diff --git a/LesionTracker/client/components/toolbarSection/toolbarSection.js b/LesionTracker/client/components/toolbarSection/toolbarSection.js
index c5e3827b6..d6a5a05b5 100644
--- a/LesionTracker/client/components/toolbarSection/toolbarSection.js
+++ b/LesionTracker/client/components/toolbarSection/toolbarSection.js
@@ -124,6 +124,14 @@ Template.toolbarSection.helpers({
             svgLink: '/packages/ohif_viewerbase/assets/icons.svg#icon-tools-elliptical-roi'
         });
 
+        extraTools.push({
+            id: 'toggleDownloadDialog',
+            title: 'Download',
+            classes: 'imageViewerCommand',
+            iconClasses: 'fa fa-camera',
+            active: () => $('#downloadDialog').is(':visible')
+        });
+
         extraTools.push({
             id: 'toggleCineDialog',
             title: 'CINE',
diff --git a/LesionTracker/client/components/viewer/viewer.html b/LesionTracker/client/components/viewer/viewer.html
index 6c66556ef..b058d11c3 100644
--- a/LesionTracker/client/components/viewer/viewer.html
+++ b/LesionTracker/client/components/viewer/viewer.html
@@ -3,6 +3,7 @@
         {{#if and Template.subscriptionsReady dataSourcesReady}}
             {{>confirmDeleteDialog}}
             {{>measurementTableHUD (clone this)}}
+            {{>downloadDialog}}
             {{>cineDialog}}
         {{/if}}
     </div>
diff --git a/OHIFViewer/client/components/toolbarSection/toolbarSection.js b/OHIFViewer/client/components/toolbarSection/toolbarSection.js
index 113d9ac2b..204a18e30 100644
--- a/OHIFViewer/client/components/toolbarSection/toolbarSection.js
+++ b/OHIFViewer/client/components/toolbarSection/toolbarSection.js
@@ -104,6 +104,14 @@ Template.toolbarSection.helpers({
             iconClasses: 'fa fa-square-o'
         });
 
+        extraTools.push({
+            id: 'toggleDownloadDialog',
+            title: 'Download',
+            classes: 'imageViewerCommand',
+            iconClasses: 'fa fa-camera',
+            active: () => $('#downloadDialog').is(':visible')
+        });
+
         extraTools.push({
             id: 'invert',
             title: 'Invert',
diff --git a/OHIFViewer/client/components/viewer/viewer.html b/OHIFViewer/client/components/viewer/viewer.html
index 38c84ba1b..014a4632b 100644
--- a/OHIFViewer/client/components/viewer/viewer.html
+++ b/OHIFViewer/client/components/viewer/viewer.html
@@ -2,6 +2,7 @@
     {{#if and Template.subscriptionsReady}}
         <div class="viewerDialogs">
             {{>cineDialog}}
+            {{>downloadDialog}}
             {{>layoutChooser}}
             {{>annotationDialogs}}
 
diff --git a/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.html b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.html
new file mode 100644
index 000000000..404c8bda1
--- /dev/null
+++ b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.html
@@ -0,0 +1,41 @@
+<template name="downloadDialog">
+    <dialog id="downloadDialog">
+        {{#form id='downloadDialogForm' schema=instance.schema api=instance.api}}
+            <div class="instructions">Please specify the dimensions, filename, and desired type for the output image.</div>
+            <div class="form-group row">
+                <div class="col-sm-8">
+                    <div class="input-group">
+                        <input type="text" id="fileName" class="form-control fileName" aria-label="File name input">
+                        <div class="input-group-btn">
+                            <button type="button" class="btn btn-secondary dropdown-toggle extension" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">png</button>
+                            <div class="dropdown-menu dropdown-menu-right">
+                                <a class="dropdown-item" href="#">png</a>
+                                <a class="dropdown-item" href="#">jpeg</a>
+                            </div>
+                        </div>
+                    </div>
+                </div>
+                <div class="form-check col-sm-4">
+                    <label class="form-check-label">
+                        <input type="checkbox" class="form-check-input"> Show Annotations
+                    </label>
+                </div>
+            </div>
+            <div class="form-group row">
+                <label for="width" class="col-sm-2 col-form-label">Width (px):</label>
+                <div class="col-sm-4">
+                  <input type="number" name="width" id="width" class="form-control" value="300"/>
+                </div>
+                <label for="height" class="col-sm-2 col-form-label">Height (px):</label>
+                <div class="col-sm-4">
+                  <input type="number" name="height" id="height" class="form-control" value="200"/>
+                </div>
+            </div>
+            <div id="previewElement"></div>
+            <div class="form-group button-holder row">
+                <button class="btn btn-danger col-sm-offset-2 col-sm-3 cancel">cancel</button>
+                <button class="btn btn-primary col-sm-offset-2 col-sm-3 download">download</button>
+            </div>
+        {{/form}}
+    </dialog>
+</template>
\ No newline at end of file
diff --git a/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.js b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.js
new file mode 100644
index 000000000..f0e45e021
--- /dev/null
+++ b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.js
@@ -0,0 +1,110 @@
+import { Template } from 'meteor/templating';
+import { Session } from 'meteor/session';
+import { OHIF } from 'meteor/ohif:core';
+import { viewportUtils } from '../../../lib/viewportUtils';
+
+function setElementSize(element, canvas, size, value) {
+    $(element)[size](value);
+    canvas[size] = value;
+    canvas.style[size] = `${value}px`;
+}
+
+Template.downloadDialog.onCreated(() => {
+    const instance = Template.instance();
+
+    instance.autorun(() => {
+        Session.get('UpdateDownloadViewport');
+        const activeViewport = viewportUtils.getActiveViewportElement();
+
+        if (activeViewport) {
+          const enabledElement = cornerstone.getEnabledElement(activeViewport);
+
+          cornerstone.loadImage(enabledElement.image.imageId).then(function (image) {
+            cornerstone.displayImage(instance.$previewElement, image);
+            cornerstone.displayImage(instance.$downloadElement, image);
+            cornerstone.resize(instance.$previewElement, true);
+
+            setElementSize(instance.$downloadElement, instance.$downloadCanvas, 'width', 300);
+            setElementSize(instance.$downloadElement, instance.$downloadCanvas, 'height', 200);
+
+            cornerstone.fitToWindow(instance.$downloadElement);
+          });
+        }
+    })
+});
+
+Template.downloadDialog.onRendered(() => {
+    const instance = Template.instance();
+    const $dialog = instance.$('#downloadDialog');
+
+    instance.$previewElement = $('#previewElement')[0];
+    instance.$downloadElement = document.createElement('div');
+    instance.availableTools = ['length', 'probe', 'simpleAngle', 'arrowAnnotate', 'ellipticalRoi', 'rectangleRoi'];
+    instance.showAnnotations = false;
+
+    cornerstone.enable(instance.$previewElement);
+    cornerstone.enable(instance.$downloadElement);
+    instance.$downloadCanvas = $(instance.$downloadElement).find('canvas')[0];
+
+    // Make the dialog bounded and draggable
+    $dialog.draggable({ defaultElementCursor: 'move' });
+
+    // Polyfill for older browsers
+    dialogPolyfill.registerDialog($dialog.get(0));
+
+    // // Prevent dialog from being dragged when user clicks any button
+    const $controls = $dialog.find('.form-group, .instructions');
+    $controls.on('mousedown touchstart', event => event.stopPropagation());
+});
+
+Template.downloadDialog.events({
+    'change .form-group input[name=width]'(event, instance){
+        const width = $(event.currentTarget).val();
+
+        setElementSize(instance.$downloadElement, instance.$downloadCanvas, 'width', width);
+        cornerstone.fitToWindow(instance.$downloadElement);
+    },
+
+    'change .form-group input[name=height]'(event, instance){
+        const height = $(event.currentTarget).val();
+
+        setElementSize(instance.$downloadElement, instance.$downloadCanvas, 'height', height);
+        cornerstone.fitToWindow(instance.$downloadElement);
+    },
+
+    'change #downloadDialog .form-group .form-check input[type=checkbox]'(event, instance) {
+        const $previewElement = instance.$previewElement;
+        const $downloadElement = instance.$downloadElement;
+
+        instance.showAnnotations = !instance.showAnnotations;
+
+        const action = (instance.showAnnotations) ? 'enable' : 'disable';
+
+        instance.availableTools.forEach(tool => {
+            cornerstoneTools[tool][action]($previewElement);
+            cornerstoneTools[tool][action]($downloadElement);
+        });
+    },
+
+    'click .dropdown-menu .dropdown-item'(event, instance) {
+        const extension = $(event.currentTarget).text();
+        const $extensionButton = $('.btn.extension');
+
+        $extensionButton.text(extension);
+    },
+
+    'click button.download'(event, instance) {
+        const fileName = $('.fileName').val();
+        const extension = $('.btn.extension').text().trim();
+
+        if (!fileName || !extension) {
+          return;
+        }
+
+        cornerstoneTools.saveAs(instance.$downloadElement, `${fileName}.${extension}`, `image/${extension}`);
+    },
+
+    'click button.cancel'(event, instance) {
+        viewportUtils.toggleDownloadDialog();
+    }
+});
\ No newline at end of file
diff --git a/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.styl b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.styl
new file mode 100644
index 000000000..7d0f1ec2a
--- /dev/null
+++ b/Packages/ohif-viewerbase/client/components/viewer/downloadDialog/downloadDialog.styl
@@ -0,0 +1,42 @@
+@import "{ohif:design}/app"
+
+#downloadDialog
+  theme('border', '2px solid $uiBorderColor', 0.95)
+  theme('background', '$uiGrayDarkest', 0.95)
+  theme('color', '$textSecondaryColor')
+  width: 626px
+  z-index: 1000
+
+  .instructions
+    margin-bottom: 20px
+    text-align: center
+
+  .extension
+    color: #000000
+    background-color: #888
+
+  .col-form-label
+    margin-top: 5px
+
+  .dropdown-menu .dropdown-item
+    display: block;
+    width: 100%;
+    padding: 3px 1.5rem;
+    clear: both;
+    font-weight: 400;
+    color: #292b2c;
+    text-align: inherit;
+    white-space: nowrap;
+    background: 0 0;
+    border: 0;
+
+  #previewElement, #downloadElement
+    width: 300px
+    height: 200px
+    margin: 0 auto
+
+  #downloadElement
+    display: none
+
+  .button-holder
+    margin-top: 15px
\ No newline at end of file
diff --git a/Packages/ohif-viewerbase/client/lib/hotkeyUtils.js b/Packages/ohif-viewerbase/client/lib/hotkeyUtils.js
index b4d717df4..c4a28a061 100644
--- a/Packages/ohif-viewerbase/client/lib/hotkeyUtils.js
+++ b/Packages/ohif-viewerbase/client/lib/hotkeyUtils.js
@@ -62,6 +62,7 @@ Meteor.startup(function() {
         toggleOverlayTags: 'SHIFT',
         toggleCinePlay: 'SPACE',
         toggleCineDialog: '',
+        toggleDownloadDialog: '',
 
         // Preset hotkeys
         WLPreset0: '1',
@@ -218,6 +219,11 @@ Meteor.startup(function() {
             name: 'Show/Hide Cine Controls',
             action: viewportUtils.toggleCineDialog,
             disabled: OHIF.viewerbase.viewportUtils.hasMultipleFrames
+        },
+        toggleDownloadDialog: {
+            name: 'Show/Hide Download Dialog',
+            action: viewportUtils.toggleDownloadDialog,
+            disabled: () => !viewportUtils.isDownloadEnabled()
         }
     }, true);
 
diff --git a/Packages/ohif-viewerbase/client/lib/viewportUtils.js b/Packages/ohif-viewerbase/client/lib/viewportUtils.js
index 484708cb1..701dda8c3 100644
--- a/Packages/ohif-viewerbase/client/lib/viewportUtils.js
+++ b/Packages/ohif-viewerbase/client/lib/viewportUtils.js
@@ -172,11 +172,11 @@ const linkStackScroll = () => {
 
 // This function was originally defined alone inside client/lib/toggleDialog.js
 // and has been moved here to avoid circular dependency issues.
-const toggleDialog = element => {
+const toggleDialog = (element, closeAction) => {
     const $element = $(element);
     if($element.is('dialog')) {
         if (element.hasAttribute('open')) {
-            stopAllClips();
+            if (closeAction) closeAction();
             element.close();
         } else {
             element.show();
@@ -187,8 +187,6 @@ const toggleDialog = element => {
         $element.toggleClass('dialog-closed', isClosed);
         $element.toggleClass('dialog-open', !isClosed);
     }
-
-    Session.set('UpdateCINE', Math.random());
 };
 
 // Toggle the play/stop state for the cornerstone clip tool
@@ -210,7 +208,24 @@ const toggleCinePlay = () => {
 // Show/hide the CINE dialog
 const toggleCineDialog = () => {
     const dialog = document.getElementById('cineDialog');
+
+    toggleDialog(dialog, stopAllClips);
+    Session.set('UpdateCINE', Random.id());
+};
+
+const toggleDownloadDialog = () => {
+    const dialog = document.getElementById('downloadDialog');
+
+    stopActiveClip();
     toggleDialog(dialog);
+
+    Session.set('UpdateDownloadViewport', Random.id());
+};
+
+const isDownloadEnabled = () => {
+    const activeViewport = getActiveViewportElement();
+
+    return activeViewport ? true : false;
 };
 
 // Check if the clip is playing on the active viewport
@@ -287,6 +302,14 @@ const stopAllClips = () => {
     });
 };
 
+const stopActiveClip = () => {
+    const activeElement = getActiveViewportElement();
+
+    if ($(activeElement).find('canvas').length) {
+        cornerstoneTools.stopClip(activeElement);
+    }
+}
+
 
 const isStackScrollLinkingDisabled = () => {
     let linkableViewportsCount = 0;
@@ -329,7 +352,9 @@ const viewportUtils = {
     toggleDialog,
     toggleCinePlay,
     toggleCineDialog,
+    toggleDownloadDialog,
     isPlaying,
+    isDownloadEnabled,
     hasMultipleFrames,
     stopAllClips,
     isStackScrollLinkingDisabled
diff --git a/Packages/ohif-viewerbase/package.js b/Packages/ohif-viewerbase/package.js
index a16929787..92fbb48cb 100644
--- a/Packages/ohif-viewerbase/package.js
+++ b/Packages/ohif-viewerbase/package.js
@@ -163,6 +163,10 @@ Package.onUse(function(api) {
     api.addFiles('client/components/viewer/cineDialog/cineDialog.js', 'client');
     api.addFiles('client/components/viewer/cineDialog/cineDialog.styl', 'client');
 
+    api.addFiles('client/components/viewer/downloadDialog/downloadDialog.html', 'client');
+    api.addFiles('client/components/viewer/downloadDialog/downloadDialog.js', 'client');
+    api.addFiles('client/components/viewer/downloadDialog/downloadDialog.styl', 'client');
+
     api.addFiles('client/components/viewer/toolbarSectionButton/toolbarSectionButton.html', 'client');
     api.addFiles('client/components/viewer/toolbarSectionButton/toolbarSectionButton.js', 'client');
     api.addFiles('client/components/viewer/toolbarSectionButton/toolbarSectionButton.styl', 'client');