Because 3.8.99 is an older version, modern OS updates often cause issues documented in these community-driven technical guides: macOS Stability:

: Upgrading runtimes to 3.8.99 can sometimes cause gray lines or "artifacts" at texture edges. This is usually a mismatch in Pre-multiplied Alpha (PMA)

Many developers choose to remain on 3.8.99 rather than upgrading to 4.0+ to maintain compatibility with legacy game engines or specific internal pipelines. It represents the "final, polished form" of the 3.8 era, offering the most stable environment for projects that do not yet require the curve-based animation features of newer versions.

If you are looking to move beyond this version to the latest 2026 releases: Create a Project File

However, the most probable context based on search patterns is: updated in a PACS worklist or acquisition workstation .

After reboot, run a on a prior anonymized exam to confirm functionality.