diff --git a/test/patient-takehome.test.js b/test/patient-takehome.test.js
index c518e59..e506112 100644
--- a/test/patient-takehome.test.js
+++ b/test/patient-takehome.test.js
@@ -158,6 +158,8 @@ function client(t, options = {}) {
     fetchAssistantStatus: async () => ({ success: true, translateProvider: 'libretranslate' }),
     translateAssistantMessage: (message, target, provider) => apiFetch('/api/clinical-assistant/translate', { method: 'POST', headers: {}, body: JSON.stringify({ message, target, provider }) }).then(r => r.json()),
     getAuthHeaders: () => ({ 'X-Synthetic': '1' }),
+    fetchSavedAssistantChat: async id => ({ success: true, chat: { id, payload: { version: 2, messages: [{ role: 'user', content: 'Old question' }] } } }),
+    startAssistantImageJob: async (prompt, history) => { calls.push({ url: 'image-job', prompt, history }); return { success: true, jobId: 'job-1' }; },
     fetch: apiFetch };
   vm.createContext(context);
   for (const file of ['assistant/citations.js', 'assistant/sources.js', 'assistant/sharing.js', 'generatedImages.js', 'assistant/export.js', 'clinicalAssistant.js']) {
@@ -211,6 +213,34 @@ test('email send succeeds and clears the field; failure shows the server message
   assert.ok(app.toasts.some(t => /sent to parent@example\.com/.test(t[0])));
 });
 
+test('Create image dialog: describe it or pick a chat; the latest chat is one tap away', async t => {
+  const app = client(t);
+  const c = app.context;
+  c.fetchSavedAssistantChats = async () => ({ success: true, chats: [{ id: 2, title: 'Older chat', updated_at: new Date().toISOString() }, { id: 9, title: 'Newest chat', updated_at: new Date().toISOString() }] });
+  await c.loadSavedChats();
+  app.document.getElementById('btn-assistant-create-image').click();
+  const modal = app.document.getElementById('assistant-create-image-modal');
+  assert.ok(modal, 'dialog opens');
+  assert.ok(modal.querySelector('#create-image-description'));
+  const options = [...modal.querySelectorAll('#create-image-chat option')].map(o => o.textContent);
+  assert.deepEqual(options, ['This chat', 'Older chat', 'Newest chat'], 'current chat default, saved chats newest first');
+  modal.querySelector('#btn-create-image-generate').click();
+  await new Promise(r => setImmediate(r)); await new Promise(r => setImmediate(r));
+  const job = app.calls.find(c => c.url === 'image-job');
+  assert.ok(job, 'generation requested');
+  assert.equal(job.prompt, 'Create a pediatric teaching visual from this conversation.');
+  // picking an older chat loads its messages
+  app.document.getElementById('btn-assistant-create-image').click();
+  app.document.getElementById('create-image-chat').value = '2';
+  app.document.getElementById('btn-create-image-generate').click();
+  await new Promise(r => setImmediate(r)); await new Promise(r => setImmediate(r));
+  const jobs = app.calls.filter(c => c.url === 'image-job');
+  assert.equal(jobs.length, 2);
+  assert.equal(jobs[1].history.length, 1);
+  assert.equal(jobs[1].history[0].role, 'user');
+  assert.equal(jobs[1].history[0].content, 'Old question', 'generates from the selected chat');
+});
+
 test('translate picker filters languages by the local provider availability', async t => {
   const app = client(t);
   const c = app.context;