chest X-ray PA view interpretation miliary pattern bilateral infiltrates findings

ls -la /home/daytona/workspace/ 2>/dev/null || echo "workspace empty or not found"

mkdir -p /home/daytona/workspace/xray-annotation && curl -s -o /home/daytona/workspace/xray-annotation/cxr_original.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/IMG-20260524-WA0007-1779564530788-aqdtaw.jpg" && echo "Downloaded OK" && ls -lh /home/daytona/workspace/xray-annotation/

python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont import os # Load original image img = Image.open("/home/daytona/workspace/xray-annotation/cxr_original.jpg") w, h = img.size print(f"Image size: {w} x {h}") # Convert to RGB if needed img = img.convert("RGB") draw = ImageDraw.Draw(img) # Try to load a font, fallback to default try: font_large = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 28) font_small = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans.ttf", 22) font_label = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 24) except: font_large = ImageFont.load_default() font_small = font_large font_label = font_large print(f"Fonts loaded OK") print(f"Width={w}, Height={h}") EOF

python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont import math img = Image.open("/home/daytona/workspace/xray-annotation/cxr_original.jpg") img = img.convert("RGB") w, h = img.size # Image is 4080 x 1884 # The CXR panel occupies roughly x: 340 to 1120, y: 90 to 770 (screen capture) # Let's work with actual pixel coordinates based on the image layout draw = ImageDraw.Draw(img) try: font_bold = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 38) font_reg = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans.ttf", 32) font_title= ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 44) font_num = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 34) except: font_bold = ImageFont.load_default() font_reg = font_bold font_title= font_bold font_num = font_bold # The actual X-ray image area in the screenshot: # Left panel (tools) ends ~x=340 # Right panel (tools) starts ~x=1130 # Top: y~90, Bottom: y~760 # CXR panel center roughly x=730, y=430 # Scaled coordinates for 4080x1884 image # Original screenshot was likely ~1366x768 or similar # Let's figure out scale: original UI screenshot # The X-ray display area in the screenshot occupies: # x: 340..1120 => width ~780px of the ~1366 total = fraction 0.248 to 0.820 # y: 90..770 => height ~680px of ~800 total = fraction 0.112 to 0.962 # In our 4080x1884 image: # x_start = int(0.248 * 4080) = ~1012 # x_end = int(0.820 * 4080) = ~3346 # y_start = int(0.112 * 1884) = ~211 # y_end = int(0.962 * 1884) = ~1812 # CXR panel bounds (approximate) xL = 1012 # left edge of CXR display xR = 3346 # right edge yT = 211 # top edge yB = 1812 # bottom edge cw = xR - xL # ~2334 ch = yB - yT # ~1601 # Center of CXR panel cx = xL + cw // 2 # ~2179 cy = yT + ch // 2 # ~1117 print(f"CXR panel: ({xL},{yT}) to ({xR},{yB}), center=({cx},{cy})") print(f"Panel size: {cw} x {ch}") # ---- Define annotation helper functions ---- def draw_arrow(draw, start, end, color, width=5): """Draw an arrow from start to end""" draw.line([start, end], fill=color, width=width) # Arrowhead dx = end[0] - start[0] dy = end[1] - start[1] length = math.sqrt(dx*dx + dy*dy) if length == 0: return udx, udy = dx/length, dy/length arrow_len = 30 arrow_width = 18 p1 = (end[0] - arrow_len*udx + arrow_width*udy, end[1] - arrow_len*udy - arrow_width*udx) p2 = (end[0] - arrow_len*udx - arrow_width*udy, end[1] - arrow_len*udy + arrow_width*udx) draw.polygon([end, p1, p2], fill=color) def draw_label_box(draw, pos, text, color, font, padding=10): """Draw text with background box""" bbox = draw.textbbox(pos, text, font=font) draw.rectangle([bbox[0]-padding, bbox[1]-padding, bbox[2]+padding, bbox[3]+padding], fill=(0,0,0,200), outline=color, width=3) draw.text(pos, text, fill=color, font=font) def circle_mark(draw, center, radius, color, width=6): x, y = center draw.ellipse([x-radius, y-radius, x+radius, y+radius], outline=color, width=width) def dashed_rect(draw, box, color, width=4, dash=20): x1,y1,x2,y2 = box # Top for x in range(x1, x2, dash*2): draw.line([(x,y1),(min(x+dash,x2),y1)], fill=color, width=width) # Bottom for x in range(x1, x2, dash*2): draw.line([(x,y2),(min(x+dash,x2),y2)], fill=color, width=width) # Left for y in range(y1, y2, dash*2): draw.line([(x1,y),(x1,min(y+dash,y2))], fill=color, width=width) # Right for y in range(y1, y2, dash*2): draw.line([(x2,y),(x2,min(y+dash,y2))], fill=color, width=width) # ================================================================ # ANNOTATION COORDINATES (relative to CXR panel) # The CXR image itself within the panel: # - Trachea: upper center # - Right lung: left side of image (marked "R") # - Left lung: right side of image # - Heart: center-lower # - Right CP angle: lower-left # - Left CP angle: lower-right # - Diaphragm: lower # ================================================================ # 1. BILATERAL LOWER ZONE HAZINESS / INFILTRATES # Right lower zone (image left side) RLZ_x = xL + int(cw * 0.25) RLZ_y = yT + int(ch * 0.70) # Left lower zone (image right side) LLZ_x = xL + int(cw * 0.72) LLZ_y = yT + int(ch * 0.68) # 2. RIGHT CP ANGLE BLUNTING (lower left of CXR) RCP_x = xL + int(cw * 0.18) RCP_y = yT + int(ch * 0.88) # 3. LEFT CP ANGLE BLUNTING (lower right of CXR) LCP_x = xL + int(cw * 0.80) LCP_y = yT + int(ch * 0.86) # 4. CARDIAC SILHOUETTE (center) HEART_x = xL + int(cw * 0.47) HEART_y = yT + int(ch * 0.58) # 5. RIGHT UPPER ZONE INFILTRATE (upper left of CXR) RUZ_x = xL + int(cw * 0.27) RUZ_y = yT + int(ch * 0.30) # 6. LEFT MID ZONE OPACITY (right side mid) LMZ_x = xL + int(cw * 0.70) LMZ_y = yT + int(ch * 0.45) # 7. HILAR REGION RHilar_x = xL + int(cw * 0.38) RHilar_y = yT + int(ch * 0.50) print(f"Annotation points calculated") print(f"RLZ: ({RLZ_x},{RLZ_y}), LLZ: ({LLZ_x},{LLZ_y})") # ============= DRAW ANNOTATIONS ============= RED = (255, 50, 50) YELLOW = (255, 230, 0) ORANGE = (255, 140, 0) CYAN = (0, 230, 255) GREEN = (50, 255, 100) PINK = (255, 100, 200) WHITE = (255, 255, 255) # --- 1. Bilateral lower zone haziness (dashed rectangles) --- # Right lower zone box dashed_rect(draw, (xL+int(cw*0.10), yT+int(ch*0.60), xL+int(cw*0.45), yT+int(ch*0.90)), RED, width=5) label_x = xL + int(cw*0.01) label_y = yT + int(ch*0.55) draw_label_box(draw, (label_x, label_y), "1", RED, font_num) # Left lower zone box dashed_rect(draw, (xL+int(cw*0.54), yT+int(ch*0.57), xL+int(cw*0.90), yT+int(ch*0.88)), RED, width=5) label_x2 = xL + int(cw*0.90) label_y2 = yT + int(ch*0.53) draw_label_box(draw, (label_x2, label_y2), "2", RED, font_num) # --- 2. Right CP angle blunting --- circle_mark(draw, (RCP_x, RCP_y), 80, ORANGE, width=7) draw_arrow(draw, (RCP_x - 130, RCP_y + 80), (RCP_x - 20, RCP_y + 20), ORANGE, width=5) draw_label_box(draw, (RCP_x - 200, RCP_y + 90), "3", ORANGE, font_num) # --- 3. Left CP angle blunting --- circle_mark(draw, (LCP_x, LCP_y), 80, ORANGE, width=7) draw_arrow(draw, (LCP_x + 120, LCP_y + 80), (LCP_x + 20, LCP_y + 20), ORANGE, width=5) draw_label_box(draw, (LCP_x + 125, LCP_y + 90), "4", ORANGE, font_num) # --- 4. Heart silhouette --- circle_mark(draw, (HEART_x, HEART_y), 160, YELLOW, width=7) draw_arrow(draw, (HEART_x - 280, HEART_y - 30), (HEART_x - 170, HEART_y - 10), YELLOW, width=5) draw_label_box(draw, (HEART_x - 330, HEART_y - 50), "5", YELLOW, font_num) # --- 5. Right upper zone infiltrate --- circle_mark(draw, (RUZ_x, RUZ_y), 120, CYAN, width=6) draw_arrow(draw, (RUZ_x - 200, RUZ_y - 100), (RUZ_x - 80, RUZ_y - 20), CYAN, width=5) draw_label_box(draw, (RUZ_x - 260, RUZ_y - 120), "6", CYAN, font_num) # --- 6. Left mid zone opacity --- circle_mark(draw, (LMZ_x, LMZ_y), 100, CYAN, width=6) draw_arrow(draw, (LMZ_x + 180, LMZ_y - 80), (LMZ_x + 60, LMZ_y - 10), CYAN, width=5) draw_label_box(draw, (LMZ_x + 185, LMZ_y - 100), "7", CYAN, font_num) # --- 7. Hilar prominence --- circle_mark(draw, (RHilar_x, RHilar_y), 70, GREEN, width=6) draw_arrow(draw, (RHilar_x - 160, RHilar_y - 120), (RHilar_x - 40, RHilar_y - 20), GREEN, width=5) draw_label_box(draw, (RHilar_x - 220, RHilar_y - 145), "8", GREEN, font_num) # ============= LEGEND BOX ============= leg_x = xR + 30 leg_y = yT + 20 leg_w = 700 leg_h = 1000 # Semi-transparent legend background from PIL import Image as PILImage overlay = PILImage.new('RGBA', img.size, (0,0,0,0)) ov_draw = ImageDraw.Draw(overlay) ov_draw.rectangle([leg_x, leg_y, leg_x+leg_w, leg_y+leg_h], fill=(0,0,0,200)) img_rgba = img.convert('RGBA') img_rgba = PILImage.alpha_composite(img_rgba, overlay) img = img_rgba.convert('RGB') draw = ImageDraw.Draw(img) # Title draw.text((leg_x+20, leg_y+15), "ABNORMAL FINDINGS", fill=WHITE, font=font_title) draw.line([(leg_x+20, leg_y+75), (leg_x+leg_w-20, leg_y+75)], fill=WHITE, width=3) entries = [ ("1", RED, "Right Lower Zone"), ("", RED, "Bilateral Infiltrates"), ("2", RED, "Left Lower Zone"), ("", RED, "Bilateral Infiltrates"), ("3", ORANGE, "Right CP Angle"), ("", ORANGE, "Blunted (Effusion?)"), ("4", ORANGE, "Left CP Angle"), ("", ORANGE, "Blunted (Effusion?)"), ("5", YELLOW, "Cardiac Silhouette"), ("", YELLOW, "Borderline Enlarged"), ("6", CYAN, "Right Upper Zone"), ("", CYAN, "Infiltrate/Opacity"), ("7", CYAN, "Left Mid Zone"), ("", CYAN, "Haziness/Opacity"), ("8", GREEN, "Hilar Region"), ("", GREEN, "Possible Prominence"), ] y_off = leg_y + 95 for num, color, text in entries: if num: # Draw colored circle number draw.ellipse([leg_x+20, y_off, leg_x+58, y_off+38], fill=color) draw.text((leg_x+30, y_off+2), num, fill=(0,0,0), font=font_num) draw.text((leg_x+75, y_off+2), text, fill=WHITE, font=font_reg) else: draw.text((leg_x+75, y_off+2), text, fill=(200,200,200), font=font_reg) y_off += 52 # Disclaimer draw.line([(leg_x+20, leg_y+leg_h-90), (leg_x+leg_w-20, leg_y+leg_h-90)], fill=(150,150,150), width=2) draw.text((leg_x+15, leg_y+leg_h-80), "⚠ Educational Only", fill=YELLOW, font=font_reg) draw.text((leg_x+15, leg_y+leg_h-42), "Consult Radiologist", fill=YELLOW, font=font_reg) # ============= TITLE BANNER ============= draw.rectangle([xL, yT-5, xR, yT+65], fill=(20,20,60)) draw.text((xL+20, yT+5), "CXR PA VIEW - ANNOTATED FINDINGS", fill=WHITE, font=font_title) # Save out_path = "/home/daytona/workspace/xray-annotation/cxr_annotated.jpg" img.save(out_path, quality=92) print(f"Saved: {out_path}") import os print(f"File size: {os.path.getsize(out_path)//1024} KB") EOF

python3 -c " from PIL import Image img = Image.open('/home/daytona/workspace/xray-annotation/cxr_annotated.jpg') # Resize to smaller for preview img_small = img.resize((1400, int(1400 * img.height / img.width)), Image.LANCZOS) img_small.save('/home/daytona/workspace/xray-annotation/cxr_annotated_preview.jpg', quality=85) import os print(f'Preview size: {os.path.getsize(\"/home/daytona/workspace/xray-annotation/cxr_annotated_preview.jpg\")//1024} KB') print(f'Dims: {img_small.size}') "