Never upload sensitive or patient‑identifiable TMDX files to free cloud services. Use enterprise‑grade options like Aspose.Total (on‑premises or private cloud).
If you don't want to use the export function, you can use a virtual printer like Print to PDF (built into Windows 10/11) or third-party options like PDF24 or CutePDF . You simply "print" the document and select the PDF printer as your output device. Tmdx To Pdf REPACK