diff --git a/write.go b/write.go
index d5f63caa..c18dc1aa 100644
--- a/write.go
+++ b/write.go
@@ -548,6 +548,7 @@ func writeFloats(w dicomio.Writer, v Value, vr string) error {
 
 func writePixelData(w dicomio.Writer, t tag.Tag, value Value, vr string, vl uint32) error {
 	image := MustGetPixelDataInfo(value)
+
 	if vl == tag.VLUndefinedLength {
 		if err := writeBasicOffsetTable(w, image.Offsets); err != nil {
 			return err
@@ -562,6 +563,9 @@ func writePixelData(w dicomio.Writer, t tag.Tag, value Value, vr string, vl uint
 			return err
 		}
 	} else {
+		if image.IntentionallySkipped {
+			return nil
+		}
 		// For now, IntentionallyUnprocessed will only happen for Native
 		// PixelData.
 		if image.IntentionallyUnprocessed {
diff --git a/write_test.go b/write_test.go
index 17852423..4e4a2546 100644
--- a/write_test.go
+++ b/write_test.go
@@ -460,6 +460,38 @@ func TestWrite(t *testing.T) {
 			parseOpts:     []ParseOption{SkipProcessingPixelDataValue()},
 			expectedError: nil,
 		},
+		{
+			name: "Native PixelData with IntentionallySkipped=true",
+			dataset: Dataset{Elements: []*Element{
+				mustNewElement(tag.MediaStorageSOPClassUID, []string{"1.2.840.10008.5.1.4.1.1.1.2"}),
+				mustNewElement(tag.MediaStorageSOPInstanceUID, []string{"1.2.3.4.5.6.7"}),
+				mustNewElement(tag.TransferSyntaxUID, []string{uid.ImplicitVRLittleEndian}),
+				mustNewElement(tag.BitsAllocated, []int{8}),
+				mustNewElement(tag.FloatingPointValue, []float64{128.10}),
+				mustNewElement(tag.PixelData, PixelDataInfo{
+					IntentionallySkipped: true,
+					IsEncapsulated:       false,
+				}),
+			}},
+			parseOpts:     []ParseOption{SkipPixelData()},
+			expectedError: nil,
+		},
+		{
+			name: "Encapsulated PixelData with IntentionallySkipped=true",
+			dataset: Dataset{Elements: []*Element{
+				mustNewElement(tag.MediaStorageSOPClassUID, []string{"1.2.840.10008.5.1.4.1.1.1.2"}),
+				mustNewElement(tag.MediaStorageSOPInstanceUID, []string{"1.2.3.4.5.6.7"}),
+				mustNewElement(tag.TransferSyntaxUID, []string{uid.ImplicitVRLittleEndian}),
+				mustNewElement(tag.BitsAllocated, []int{8}),
+				mustNewElement(tag.FloatingPointValue, []float64{128.10}),
+				setUndefinedLength(mustNewElement(tag.PixelData, PixelDataInfo{
+					IntentionallySkipped: true,
+					IsEncapsulated:       true,
+				})),
+			}},
+			parseOpts:     []ParseOption{SkipPixelData()},
+			expectedError: nil,
+		},
 	}
 	for _, tc := range cases {
 		t.Run(tc.name, func(t *testing.T) {