In pathauto I have set the pattern for a node to be this path: [menu-trail-parents-path-raw]/[title-raw].
When creating or editing a node though, the path will just be [title-raw]. When I go the the content-page (admin/content/node), select the node(s) and choosing “Update URL alias”-option from the “Update options”-selectbox the path is correctly updated, i.e. including the menu trails parent path.

(btw, when editing a node, I specifically check to update the automatic alias.)

I guess it is a Manu Trails issue because the title-raw token is correctly interpreted.
Also the trail in the menu is correct, no problems there.

It could be related to #899482: Using menutrails with pathauto: pathauto settings should be applied to menu trail parents token as I patched the module with the patch from comment #3, otherwise the token wouldn’t work with Pathauto 1.5 and Token 1.15.

Drupal 6.20
Token 6.x-1.15
Pathauto 6.x-1.5
Menu Trails 6.x-1.x-dev (2011-feb-28), patched