemark(selectedImage.remark || '');
+                      setTempRemark(selectedImage.image_remark || '');
                       setIsEditingRemark(true);
                     }}
                     style={{ padding: '4px 10px', fontSize: '0.8rem', flexShrink: 0 }}
diff --git a/dental-server/dental-client/src/pages/ImageDetailsPage.jsx b/dental-server/dental-client/src/pages/ImageDetailsPage.jsx
index da157bf..5107fa4 100644
--- a/dental-server/dental-client/src/pages/ImageDetailsPage.jsx
+++ b/dental-server/dental-client/src/pages/ImageDetailsPage.jsx
@@ -82,11 +82,11 @@ export default function ImageDetailsPage() {
     setFineTuneAngle(0);
     setBaseRotation(0);
     setBaseFlipH(false);
-    setBaseFlipV(false);
+    setBaseFlipV(image.flip_vertical === 1);
     setChoosePage(0);
     setOrientationSubpage(0);
     setStep('choose');
-    setRemark(image.remark || ''); // carrega remark existente se houver
+    setRemark(image.image_remark || ''); // carrega remark existente se houver
     setShowInfo(false);
     setActiveView('transform');
 
@@ -153,7 +153,7 @@ export default function ImageDetailsPage() {
   const totalRotation = ((baseRotation + fineTuneAngle) % 360 + 360) % 360;
 
   const saveTransform = async () => {
-    if (totalRotation === 0 && !baseFlipH && !baseFlipV && remark === (image.remark || '')) {
+    if (totalRotation === 0 && !baseFlipH && !baseFlipV && remark === (image.image_remark || '')) {
       showToast('Nenhuma edição aplicada.', 'error');
       return;
     }
@@ -163,7 +163,7 @@ export default function ImageDetailsPage() {
         rotation: totalRotation,
         flipH: baseFlipH,
         flipV: baseFlipV,
-        remark
+        image_remark: remark
       });
       showToast('Imagem e orientação salvas!', 'success');
       // Atualiza a rota com o novo ID gerado em background (sem adicionar ao histórico de navegação)
@@ -180,7 +180,7 @@ export default function ImageDetailsPage() {
     setResetting(true);
     try {
       await api.post(`/images/${image.id}/transform`, {
-        rotation: 0, flipH: false, flipV: false, remark: ''
+        rotation: 0, flipH: false, flipV: false, image_remark: ''
       });
       showToast('Imagem restaurada para o original!', 'success');
       navigate('/' + encodeURIComponent(patientName));
@@ -233,8 +233,10 @@ export default function ImageDetailsPage() {
         canvas.toBlob((blob) => {
           const a = document.createElement('a');
           a.href = URL.createObjectURL(blob);
-          const safe = (image.patient_name || 'rx').replace(/[^\w\-]+/g, '_');
-          a.download = `${safe}_${applyTransform ? deg + 'deg' : 'original'}.png`;
+          const pName = (image.patient_name || 'paciente').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
+          const obs = (image.image_remark || '').trim().replace(/[\/\\:*?"<>|]/g, '').replace(/\s+/g, '_');
+          const suffix = applyTransform ? `${deg}deg` : 'original';
+          a.download = obs ? `${pName}-${obs}_${suffix}.png` : `${pName}_${suffix}.png`;
           document.body.appendChild(a); a.click(); a.remove();
           setTimeout(() => URL.revokeObjectURL(a.href), 4000);
         }, 'image/png');
@@ -391,7 +393,7 @@ export default function ImageDetailsPage() {
             {showInfo && (
               <div className="extra-info-panel" style={{ marginBottom: 20 }}>
                 <div style={{ marginBottom: 5 }}><strong>👨‍⚕️ Dentista:</strong> {image.doctor || 'Não informado'}</div>
-                <div><strong>📝 Obs:</strong> {image.remark || 'Nenhuma observação'}</div>
+                <div><strong>📝 Obs:</strong> {image.image_remark || 'Nenhuma observação'}</div>
               </div>
             )}
 
diff --git a/dental-server/routes/images.js b/dental-server/routes/images.js
index 04ab0d7..9d9e9e6 100644
--- a/dental-server/routes/images.js
+++ b/dental-server/routes/images.js
@@ -366,7 +366,7 @@ router.get('/:id/transformations', async (req, res) => {
 // ================================================================
 router.post('/:id/transform', async (req, res) => {
   try {
-    const { rotation, flipH, flipV, remark } = req.body;
+    const { rotation, flipH, flipV, image_remark } = req.body;
     const originalImage = await db.get('SELECT * FROM images WHERE id = $1', [req.params.id]);
     
     if (!originalImage) {
@@ -396,14 +396,14 @@ router.post('/:id/transform', async (req, res) => {
     // Desabilitar a imagem active atual para que não fique duplicada na interface
     await db.run('UPDATE images SET enabled = 0 WHERE id = $1', [req.params.id]);
  
-    const newRemark = remark !== undefined ? remark : originalImage.remark;
+    const newImageRemark = image_remark !== undefined ? image_remark : originalImage.image_remark;
     
     // Inserir a nova imagem como a versão ativa
     const result = await db.run(
       `INSERT INTO images (
         image_guid, patient_name, clinic_name, client_name, original_filename, filename,
-        enabled, rotation, flip_horizontal, flip_vertical, original_image_id, created_at, remark, doctor
-      ) VALUES ($1, $2, $3, $4, $5, $6, $7, $8, $9, $10, $11, $12, $13, $14) RETURNING id`,
+        enabled, rotation, flip_horizontal, flip_vertical, original_image_id, created_at, remark, image_remark, doctor
+      ) VALUES ($1, $2, $3, $4, $5, $6, $7, $8, $9, $10, $11, $12, $13, $14, $15) RETURNING id`,
       [
         `${realOriginal.image_guid}_${timestamp}`,
         realOriginal.patient_name,
@@ -417,7 +417,8 @@ router.post('/:id/transform', async (req, res) => {
         flipV ? 1 : 0,
         realOriginalId,
         originalImage.created_at, // Manter a data de criação original
-        newRemark,
+        originalImage.remark, // Manter a observação do paciente intacta
+        newImageRemark, // A observação específica da imagem
         realOriginal.doctor
       ]
     );
@@ -438,10 +439,10 @@ router.post('/:id/transform', async (req, res) => {
 // ================================================================
 router.put('/:id/remark', async (req, res) => {
   try {
-    const { remark } = req.body;
+    const { image_remark } = req.body;
     await db.run(
-      'UPDATE images SET remark = $1 WHERE id = $2',
-      [remark, req.params.id]
+      'UPDATE images SET image_remark = $1 WHERE id = $2',
+      [image_remark, req.params.id]
     );
     res.json({ success: true, message: 'Observação da imagem atualizada!' });
   } catch (error) {