A highly specialized custom medical image viewer built for iMedical Inc in Portugal, featuring advanced diagnostic tools and seamless integration capabilities. This project involved extensive customization of the open-source OHIF DICOM viewer, transforming it into a tailored solution with specific clinical functionalities required by the client. The viewer includes sophisticated features like Cobb angle measurements for spinal assessment, customizable windowing presets for different tissue types, series synchronization for comparative analysis, and flexible annotation layouts for radiological reporting. To support the viewer's functionality, we developed a custom WADO (Web Access to DICOM Objects) server using ASP.NET and PostgreSQL database, ensuring efficient study retrieval and management.