My secretary complained to me about this before. This happened to me today. Immediately after uploading a file, without closing Add Result Window, I clicked (tried double click too, same problem) the patient's name in Cache list in Add Result Window and uploaded another file. Second file uploaded successfully (verified on server, local file was deleted by the client); however, it did not appear in patient's result list. I noticed clicking on the name in cache list in Add Result Window actually does not activate the patient; the name field on top of the window remain blank, but Synapse took the upload without an error message. Clicking a defferent patient's name and click this patient's name again will activate the patient and uploaded file will then appear correctly in Results list. Problem of this bug is that I set to delete the local file after successful uploading, I will have to go to the server to retrieve the file and re-upload. The secretary will have to remember which file is missing and let me know. Otherwise, the file will get lost in the thousands of files on the server.