A medical image navigation system (2) includes a viewport module (4), a proximity module (26), a visualization module (28) and a matching module (34). The viewport module (4) navigates a plurality of image slices of a study and based on input from at least one input device selects at least one image which is displayed and any annotations associated with the selected at least one image on a display device. The proximity module (26) for the selected image slice returns at least one proximate annotation, if available. The visualization module (28) for the returned at least one proximate annotation visualizes the at least one proximate annotation which is displayed by the viewport module on the selected at least one image. A matching module (34) retrieves for display an image slice in one study which corresponds to a displayed image slice from another study.