"Tibial Fractures"[MeSH Terms] AND classification

tibial plateau fracture CT classification AO Foundation imaging indications

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~/attachments/260825bd-2262-45c7-b69f-ca808dfe3580

mkdir -p "/tmp/workspace/knee-xray-annotation/output" 66 python - <<'PY' from PIL import Image, ImageDraw, ImageFont from pathlib import Path src=Path('/tmp/workspace/attachments/260825bd-2262-45c7-b69f-ca808dfe3580/IMG_20260917_190846.jpg') out=Path('/tmp/workspace/knee-xray-annotation/output/right_knee_educational_annotation.png') im=Image.open(src).convert('RGB') # Original shown image is 2048 x 1152; focus on the radiographic film and retain enough surrounding field # Draw locator around intercondylar tibial eminence on AP view, and a second approximate locator on lateral view. d=ImageDraw.Draw(im) try: font=ImageFont.truetype('/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf',30) small=ImageFont.truetype('/usr/share/fonts/truetype/dejavu/DejaVuSans.ttf',23) except: font=small=None red=(245,40,40); white=(255,255,255); black=(0,0,0) # AP: central elevated tibial spine region ap=(862, 489, 991, 595) # Lateral: projected intercondylar region, approximate lat=(1258, 495, 1372, 585) for box in (ap,lat): d.ellipse(box, outline=red, width=7) # leader AP p1=(925,490); p2=(740,390) d.line([p1,p2],fill=red,width=7) label='Area of concern: tibial spine / intercondylar eminence' # outlined text for dx,dy in [(-2,0),(2,0),(0,-2),(0,2)]: d.text((p2[0]-420+dx,p2[1]-55+dy),label,font=small,fill=black) d.text((p2[0]-420,p2[1]-55),label,font=small,fill=white) # leader lateral p1=(1320,500);p2=(1500,385) d.line([p1,p2],fill=red,width=7) for dx,dy in [(-2,0),(2,0),(0,-2),(0,2)]:d.text((p2[0]-135+dx,p2[1]-30+dy),'Corresponding region\n(lateral view)',font=small,fill=black,spacing=3) d.text((p2[0]-135,p2[1]-30),'Corresponding region\n(lateral view)',font=small,fill=white,spacing=3) # disclaimer banner banner=(470,1035,1610,1140) d.rounded_rectangle(banner, radius=12, fill=(25,25,25), outline=white,width=2) msg='Educational marking only - not a diagnostic radiology interpretation.\nOriginal digital X-rays / CT or MRI are needed to confirm fracture type and displacement.' d.multiline_text((505,1052),msg,font=small,fill=white,spacing=6) im.save(out,quality=95) print(out) PY

python - <<'PY' from PIL import Image p='/tmp/workspace/knee-xray-annotation/output/right_knee_educational_annotation.png' im=Image.open(p) print('exists=',im.size, 'mode=',im.mode) PY

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~/knee-xray-annotation

python -c "from PIL import Image; import os; p='/tmp/workspace/attachments/260825bd-2262-45c7-b69f-ca808dfe3580/IMG_20260917_190846.jpg'; o='/tmp/workspace/knee-xray-annotation/output/right_knee_educational_annotation.png'; print(os.path.exists(p)); im=Image.open(p).convert('RGB'); print(im.size); from PIL import ImageDraw,ImageFont; d=ImageDraw.Draw(im); f=ImageFont.truetype('/usr/share/fonts/truetype/dejavu/DejaVuSans.ttf',24); red=(245,40,40); white=(255,255,255); black=(0,0,0); d.ellipse((862,489,991,595),outline=red,width=7); d.line([(925,490),(740,390)],fill=red,width=7); txt='Area of concern: tibial spine / intercondylar eminence'; d.text((318,335),txt,font=f,fill=black,stroke_width=2,stroke_fill=black); d.text((318,335),txt,font=f,fill=white); d.ellipse((1258,495,1372,585),outline=red,width=7); d.line([(1320,500),(1500,385)],fill=red,width=7); txt2='Corresponding region (lateral view)'; d.text((1365,350),txt2,font=f,fill=black,stroke_width=2,stroke_fill=black); d.text((1365,350),txt2,font=f,fill=white); d.rounded_rectangle((420,1030,1640,1145),radius=12,fill=(25,25,25),outline=white,width=2); msg='Educational marking only - not a diagnostic radiology interpretation.\nOriginal digital X-rays, CT, or MRI are needed to confirm fracture type and displacement.'; d.multiline_text((455,1050),msg,font=f,fill=white,spacing=6); im.save(o); print(os.path.exists(o),os.path.getsize(o))"

fc-match -f '%{file}\n' sans-serif

python -c "from PIL import Image,ImageDraw,ImageFont; import os; p='/tmp/workspace/attachments/260825bd-2262-45c7-b69f-ca808dfe3580/IMG_20260917_190846.jpg'; o='/tmp/workspace/knee-xray-annotation/output/right_knee_educational_annotation.png'; im=Image.open(p).convert('RGB'); d=ImageDraw.Draw(im); f=ImageFont.truetype('/usr/share/fonts/google-noto-vf/NotoSans[wght].ttf',52); f2=ImageFont.truetype('/usr/share/fonts/google-noto-vf/NotoSans[wght].ttf',42); red=(245,40,40); white=(255,255,255); black=(0,0,0); d.ellipse((1947,883,2236,1075),outline=red,width=14); d.line([(2089,885),(1670,705)],fill=red,width=14); txt='Area of concern: tibial spine / intercondylar eminence'; d.text((720,600),txt,font=f2,fill=white,stroke_width=4,stroke_fill=black); d.ellipse((2842,894,3098,1056),outline=red,width=14); d.line([(2980,895),(3400,695)],fill=red,width=14); txt2='Corresponding region (lateral view)'; d.text((3080,630),txt2,font=f2,fill=white,stroke_width=4,stroke_fill=black); d.rounded_rectangle((900,1860,3700,2050),radius=22,fill=(25,25,25),outline=white,width=3); msg='Educational marking only - not a diagnostic radiology interpretation.\nOriginal digital X-rays, CT, or MRI are needed to confirm fracture type and displacement.'; d.multiline_text((980,1895),msg,font=f2,fill=white,spacing=10); im.save(o,quality=95); print(os.path.exists(o),Image.open(o).size,os.path.getsize(o))"

python -c "from PIL import Image; p='/tmp/workspace/knee-xray-annotation/output/right_knee_educational_annotation.png'; o='/tmp/workspace/knee-xray-annotation/output/preview_annotation.jpg'; im=Image.open(p); im.thumbnail((1600,720)); im.save(o,quality=85); print(im.size)"