diff --git a/PROMS/Volian.Print.Library/vlnParagraph.cs b/PROMS/Volian.Print.Library/vlnParagraph.cs
index ac607cbd..35b114f5 100644
--- a/PROMS/Volian.Print.Library/vlnParagraph.cs
+++ b/PROMS/Volian.Print.Library/vlnParagraph.cs
@@ -1050,7 +1050,11 @@ namespace Volian.Print.Library
 				yPageStart = yTopMargin + YTop;
 			}
 			yPageStart = ParagraphToPdf(cb, yPageStart, yTopMargin, yBottomMargin);
-			yPageStart = ChildrenRight.ToPdf(cb, yPageStart, ref yTopMargin, ref yBottomMargin);
+			// If the yPageStart changes by more than a small amount (pagination) in the RNO (right column), then update 
+			// yPageStart for the AER (left column).
+			float yPageStartRNO = ChildrenRight.ToPdf(cb, yPageStart, ref yTopMargin, ref yBottomMargin);
+			if (yPageStartRNO - yPageStart > 24) // 24 is two lines
+				yPageStart = yPageStartRNO;
 			yPageStart = ChildrenBelow.ToPdf(cb, yPageStart, ref yTopMargin, ref yBottomMargin);
 
 			if (MyItemInfo.IsHigh && MyItemInfo.NextItem == null)		// last hls, add the 'end' message, if there is one