diff --git a/extensions/cornerstone/src/utils/CornerstoneViewportDownloadForm.tsx b/extensions/cornerstone/src/utils/CornerstoneViewportDownloadForm.tsx
index 19c00feb4..9e08f4d3f 100644
--- a/extensions/cornerstone/src/utils/CornerstoneViewportDownloadForm.tsx
+++ b/extensions/cornerstone/src/utils/CornerstoneViewportDownloadForm.tsx
@@ -185,7 +185,11 @@ const CornerstoneViewportDownloadForm = ({
 
     toolInstancesArray.forEach(toolInstance => {
       if (toolInstance.constructor.isAnnotation !== false) {
-        toolGroup.setToolEnabled(toolInstance.toolName);
+        if (show) {
+          toolGroup.setToolEnabled(toolInstance.toolName);
+        } else {
+          toolGroup.setToolDisabled(toolInstance.toolName);
+        }
       }
     });
   };