A picture with annotations can be printed complete with the annotations to any connected printer, or e.g. to a PDF output.
How to Print
Open the Asset info panel and choose the Print icon, then select Print with annotations.
Next, choose which annotations to include in the printout by checking off the correct ones.
Finally, the system or browser print dialog will appear, allowing the user to choose the output printer and set additional print options.
The picture below shows the output produced when printing to a PDF document from Google Chrome.