ls -la /tmp/workspace/ 2>/dev/null || mkdir -p /tmp/workspace/hydronephrosis && echo "ready"

mkdir -p /tmp/workspace/hydronephrosis && cd /tmp/workspace/hydronephrosis && curl -s -o specimen.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/photo-1785061789634-1785061790219-458s3p.jpg" && echo "Downloaded: $(ls -lh specimen.jpg)"

cd /tmp/workspace/hydronephrosis && python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont import os # Load image img = Image.open("specimen.jpg") w, h = img.size print(f"Image size: {w} x {h}") # Create drawing context draw = ImageDraw.Draw(img) # Try to get a font - use default if not available try: font_large = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 36) font_small = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 28) except: font_large = ImageFont.load_default() font_small = ImageFont.load_default() print(f"Fonts loaded") # === LABEL 1: Dilated Pelvicalyceal System === # The large gaping hollow cavities are in the mid-left, mid-right, and center-lower areas # Center of the specimen is roughly at (w*0.5, h*0.55) # The dilated calyces are prominent in the upper-center region # Arrow pointing to the large dilated cavity in the upper center label1_text = "Dilated Pelvicalyceal System\n(Calyces & Renal Pelvis)" # Point to center of the big open cavity arrow_tip1 = (int(w*0.48), int(h*0.52)) label_start1 = (int(w*0.02), int(h*0.35)) # Draw arrow line draw.line([label_start1, arrow_tip1], fill=(255, 50, 50), width=5) # Arrowhead ax, ay = arrow_tip1 draw.polygon([(ax, ay), (ax-14, ay-22), (ax+14, ay-22)], fill=(255, 50, 50)) # Draw label box lines1 = label1_text.split('\n') bbox1 = draw.textbbox((0,0), lines1[0], font=font_large) text_w1 = max(draw.textbbox((0,0), l, font=font_small)[2] for l in lines1) + 20 text_h1 = (bbox1[3] - bbox1[1]) * len(lines1) + 20 rx1 = label_start1[0] - 10 ry1 = label_start1[1] - text_h1 - 10 draw.rectangle([rx1, ry1, rx1 + text_w1, ry1 + text_h1 + 10], fill=(255, 50, 50, 200), outline=(200,0,0), width=3) for i, line in enumerate(lines1): lbbox = draw.textbbox((0,0), line, font=font_small) lh = lbbox[3] - lbbox[1] draw.text((rx1 + 10, ry1 + 5 + i*(lh+4)), line, fill="white", font=font_small) # === LABEL 2: Dilated Renal Pelvis (center-lower area) === arrow_tip2 = (int(w*0.52), int(h*0.67)) label_start2 = (int(w*0.68), int(h*0.55)) label2_text = "Dilated Renal Pelvis\n(Folded membranous sac)" draw.line([label_start2, arrow_tip2], fill=(255, 150, 0), width=5) ax2, ay2 = arrow_tip2 draw.polygon([(ax2, ay2), (ax2-14, ay2-22), (ax2+14, ay2-22)], fill=(255, 150, 0)) lines2 = label2_text.split('\n') text_w2 = max(draw.textbbox((0,0), l, font=font_small)[2] for l in lines2) + 20 lbbox2 = draw.textbbox((0,0), lines2[0], font=font_small) text_h2 = (lbbox2[3]-lbbox2[1]) * len(lines2) + 20 rx2 = label_start2[0] ry2 = label_start2[1] - text_h2//2 draw.rectangle([rx2, ry2, rx2+text_w2, ry2+text_h2+10], fill=(200, 120, 0), outline=(150,80,0), width=3) for i, line in enumerate(lines2): lbbox = draw.textbbox((0,0), line, font=font_small) lh = lbbox[3] - lbbox[1] draw.text((rx2+10, ry2+5+i*(lh+4)), line, fill="white", font=font_small) # === LABEL 3: Compressed Renal Tissue at Periphery (top edge) === arrow_tip3 = (int(w*0.25), int(h*0.32)) label_start3 = (int(w*0.02), int(h*0.62)) label3_text = "Compressed Renal Tissue\nat Periphery\n(Thinned cortex & medulla)" draw.line([label_start3, arrow_tip3], fill=(0, 200, 100), width=5) ax3, ay3 = arrow_tip3 draw.polygon([(ax3, ay3), (ax3-14, ay3+22), (ax3+14, ay3+22)], fill=(0, 200, 100)) lines3 = label3_text.split('\n') text_w3 = max(draw.textbbox((0,0), l, font=font_small)[2] for l in lines3) + 20 lbbox3 = draw.textbbox((0,0), lines3[0], font=font_small) text_h3 = (lbbox3[3]-lbbox3[1]) * len(lines3) + 20 rx3 = label_start3[0] - 10 ry3 = label_start3[1] draw.rectangle([rx3, ry3, rx3+text_w3, ry3+text_h3+10], fill=(0, 150, 80), outline=(0,100,50), width=3) for i, line in enumerate(lines3): lbbox = draw.textbbox((0,0), line, font=font_small) lh = lbbox[3] - lbbox[1] draw.text((rx3+10, ry3+5+i*(lh+4)), line, fill="white", font=font_small) # === LABEL 4: Compressed tissue at right periphery === arrow_tip4 = (int(w*0.82), int(h*0.38)) label_start4 = (int(w*0.60), int(h*0.18)) label4_text = "Compressed Tissue\n(Right periphery)" draw.line([label_start4, arrow_tip4], fill=(0, 200, 100), width=5) ax4, ay4 = arrow_tip4 draw.polygon([(ax4, ay4), (ax4-14, ay4-22), (ax4+14, ay4-22)], fill=(0, 200, 100)) lines4 = label4_text.split('\n') text_w4 = max(draw.textbbox((0,0), l, font=font_small)[2] for l in lines4) + 20 lbbox4 = draw.textbbox((0,0), lines4[0], font=font_small) text_h4 = (lbbox4[3]-lbbox4[1]) * len(lines4) + 20 rx4 = label_start4[0] ry4 = label_start4[1] - text_h4//2 draw.rectangle([rx4, ry4, rx4+text_w4, ry4+text_h4+10], fill=(0, 150, 80), outline=(0,100,50), width=3) for i, line in enumerate(lines4): lbbox = draw.textbbox((0,0), line, font=font_small) lh = lbbox[3] - lbbox[1] draw.text((rx4+10, ry4+5+i*(lh+4)), line, fill="white", font=font_small) # === Title at top === title = "Hydronephrosis Kidney - KUB 27" tbbox = draw.textbbox((0,0), title, font=font_large) tw = tbbox[2] - tbbox[0] tx = (w - tw) // 2 draw.rectangle([tx-15, h-75, tx+tw+15, h-10], fill=(30,30,80), outline=(100,100,200), width=3) draw.text((tx, h-68), title, fill="white", font=font_large) img.save("specimen_labeled.jpg", quality=92) print("Saved labeled image!") EOF

cd /tmp/workspace/hydronephrosis && curl -s -o kub35.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/photo-1785062113962-1785062114270-02lsj0.jpg" && echo "Downloaded: $(ls -lh kub35.jpg)"

cd /tmp/workspace/hydronephrosis && python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont img = Image.open("kub35.jpg") w, h = img.size print(f"Image size: {w} x {h}") draw = ImageDraw.Draw(img) try: font_large = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 34) font_med = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 26) font_small = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 22) except: font_large = font_med = font_small = ImageFont.load_default() def draw_label(draw, arrow_tip, label_pos, text, color_fill, color_outline, font, direction="up"): """Draw an arrow + label box. direction = which way arrowhead points.""" ax, ay = arrow_tip lx, ly = label_pos # Draw line draw.line([(lx, ly), (ax, ay)], fill=color_fill, width=5) # Arrowhead if direction == "up": draw.polygon([(ax, ay), (ax-12, ay+20), (ax+12, ay+20)], fill=color_fill) elif direction == "down": draw.polygon([(ax, ay), (ax-12, ay-20), (ax+12, ay-20)], fill=color_fill) elif direction == "left": draw.polygon([(ax, ay), (ax+20, ay-12), (ax+20, ay+12)], fill=color_fill) elif direction == "right": draw.polygon([(ax, ay), (ax-20, ay-12), (ax-20, ay+12)], fill=color_fill) # Label box lines = text.split('\n') widths = [draw.textbbox((0,0), l, font=font)[2] for l in lines] bh = draw.textbbox((0,0), lines[0], font=font)[3] box_w = max(widths) + 20 box_h = bh * len(lines) + 12 rx, ry = lx - 10, ly - box_h//2 draw.rectangle([rx, ry, rx+box_w, ry+box_h], fill=color_fill, outline=color_outline, width=3) for i, line in enumerate(lines): draw.text((rx+10, ry+5+i*(bh+2)), line, fill="white", font=font) # === SPECIMEN is in the jar: left kidney (left half of jar) and right kidney (right half) # The two kidney halves face each other in the center of the jar # Jar occupies roughly x: 100-780, y: 200-900 in this image # --- LABEL 1: Granular Surface (external surface of LEFT kidney) --- # Left kidney outer surface is at approximately x~180, y~450-550 (left outer edge) draw_label(draw, arrow_tip=(int(w*0.15), int(h*0.47)), label_pos=(int(w*0.01), int(h*0.30)), text="Uniform Granular\nSurface", color_fill=(200, 50, 50), color_outline=(150, 0, 0), font=font_med, direction="down" ) # --- LABEL 2: Capsule (outer edge of right kidney) --- draw_label(draw, arrow_tip=(int(w*0.82), int(h*0.43)), label_pos=(int(w*0.60), int(h*0.22)), text="Capsule\n(strips off easily)", color_fill=(160, 80, 200), color_outline=(100, 40, 150), font=font_med, direction="down" ) # --- LABEL 3: Renal Cortex (cut surface - top of left kidney bivalved surface) --- # The cut section of the left kidney faces right, cortex is the outer ring of the cut face draw_label(draw, arrow_tip=(int(w*0.30), int(h*0.38)), label_pos=(int(w*0.01), int(h*0.55)), text="Cortex\n(Decreased thickness\n+ diffuse congestion)", color_fill=(220, 130, 0), color_outline=(160, 90, 0), font=font_small, direction="up" ) # --- LABEL 4: Pelvicalyceal system (central hilum area between the two kidneys) --- # The hilum/pelvicalyceal region is in the center where the two halves meet draw_label(draw, arrow_tip=(int(w*0.48), int(h*0.60)), label_pos=(int(w*0.55), int(h*0.78)), text="Pelvicalyceal System\n(Normal)", color_fill=(0, 150, 200), color_outline=(0, 100, 150), font=font_med, direction="up" ) # --- LABEL 5: Renal Medulla (inner part of cut surface, between cortex and pelvis) --- draw_label(draw, arrow_tip=(int(w*0.63), int(h*0.45)), label_pos=(int(w*0.72), int(h*0.62)), text="Medulla\n(Congested)", color_fill=(180, 60, 120), color_outline=(130, 30, 80), font=font_med, direction="up" ) # --- LABEL 6: Slightly decreased overall size (bracket at top) --- draw_label(draw, arrow_tip=(int(w*0.47), int(h*0.28)), label_pos=(int(w*0.01), int(h*0.15)), text="Bisected Kidney\n(Slightly decreased\nin size)", color_fill=(60, 60, 180), color_outline=(30, 30, 120), font=font_small, direction="down" ) # === Title bar at bottom === title = "Benign Nephrosclerosis - KUB 35" tbbox = draw.textbbox((0,0), title, font=font_large) tw = tbbox[2] - tbbox[0] tx = (w - tw)//2 draw.rectangle([tx-15, h-72, tx+tw+15, h-8], fill=(30,30,80), outline=(100,100,220), width=3) draw.text((tx, h-65), title, fill="white", font=font_large) img.save("kub35_labeled.jpg", quality=92) print("Saved! Size:", w, "x", h) EOF