diff --git a/src/dialogs/StartScanProcessDialog.cpp b/src/dialogs/StartScanProcessDialog.cpp
index 0bb808e..683e43a 100644
--- a/src/dialogs/StartScanProcessDialog.cpp
+++ b/src/dialogs/StartScanProcessDialog.cpp
@@ -100,39 +100,53 @@ void StartScanProcessDialog::setButtonModeFromPatient(PatientInformation* aPatie
         return;
     }
 
+    int defaultProtocol = GetProtocalHelper::getProtocal();
     if(selectedAccession.size() == 2)
     {
         mUI->mOnlyLeftButton->setEnabled(false);
         mUI->mOnlyRightButton->setEnabled(false);
-        return;
+        if(defaultProtocol == LONE || defaultProtocol == RONE)
+        {
+            mUI->mLeftToRightButton->setChecked(true);
+            mScanProtocal = LSTAND;
+        }
     }
 
     if(aPatient->mSelectedScanProtocol == ScanLeftRight)
     {
         mUI->mOnlyLeftButton->setEnabled(false);
         mUI->mOnlyRightButton->setEnabled(false);
-        mUI->mLeftToRightButton->setChecked(true);
-        mScanProtocal = LSTAND;
+        if(defaultProtocol == LONE || defaultProtocol == RONE)
+        {
+            mUI->mLeftToRightButton->setChecked(true);
+            mScanProtocal = LSTAND;
+        }
         return;
     }
 
     if(aPatient->mSelectedScanProtocol == ScanLeft)
     {
-        mUI->mLeftToRightButton->setEnabled(false);
-        mUI->mRightToLeftButton->setEnabled(false);
-        mUI->mOnlyRightButton->setEnabled(false);
-        mUI->mOnlyLeftButton->setChecked(true);
-        mScanProtocal = LONE;
+        if(selectedAccession.size() == 1)
+        {
+            mUI->mLeftToRightButton->setEnabled(false);
+            mUI->mRightToLeftButton->setEnabled(false);
+            mUI->mOnlyRightButton->setEnabled(false);
+            mUI->mOnlyLeftButton->setChecked(true);
+            mScanProtocal = LONE;
+        }
         return;
     }
 
     if(aPatient->mSelectedScanProtocol == ScanRight)
     {
-        mUI->mLeftToRightButton->setEnabled(false);
-        mUI->mRightToLeftButton->setEnabled(false);
-        mUI->mOnlyLeftButton->setEnabled(false);
-        mUI->mOnlyRightButton->setChecked(true);
-        mScanProtocal = RONE;
+        if(selectedAccession.size() == 1)
+        {
+            mUI->mLeftToRightButton->setEnabled(false);
+            mUI->mRightToLeftButton->setEnabled(false);
+            mUI->mOnlyLeftButton->setEnabled(false);
+            mUI->mOnlyRightButton->setChecked(true);
+            mScanProtocal = RONE;
+        }
         return;
     }
 }
diff --git a/src/forms/select/PatientInformation.cpp b/src/forms/select/PatientInformation.cpp
index 423b697..ffb9f9f 100644
--- a/src/forms/select/PatientInformation.cpp
+++ b/src/forms/select/PatientInformation.cpp
@@ -191,10 +191,18 @@ AccessionInformation* PatientInformation::findSelectedAccession(ScanProtocol aPr
 
     if(aIfEmptyGetTop)
     {
+        if(mSelectedAccessions.first()->mPosition & ScanLeftRight)
+        {
+            return mSelectedAccessions.last();
+        }
         return mSelectedAccessions.first();
     }
     else
     {
+        if(mSelectedAccessions.last()->mPosition & ScanLeftRight)
+        {
+            return mSelectedAccessions.first();
+        }
         return mSelectedAccessions.last();
     }
 }