Abstract: Techniques relate to providing image data, indicators, and/or other data associated with a medical instrument with the appropriate orientation to assist a user in performing a procedure. For example, a user interface can present an image representation representing image data from a scope and/or a working channel indicator indicating an angle of rotation of a working channel of the scope. When the scope rolls, a rotation adjustment can be applied to the image representation to rotate the image representation within the user interface. Further, the working channel indicator can rotate within the user interface.