diff --git a/dental-server/routes/images.js b/dental-server/routes/images.js
index e15492f..86a6864 100644
--- a/dental-server/routes/images.js
+++ b/dental-server/routes/images.js
@@ -148,6 +148,9 @@ router.get('/patients', async (req, res) => {
          MAX(client_name) AS client_name,
          COUNT(*) AS image_count,
          MAX(created_at) AS last_date,
+         (SELECT id FROM images i2
+          WHERE i2.patient_name = images.patient_name AND i2.enabled = ${enabledVal}
+          ORDER BY i2.created_at DESC LIMIT 1) AS latest_image_id,
          (SELECT COALESCE(thumb_filename, filename) FROM images i2
           WHERE i2.patient_name = images.patient_name AND i2.enabled = ${enabledVal}
           ORDER BY i2.created_at DESC LIMIT 1) AS thumb_filename
@@ -159,9 +162,8 @@ router.get('/patients', async (req, res) => {
       params
     );
 
-    // Lazy-load URLs para thumbnails (carrega em paralelo quando o frontend chamar)
     for (const row of rows) {
-      row.thumb_url = row.thumb_filename ? `/api/images/${row.id}/thumbnail` : '';
+      row.thumb_url = row.latest_image_id ? `/api/images/${row.latest_image_id}/thumbnail` : '';
     }
 
     res.json(rows);