Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/generate.js'

from PIL import Image, ImageDraw, ImageFont
import textwrap

# ── Canvas ──────────────────────────────────────────────────────────────────
W, H = 2480, 3508   # A4 at 300 dpi
MARGIN = 140
img = Image.new("RGB", (W, H), "white")
d = ImageDraw.Draw(img)

# ── Fonts ────────────────────────────────────────────────────────────────────
REG  = "/usr/share/fonts/truetype/liberation/LiberationSerif-Regular.ttf"
BOLD = "/usr/share/fonts/truetype/liberation/LiberationSerif-Bold.ttf"

def font(size, bold=False): return ImageFont.truetype(BOLD if bold else REG, size)

f_small   = font(28)
f_normal  = font(34)
f_bold    = font(34, True)
f_heading = font(38, True)
f_title   = font(44, True)
f_logo    = font(90, True)
f_tiny    = font(24)
f_disclaimer = font(30, True)

BLACK  = (0, 0, 0)
RED    = (180, 0, 0)
GOLD   = (160, 110, 0)
GRAY   = (100, 100, 100)
LGRAY  = (210, 210, 210)

y = MARGIN   # current y cursor

def nl(n=1): 
    global y
    y += 18 * n

def text(txt, x=MARGIN, size=34, bold=False, color=BLACK, align="left", max_width=None):
    global y
    fnt = font(size, bold)
    if max_width:
        # wrap
        avg_char = size * 0.55
        chars = int(max_width / avg_char)
        lines = textwrap.wrap(txt, width=chars)
        for line in lines:
            if align == "right":
                bbox = d.textbbox((0,0), line, font=fnt)
                tw = bbox[2] - bbox[0]
                d.text((W - MARGIN - tw, y), line, font=fnt, fill=color)
            elif align == "center":
                bbox = d.textbbox((0,0), line, font=fnt)
                tw = bbox[2] - bbox[0]
                d.text(((W - tw)//2, y), line, font=fnt, fill=color)
            else:
                d.text((x, y), line, font=fnt, fill=color)
            y += size + 10
    else:
        if align == "right":
            bbox = d.textbbox((0,0), txt, font=fnt)
            tw = bbox[2] - bbox[0]
            d.text((W - MARGIN - tw, y), txt, font=fnt, fill=color)
        elif align == "center":
            bbox = d.textbbox((0,0), txt, font=fnt)
            tw = bbox[2] - bbox[0]
            d.text(((W - tw)//2, y), txt, font=fnt, fill=color)
        else:
            d.text((x, y), txt, font=fnt, fill=color)
        y += size + 12

def underline_text(txt, x=MARGIN, size=38, bold=True, color=BLACK, align="center"):
    global y
    fnt = font(size, bold)
    if align == "center":
        bbox = d.textbbox((0,0), txt, font=fnt)
        tw = bbox[2] - bbox[0]
        tx = (W - tw) // 2
    elif align == "left":
        tx = x
    else:
        bbox = d.textbbox((0,0), txt, font=fnt)
        tw = bbox[2] - bbox[0]
        tx = W - MARGIN - tw
    d.text((tx, y), txt, font=fnt, fill=color)
    th = size + 4
    d.line([(tx, y + th), (tx + tw, y + th)], fill=color, width=2)
    y += size + 18

def bullet_line(txt, indent=MARGIN+40, size=34, italic_part=None):
    global y
    fnt = font(size)
    fnt_b = font(size, True)
    d.text((indent - 30, y), "•", font=fnt, fill=BLACK)
    if italic_part:
        # draw normal part then italic hint (we approximate with regular)
        d.text((indent, y), txt, font=fnt, fill=BLACK)
    else:
        # wrap
        avg_char = size * 0.55
        chars = int((W - MARGIN - indent) / avg_char)
        lines = textwrap.wrap(txt, width=chars)
        for i, line in enumerate(lines):
            xx = indent if i == 0 else indent + 10
            d.text((xx, y), line, font=fnt, fill=BLACK)
            y += size + 10
        return
    y += size + 10

def bullet_wrap(txt, indent=MARGIN+50, size=34, color=BLACK, bold=False):
    global y
    fnt = font(size, bold)
    d.text((indent - 36, y), "•", font=fnt, fill=color)
    avg_char = size * 0.55
    chars = int((W - MARGIN - indent) / avg_char)
    lines = textwrap.wrap(txt, width=chars)
    for i, line in enumerate(lines):
        xx = indent if i == 0 else indent + 4
        d.text((xx, y), line, font=fnt, fill=color)
        y += size + 10

def hline(thickness=2, color=BLACK, pad=10):
    global y
    y += pad
    d.line([(MARGIN, y), (W - MARGIN, y)], fill=color, width=thickness)
    y += pad + 4

def table_row(col1, col2, col3, col4, row_y, col_widths, bold1=False, bold3=False):
    cols = [MARGIN, MARGIN + col_widths[0], MARGIN + col_widths[0] + col_widths[1],
            MARGIN + col_widths[0] + col_widths[1] + col_widths[2]]
    vals = [col1, col2, col3, col4]
    bolds = [bold1, False, bold3, False]
    for i, (val, cx, bld) in enumerate(zip(vals, cols, bolds)):
        fnt = font(32, bld)
        d.text((cx + 10, row_y + 8), val, font=fnt, fill=BLACK)
    # row border
    total_w = sum(col_widths[:3]) + col_widths[3] if len(col_widths) > 3 else sum(col_widths)
    d.rectangle([MARGIN, row_y, MARGIN + total_w, row_y + 50], outline=BLACK, width=1)
    # vertical dividers
    for cx in cols[1:]:
        d.line([(cx, row_y), (cx, row_y + 50)], fill=BLACK, width=1)

# ═══════════════════════════════════════════════════════════════════
# HEADER
# ═══════════════════════════════════════════════════════════════════

# SVP logo (text)
d.text((MARGIN, y), "SVP", font=font(100, True), fill=GOLD)

# Right side institution name
ry = y
text("Sardar Vallabhbhai Patel Institute of", x=0, size=28, align="right")
text("Medical Sciences & Research", x=0, size=28, bold=True, align="right")
text("Ellisbridge, Ahmedabad, Gujarat, India - 380006.", x=0, size=24, color=GRAY, align="right")
text("+917926435555/6666  |  www.svphospital.com", x=0, size=24, color=GRAY, align="right")

y = ry + 120
hline(thickness=3)
nl(1)

# ── Patient Info Table ────────────────────────────────────────────
COL_W = [380, 560, 380, 580]
TOTAL_W = sum(COL_W)
rows_data = [
    ("MRN No.",    "SVP-2026-CASE01",        "Patient Name", "AYUSHI AGRAWAL"),
    ("Age",        "25 Years",               "Gender",       "Female"),
    ("Study Date", "06-07-2026",             "Modality",     "CT"),
    ("Visit ID",   "CASE-STUDY-ILLUSTRATION","",             ""),
]
for rd in rows_data:
    table_row(rd[0], rd[1], rd[2], rd[3], y, COL_W, bold1=True, bold3=True)
    y += 52

nl(2)

# ── Study Title ───────────────────────────────────────────────────
underline_text("CONTRAST ENHANCED C.T. SCAN OF ABDOMEN & PELVIS", size=44, bold=True)
nl(1)
text("Plain and dynamic post-IV contrast CT scan of abdomen and pelvis has been performed.",
     size=34, max_width=W - 2*MARGIN)
nl(1)
hline(thickness=1, color=LGRAY)
nl(1)

# ── FINDINGS ─────────────────────────────────────────────────────
underline_text("FINDINGS:", align="left", size=38, bold=True)

bullet_wrap("Terminal ileum, IC junction, cecum appears mildly inflamed and shows enhancing circumferential wall thickening with max. wall thickness 5-6 mm.")
nl()
bullet_wrap("Appendix measures 5.6 mm and shows reactive inflammatory changes.")
nl()
bullet_wrap("Multiple enlarged mesenteric lymph nodes noted at RIF and periumbilical region with central necrotic areas; larger one measures 16 x 10 mm in size.")
nl()

# Highlighted TB finding
d.rounded_rectangle([MARGIN, y-4, W-MARGIN, y+82], radius=8, fill=(255,245,220))
bullet_wrap("Above findings are in keeping with infective/inflammatory changes.  TUBERCULOSIS MORE LIKELY.",
            color=(140, 0, 0), bold=True)
nl()

bullet_wrap("Long segment of distal ileum at RIF and pelvis appears mildly dilated with air-fluid levels (max. diameter 2.8 cm). Rest of the small bowel loops appears normal in diameter.")
nl()
bullet_wrap("Stasis secondary to inflammation more likely.", indent=MARGIN+90, color=(100,0,0))
nl()
bullet_wrap("Minimal free fluid noted at RIF.")
nl(2)

# ── Organ Systems ─────────────────────────────────────────────────
def organ_section(title, body_lines):
    global y
    underline_text(title, align="left", size=36, bold=True)
    for line in body_lines:
        text(line, size=33, max_width=W - 2*MARGIN - 20)
    nl(1)

organ_section("LIVER:", [
    "Normal in size, shape, position, and contour with normal attenuation and parenchymal enhancement.",
    "No focal lesion. Hepatic and portal veins unremarkable. No IHBRD noted."
])

organ_section("GALL BLADDER & BILIARY SYSTEM:", [
    "Well distended, normal wall thickness. No radio-dense calculus. CBD unremarkable."
])

organ_section("SPLEEN:", [
    "Normal in size, shape, and attenuation. Normal parenchymal enhancement. No focal lesion."
])

organ_section("PANCREAS:", [
    "Normal size, shape, contour with homogeneous enhancement. No focal lesion. Peripancreatic fat planes unremarkable."
])

organ_section("ADRENAL GLANDS:", ["Both adrenal glands appear unremarkable."])

organ_section("KIDNEYS & URETERS:", [
    "Both kidneys normal in size, shape, position, contour, and axis with normal parenchymal enhancement.",
    "Bilateral tiny renal concretions 1-2 mm noted.  No hydronephrosis / hydroureter.",
    "Both ureters normal in course and calibre."
])

organ_section("URINARY BLADDER:", [
    "Well distended with normal wall thickness. No mass lesion or intraluminal filling defects noted."
])

nl(1)
hline(thickness=2)
nl(1)

# ── IMPRESSION ────────────────────────────────────────────────────
underline_text("IMPRESSION:", align="left", size=40, bold=True)
nl(1)

bullet_wrap(
    "Ileocecal inflammatory changes with circumferential wall thickening of terminal ileum and cecum, "
    "necrotic mesenteric lymphadenopathy, and partial small bowel obstruction (stasis secondary to inflammation). "
    "Findings are strongly suggestive of INTESTINAL TUBERCULOSIS. "
    "Correlation with Mantoux test, CBNAAT, and colonoscopic biopsy recommended.",
    bold=True, color=(120, 0, 0)
)
nl(1)
bullet_wrap("Bilateral tiny renal concretions (1-2 mm) - likely non-obstructive. No hydronephrosis.")
nl()
bullet_wrap("Rest of abdominal and pelvic organs are unremarkable.")

nl(3)
hline(thickness=1, color=LGRAY)
nl(1)

# ── Signature ─────────────────────────────────────────────────────
text("Dr. Dharita Shah", size=36, bold=True)
text("Radiologist, SVP Hospital, Ahmedabad", size=30, color=GRAY)

nl(3)

# ── Disclaimer ────────────────────────────────────────────────────
hline(thickness=3, color=RED)
d.rectangle([MARGIN, y, W-MARGIN, y+60], fill=(255, 240, 240))
text("** FOR CASE STUDY ILLUSTRATION PURPOSE ONLY - NOT A CLINICAL REPORT **",
     size=30, bold=True, color=RED, align="center")
y += 64
hline(thickness=3, color=RED)

# ── Save ──────────────────────────────────────────────────────────
out = "/home/daytona/workspace/svp-report/SVP_CT_Ayushi_Agrawal.png"
img.save(out, dpi=(300, 300))
print(f"Saved: {out}  (size {img.size})")

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/svp-report/render_report.py'

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  AlignmentType, BorderStyle, WidthType, VerticalAlign, UnderlineType,
  TabStopType, TabStopPosition, Header, PageBreak
} = require('docx');
const fs = require('fs');

const REG_FONT = "Times New Roman";
const thin = { style: BorderStyle.SINGLE, size: 4, color: "000000" };
const none = { style: BorderStyle.NONE, size: 0, color: "FFFFFF" };

// ── Helpers ──────────────────────────────────────────────────────────────────

function cell(text, bold = false, align = AlignmentType.LEFT) {
  return new TableCell({
    borders: { top: thin, bottom: thin, left: thin, right: thin },
    margins: { top: 60, bottom: 60, left: 80, right: 80 },
    children: [new Paragraph({
      alignment: align,
      children: [new TextRun({ text, bold, size: 20, font: REG_FONT })]
    })]
  });
}

function infoTable() {
  const rows = [
    ["MRN No.",    "SVP-2026-CASE01",         "Patient Name", "AYUSHI AGRAWAL"],
    ["Age",        "25 Years",                 "Gender",       "Female"],
    ["Study Date", "06-07-2026",               "Modality",     "CT"],
    ["Visit ID",   "CASE-STUDY-ILLUSTRATION",  "",             ""],
  ];
  return new Table({
    width: { size: 100, type: WidthType.PERCENTAGE },
    rows: rows.map(r => new TableRow({
      children: [cell(r[0], true), cell(r[1]), cell(r[2], true), cell(r[3])]
    }))
  });
}

function blank() {
  return new Paragraph({ children: [new TextRun({ text: "", size: 20 })] });
}

function centreTitle(text) {
  return new Paragraph({
    alignment: AlignmentType.CENTER,
    spacing: { before: 200, after: 120 },
    children: [new TextRun({
      text, bold: true, size: 26, font: REG_FONT,
      underline: { type: UnderlineType.SINGLE }
    })]
  });
}

function sectionHead(text) {
  return new Paragraph({
    spacing: { before: 180, after: 60 },
    children: [new TextRun({
      text, bold: true, size: 22, font: REG_FONT,
      underline: { type: UnderlineType.SINGLE }
    })]
  });
}

function body(text, bold = false) {
  return new Paragraph({
    spacing: { before: 40, after: 40 },
    children: [new TextRun({ text, bold, size: 20, font: REG_FONT })]
  });
}

function bullet(runs) {
  // runs: array of {text, bold, italic}
  return new Paragraph({
    bullet: { level: 0 },
    spacing: { before: 50, after: 50 },
    children: runs.map(r => new TextRun({
      text: r.text, bold: r.bold || false, italics: r.italic || false,
      size: 20, font: REG_FONT
    }))
  });
}

function divider() {
  return new Paragraph({
    spacing: { before: 80, after: 80 },
    border: { bottom: { style: BorderStyle.SINGLE, size: 6, color: "000000" } },
    children: [new TextRun({ text: "" })]
  });
}

// ── Document ─────────────────────────────────────────────────────────────────

const doc = new Document({
  sections: [{
    properties: {
      page: {
        margin: { top: 720, bottom: 720, left: 900, right: 900 }
      }
    },
    children: [

      // ── HEADER ROW ──────────────────────────────────────────────
      new Table({
        width: { size: 100, type: WidthType.PERCENTAGE },
        rows: [new TableRow({
          children: [
            // Left: SVP logo
            new TableCell({
              borders: { top: none, bottom: none, left: none, right: none },
              width: { size: 20, type: WidthType.PERCENTAGE },
              children: [new Paragraph({
                children: [new TextRun({
                  text: "SVP", bold: true, size: 72, font: REG_FONT
                })]
              })]
            }),
            // Right: institution details
            new TableCell({
              borders: { top: none, bottom: none, left: none, right: none },
              width: { size: 80, type: WidthType.PERCENTAGE },
              children: [
                new Paragraph({
                  alignment: AlignmentType.RIGHT,
                  children: [new TextRun({ text: "Sardar Vallabhbhai Patel Institute of", size: 16, font: REG_FONT })]
                }),
                new Paragraph({
                  alignment: AlignmentType.RIGHT,
                  children: [new TextRun({ text: "Medical Sciences & Research", bold: true, size: 16, font: REG_FONT })]
                }),
                new Paragraph({
                  alignment: AlignmentType.RIGHT,
                  children: [new TextRun({ text: "Ellisbridge, Ahmedabad, Gujarat, India - 380006.", size: 14, font: REG_FONT })]
                }),
                new Paragraph({
                  alignment: AlignmentType.RIGHT,
                  children: [new TextRun({ text: "+917926435555/6666  |  https://www.svphospital.com", size: 14, font: REG_FONT })]
                }),
              ]
            }),
          ]
        })]
      }),

      divider(),

      // ── PATIENT INFO TABLE ───────────────────────────────────────
      infoTable(),
      blank(),

      // ── STUDY TITLE ─────────────────────────────────────────────
      centreTitle("CONTRAST ENHANCED C.T. SCAN OF ABDOMEN & PELVIS"),
      body("Plain and dynamic post-IV contrast CT scan of abdomen and pelvis has been performed."),
      blank(),

      // ── FINDINGS ────────────────────────────────────────────────
      sectionHead("FINDINGS:"),

      bullet([{ text: "Terminal ileum, IC junction, cecum appears mildly inflamed and shows enhancing circumferential wall thickening with max. wall thickness 5-6 mm." }]),
      bullet([{ text: "Appendix measures 5.6 mm and shows reactive inflammatory changes." }]),
      bullet([{ text: "Multiple enlarged mesenteric lymph nodes noted at RIF and periumbilical region with central necrotic areas; larger one measures 16 x 10 mm in size." }]),
      bullet([
        { text: "Above findings are in keeping with infective/inflammatory changes. ", bold: true },
        { text: "Tuberculosis more likely.", bold: true, italic: true }
      ]),
      bullet([{ text: "Long segment of distal ileum at RIF and pelvis appears mildly dilated with air-fluid levels (max. diameter 2.8 cm). Rest of small bowel loops appears normal in diameter." }]),
      new Paragraph({
        bullet: { level: 1 },
        spacing: { before: 40, after: 40 },
        children: [new TextRun({ text: "Stasis secondary to inflammation more likely.", italic: true, size: 20, font: REG_FONT, underline: { type: UnderlineType.SINGLE } })]
      }),
      bullet([{ text: "Minimal free fluid noted at RIF." }]),
      blank(),

      // ── ORGAN SECTIONS ──────────────────────────────────────────
      sectionHead("LIVER:"),
      body("Liver appears normal in size, shape, position, and contour with normal attenuation pattern and parenchymal enhancement. No obvious focal lesion. Hepatic and portal veins unremarkable. No intra-hepatic biliary radicle dilatation noted."),
      blank(),

      sectionHead("GALL BLADDER & BILIARY SYSTEM:"),
      body("Gall bladder is well distended with normal wall thickness. No radio-dense calculus seen. CBD appears unremarkable."),
      blank(),

      sectionHead("SPLEEN:"),
      body("Spleen is normal in size, shape, and attenuation value with normal parenchymal enhancement. No focal lesion identified."),
      blank(),

      sectionHead("PANCREAS:"),
      body("Pancreas appears normal in size, shape, position, and contour with homogeneous enhancement. No focal lesion seen. Peripancreatic fat planes appear unremarkable."),
      blank(),

      sectionHead("ADRENAL GLANDS:"),
      body("Both adrenal glands appear unremarkable."),
      blank(),

      sectionHead("KIDNEYS & URETERS:"),
      body("Both kidneys are normal in size, shape, position, contour, and axis with normal parenchymal enhancement."),
      bullet([{ text: "Bilateral renal shows few tiny concretions of 1-2 mm." }]),
      bullet([{ text: "No evidence of hydronephrosis / hydroureter is noted." }]),
      bullet([{ text: "Both ureters are normal in course and calibre." }]),
      blank(),

      sectionHead("URINARY BLADDER:"),
      body("Urinary bladder is well distended with normal wall thickness. No evidence of any mass lesion or intraluminal filling defects noted."),
      blank(),

      divider(),

      // ── IMPRESSION ──────────────────────────────────────────────
      sectionHead("IMPRESSION:"),

      bullet([
        { text: "Ileocecal inflammatory changes with circumferential wall thickening of terminal ileum and cecum, necrotic mesenteric lymphadenopathy, and partial small bowel obstruction (stasis secondary to inflammation). Findings are strongly suggestive of ", bold: true },
        { text: "INTESTINAL TUBERCULOSIS", bold: true },
        { text: ". Correlation with Mantoux test, CBNAAT, and colonoscopic biopsy recommended.", bold: true }
      ]),
      bullet([{ text: "Bilateral tiny renal concretions (1-2 mm) - likely non-obstructive. No hydronephrosis." }]),
      bullet([{ text: "Rest of abdominal and pelvic organs are unremarkable on this study." }]),

      blank(),
      blank(),

      // ── SIGNATURE ───────────────────────────────────────────────
      new Paragraph({
        spacing: { before: 300 },
        children: [new TextRun({ text: "Dr. Dharita Shah", bold: true, size: 22, font: REG_FONT })]
      }),
      new Paragraph({
        children: [new TextRun({ text: "Radiologist, SVP Hospital, Ahmedabad", size: 20, font: REG_FONT })]
      }),

      blank(),
      divider(),

      // ── DISCLAIMER ──────────────────────────────────────────────
      new Paragraph({
        alignment: AlignmentType.CENTER,
        spacing: { before: 80, after: 80 },
        children: [new TextRun({
          text: "** FOR CASE STUDY ILLUSTRATION PURPOSE ONLY - NOT A CLINICAL REPORT **",
          bold: true, size: 18, font: REG_FONT
        })]
      }),

      divider(),
    ]
  }]
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync("/home/daytona/workspace/svp-report/SVP_CT_Ayushi_Agrawal_Final.docx", buf);
  console.log("Done");
}).catch(e => console.error(e));

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  AlignmentType, BorderStyle, WidthType, UnderlineType, ShadingType,
  convertInchesToTwip
} = require('docx');
const fs = require('fs');

const FONT = "Times New Roman";

// ── Border helpers ─────────────────────────────────────────────────────────
const thin  = { style: BorderStyle.SINGLE, size: 6,  color: "000000" };
const thick = { style: BorderStyle.SINGLE, size: 12, color: "000000" };
const none  = { style: BorderStyle.NONE,   size: 0,  color: "FFFFFF" };
const allThin  = { top: thin,  bottom: thin,  left: thin,  right: thin  };
const allNone  = { top: none,  bottom: none,  left: none,  right: none  };

// ── Text helpers ───────────────────────────────────────────────────────────
const t = (text, opts = {}) => new TextRun({
  text, font: FONT, size: opts.size || 20,
  bold: opts.bold || false,
  italics: opts.italic || false,
  underline: opts.underline ? { type: UnderlineType.SINGLE } : undefined,
});

const para = (children, opts = {}) => new Paragraph({
  alignment: opts.align || AlignmentType.LEFT,
  spacing: { before: opts.before || 0, after: opts.after || 60 },
  border: opts.border || undefined,
  bullet: opts.bullet !== undefined ? { level: opts.bullet } : undefined,
  children: Array.isArray(children) ? children : [children],
});

const blank = () => para([t("")], { after: 40 });

const divider = () => new Paragraph({
  spacing: { before: 100, after: 100 },
  border: { bottom: { style: BorderStyle.SINGLE, size: 8, color: "000000" } },
  children: [t("")],
});

// Underlined bold heading (left aligned)
const secHead = (text) => para(
  [t(text, { bold: true, underline: true, size: 21 })],
  { before: 160, after: 60 }
);

// Centre bold underlined title
const centreTitle = (text) => para(
  [t(text, { bold: true, underline: true, size: 24 })],
  { align: AlignmentType.CENTER, before: 160, after: 120 }
);

const bodyPara = (text, bold = false) => para(
  [t(text, { bold, size: 20 })],
  { before: 30, after: 40 }
);

const bulletPara = (runs, level = 0) => new Paragraph({
  bullet: { level },
  spacing: { before: 40, after: 40 },
  children: runs.map(r => t(r.text, r)),
});

// ── Info table cell ────────────────────────────────────────────────────────
const iCell = (text, bold = false, width = null) => new TableCell({
  borders: allThin,
  margins: { top: 60, bottom: 60, left: 100, right: 100 },
  width: width ? { size: width, type: WidthType.DXA } : undefined,
  children: [para([t(text, { bold, size: 20 })])],
});

// Column widths in twips (total page width ~8640 twips at 1" margins each side on A4 = ~7200)
// Col1: label narrow, Col2: value medium, Col3: label narrow, Col4: value wide
const C1 = 1400, C2 = 2000, C3 = 1500, C4 = 2300;

const infoTable = () => new Table({
  width: { size: C1+C2+C3+C4, type: WidthType.DXA },
  rows: [
    new TableRow({ children: [iCell("MRN No.",    true,C1), iCell("SVP-2026-CASE01",       false,C2), iCell("Patient Name",true,C3), iCell("AYUSHI AGRAWAL",          false,C4)] }),
    new TableRow({ children: [iCell("Age",        true,C1), iCell("25 Years",              false,C2), iCell("Gender",      true,C3), iCell("Female",                  false,C4)] }),
    new TableRow({ children: [iCell("Study Date", true,C1), iCell("06-07-2026",            false,C2), iCell("Modality",    true,C3), iCell("CT",                      false,C4)] }),
    new TableRow({ children: [iCell("Visit ID",   true,C1), iCell("CASE-STUDY-ILLUSTRATION",false,C2), iCell("",           false,C3), iCell("",                        false,C4)] }),
  ]
});

// ── Header table: SVP logo left, institution right ─────────────────────────
const headerTable = () => new Table({
  width: { size: 100, type: WidthType.PERCENTAGE },
  borders: { top: none, bottom: none, left: none, right: none, insideH: none, insideV: none },
  rows: [new TableRow({
    children: [
      // LEFT: SVP logo + text
      new TableCell({
        borders: allNone,
        width: { size: 20, type: WidthType.PERCENTAGE },
        children: [
          para([t("⊕", { bold: true, size: 48 })]),   // circle cross icon approximation
          para([t("SVP", { bold: true, size: 52 })], { before: 0, after: 0 }),
        ]
      }),
      // RIGHT: institution details
      new TableCell({
        borders: allNone,
        width: { size: 80, type: WidthType.PERCENTAGE },
        children: [
          para([t("Sardar Vallabhbhai Patel Institute of", { size: 16 })], { align: AlignmentType.RIGHT, after: 20 }),
          para([t("Medical Sciences & Research",           { bold: true, size: 16 })], { align: AlignmentType.RIGHT, after: 20 }),
          para([t("Ellisbridge, Ahmedabad, Gujarat, India - 380006.", { size: 14 })], { align: AlignmentType.RIGHT, after: 20 }),
          para([t("+917926435555/6666, https://www.svphospital.com",  { size: 14 })], { align: AlignmentType.RIGHT, after: 0  }),
        ]
      }),
    ]
  })]
});

// ── Build document ─────────────────────────────────────────────────────────
const doc = new Document({
  sections: [{
    properties: {
      page: { margin: { top: 720, bottom: 720, left: 900, right: 900 } }
    },
    children: [

      // Header
      headerTable(),
      divider(),

      // Patient info table
      infoTable(),
      blank(),

      // Study title
      centreTitle("CONTRAST ENHANCED C.T. SCAN OF ABDOMEN & PELVIS"),
      bodyPara("Plain and dynamic post-IV contrast CT scan of abdomen and pelvis has been performed."),
      blank(),

      // FINDINGS
      secHead("FINDINGS:"),

      bulletPara([{ text: "Terminal ileum, IC junction, cecum appears mildly inflamed and shows enhancing circumferential wall thickening with max. wall thickness 5-6 mm." }]),
      bulletPara([{ text: "Appendix measures 5.6 mm and shows reactive inflammatory changes." }]),
      bulletPara([{ text: "Multiple enlarged mesenteric lymph nodes noted at RIF and periumbilical region with central necrotic areas; larger one measures 16 x 10 mm in size." }]),
      bulletPara([
        { text: "Above findings are in keeping with infective/inflammatory changes. ", bold: true },
        { text: "Tuberculosis more likely.", bold: true, italic: true },
      ]),
      bulletPara([{ text: "Long segment of distal ileum at RIF and pelvis appears mildly dilated with air-fluid levels (max. diameter 2.8 cm). Rest of small bowel loops appears normal in diameter." }]),
      new Paragraph({
        bullet: { level: 1 },
        spacing: { before: 30, after: 40 },
        children: [t("Stasis secondary to inflammation more likely.", { italic: true, underline: true, size: 20 })],
      }),
      bulletPara([{ text: "Minimal free fluid noted at RIF." }]),
      blank(),

      // Organ sections
      secHead("LIVER:"),
      bodyPara("Liver appears normal in size, shape, position, and contour with normal attenuation pattern and parenchymal enhancement. No obvious focal lesion. Hepatic and portal veins unremarkable. No intra-hepatic biliary radicle dilatation noted."),
      blank(),

      secHead("GALL BLADDER & BILIARY SYSTEM:"),
      bodyPara("Gall bladder is well distended with normal wall thickness. No radio-dense calculus seen. CBD appears unremarkable."),
      blank(),

      secHead("SPLEEN:"),
      bodyPara("Spleen is normal in size, shape, and attenuation value with normal parenchymal enhancement. No focal lesion identified."),
      blank(),

      secHead("PANCREAS:"),
      bodyPara("Pancreas appears normal in size, shape, position, and contour with homogeneous enhancement. No focal lesion. Peripancreatic fat planes appear unremarkable."),
      blank(),

      secHead("ADRENAL GLANDS:"),
      bodyPara("Both adrenal glands appear unremarkable."),
      blank(),

      secHead("KIDNEYS & URETERS:"),
      bodyPara("Both kidneys are normal in size, shape, position, contour, and axis with normal parenchymal enhancement."),
      bulletPara([{ text: "Bilateral renal shows few tiny concretions of 1-2 mm." }]),
      bulletPara([{ text: "No evidence of hydronephrosis / hydroureter is noted." }]),
      bulletPara([{ text: "Both ureters are normal in course and calibre." }]),
      blank(),

      secHead("URINARY BLADDER:"),
      bodyPara("Urinary bladder is well distended with normal wall thickness. No evidence of any mass lesion or intraluminal filling defects noted."),
      blank(),

      divider(),

      // IMPRESSION
      secHead("IMPRESSION:"),
      bulletPara([
        { text: "Ileocecal inflammatory changes with circumferential wall thickening of terminal ileum and cecum, necrotic mesenteric lymphadenopathy, and partial small bowel obstruction (stasis secondary to inflammation). Findings are strongly suggestive of ", bold: true },
        { text: "INTESTINAL TUBERCULOSIS", bold: true },
        { text: ". Correlation with Mantoux test, CBNAAT, and colonoscopic biopsy recommended.", bold: true },
      ]),
      bulletPara([{ text: "Bilateral tiny renal concretions (1-2 mm) - likely non-obstructive. No hydronephrosis." }]),
      bulletPara([{ text: "Rest of abdominal and pelvic organs are unremarkable on this study." }]),

      blank(),
      blank(),

      // Signature
      para([t("Dr. Dharita Shah", { bold: true, size: 22 })], { before: 200 }),
      para([t("Radiologist, SVP Hospital, Ahmedabad", { size: 20 })]),

      blank(),
      divider(),

      // Disclaimer
      para(
        [t("** FOR CASE STUDY ILLUSTRATION PURPOSE ONLY - NOT A CLINICAL REPORT **", { bold: true, size: 18 })],
        { align: AlignmentType.CENTER, before: 60, after: 60 }
      ),

      divider(),
    ]
  }]
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync("/home/daytona/workspace/svp-report/SVP_CT_Ayushi_Agrawal_Final.docx", buf);
  console.log("Done");
}).catch(e => console.error(e));

from PIL import Image, ImageDraw, ImageFont
import textwrap

W, H = 2480, 3508
MARGIN = 140
img = Image.new("RGB", (W, H), "white")
d = ImageDraw.Draw(img)

REG  = "/usr/share/fonts/truetype/liberation/LiberationSerif-Regular.ttf"
BOLD = "/usr/share/fonts/truetype/liberation/LiberationSerif-Bold.ttf"
ITALIC = "/usr/share/fonts/truetype/liberation/LiberationSerif-Italic.ttf"
BOLDITALIC = "/usr/share/fonts/truetype/liberation/LiberationSerif-BoldItalic.ttf"

import os
# fallback if italic not found
if not os.path.exists(ITALIC): ITALIC = REG
if not os.path.exists(BOLDITALIC): BOLDITALIC = BOLD

def font(size, bold=False, italic=False):
    if bold and italic: return ImageFont.truetype(BOLDITALIC, size)
    if bold:   return ImageFont.truetype(BOLD, size)
    if italic: return ImageFont.truetype(ITALIC, size)
    return ImageFont.truetype(REG, size)

BLACK = (0, 0, 0)

y = MARGIN

def nl(n=1):
    global y
    y += 18 * n

def get_text_width(txt, fnt):
    bbox = d.textbbox((0, 0), txt, font=fnt)
    return bbox[2] - bbox[0]

def draw_text_right(txt, fnt, ypos):
    tw = get_text_width(txt, fnt)
    d.text((W - MARGIN - tw, ypos), txt, font=fnt, fill=BLACK)

def draw_text_center(txt, fnt, ypos):
    tw = get_text_width(txt, fnt)
    d.text(((W - tw) // 2, ypos), txt, font=fnt, fill=BLACK)

def hline(thick=2, pad_before=10, pad_after=10):
    global y
    y += pad_before
    d.line([(MARGIN, y), (W - MARGIN, y)], fill=BLACK, width=thick)
    y += pad_after

def underline_text_left(txt, fnt, xpos=None):
    global y
    x = xpos if xpos is not None else MARGIN
    d.text((x, y), txt, font=fnt, fill=BLACK)
    tw = get_text_width(txt, fnt)
    th = fnt.size + 2
    d.line([(x, y + th), (x + tw, y + th)], fill=BLACK, width=2)
    y += fnt.size + 16

def underline_text_center(txt, fnt):
    global y
    tw = get_text_width(txt, fnt)
    tx = (W - tw) // 2
    d.text((tx, y), txt, font=fnt, fill=BLACK)
    th = fnt.size + 2
    d.line([(tx, y + th), (tx + tw, y + th)], fill=BLACK, width=2)
    y += fnt.size + 20

def wrap_and_draw(runs, indent=MARGIN, line_spacing=10):
    """
    runs: list of (text, bold, italic, underline)
    Renders inline mixed-style text with wrapping.
    """
    global y
    max_w = W - MARGIN - indent
    # Build a flat list of words with their style
    styled_words = []
    for (txt, bold, italic, ul) in runs:
        words = txt.split(' ')
        for i, w in enumerate(words):
            if w:
                # add space after every word except last of last run — we handle spaces via join
                styled_words.append((w, bold, italic, ul))

    # measure and wrap manually
    current_line = []
    current_w = 0
    lines_to_draw = []

    for i, (word, bold, italic, ul) in enumerate(styled_words):
        fnt = font(34, bold, italic)
        space_w = get_text_width(" ", fnt)
        word_w = get_text_width(word, fnt)
        needed = word_w + (space_w if current_line else 0)
        if current_line and current_w + needed > max_w:
            lines_to_draw.append(current_line)
            current_line = [(word, bold, italic, ul)]
            current_w = word_w
        else:
            current_line.append((word, bold, italic, ul))
            current_w += needed

    if current_line:
        lines_to_draw.append(current_line)

    for line in lines_to_draw:
        x = indent
        for j, (word, bold, italic, ul) in enumerate(line):
            fnt = font(34, bold, italic)
            space_fnt = font(34, False, False)
            if j > 0:
                x += get_text_width(" ", space_fnt)
            d.text((x, y), word, font=fnt, fill=BLACK)
            if ul:
                tw = get_text_width(word, fnt)
                d.line([(x, y + fnt.size + 2), (x + tw, y + fnt.size + 2)], fill=BLACK, width=2)
            x += get_text_width(word, fnt)
        y += 34 + line_spacing

def bullet_runs(runs, indent=MARGIN + 50, level=0):
    global y
    bx = MARGIN + level * 40
    d.text((bx + 4, y), "•", font=font(34), fill=BLACK)
    wrap_and_draw(runs, indent=indent + level * 40)

def section_head(txt):
    underline_text_left(txt, font(38, True))
    nl(1)

def body_runs(runs):
    wrap_and_draw(runs, indent=MARGIN)
    nl(1)

def info_table():
    global y
    rows = [
        ("MRN No.",    "SVP-2026-USG01",          "Patient Name", "AYUSHI AGRAWAL"),
        ("Age",        "25 Years",                 "Gender",       "Female"),
        ("Study Date", "06-07-2026",               "Modality",     "USG"),
        ("Visit ID",   "CASE-STUDY-ILLUSTRATION",  "",             ""),
    ]
    col_x = [MARGIN, MARGIN+420, MARGIN+1060, MARGIN+1540]
    col_w = [420, 640, 480, 660]
    row_h = 58
    fnt_b = font(30, True)
    fnt_r = font(30)
    for row in rows:
        for ci, (val, cx, cw) in enumerate(zip(row, col_x, col_w)):
            d.rectangle([cx, y, cx+cw, y+row_h], outline=BLACK, width=2)
            use_bold = ci in (0, 2) and val
            d.text((cx+12, y+12), val, font=fnt_b if use_bold else fnt_r, fill=BLACK)
        y += row_h

# ═══════════════════════════════════════════
# DRAW DOCUMENT
# ═══════════════════════════════════════════

# -- HEADER --
logo_y = y
d.text((MARGIN, logo_y), "\u2295", font=font(72, True), fill=BLACK)
d.text((MARGIN, logo_y + 78), "SVP", font=font(72, True), fill=BLACK)
logo_bottom = logo_y + 160

ry = y
draw_text_right("Sardar Vallabhbhai Patel Institute of", font(26), ry);           ry += 36
draw_text_right("Medical Sciences & Research",           font(26, True), ry);     ry += 36
draw_text_right("Ellisbridge, Ahmedabad, Gujarat, India - 380006.", font(22), ry);ry += 30
draw_text_right("+917926435555/6666, https://www.svphospital.com",   font(22), ry);ry += 30

y = max(logo_bottom, ry) + 20
hline(thick=3, pad_before=0, pad_after=14)

# -- PATIENT INFO TABLE --
info_table()
nl(2)

# -- STUDY TITLE --
underline_text_center("ULTRASOUND OF ABDOMEN & PELVIS", font(44, True))
nl(2)

# -- ORGAN FINDINGS --
body_runs([("LIVER", True, False, False), (" - is normal in size, shape, position & echotexture. No focal lesion. Intrahepatic biliary radicles are not dilated. Portal vein is normal and shows hepatopetal flow. CBD is normal for age.", False, False, False)])

body_runs([("GALL BLADDER", True, False, False), (" - is physiologically distended. Lumen is echofree. Wall thickness is normal. No evidence of calculus/cholecystitis.", False, False, False)])

body_runs([("SPLEEN", True, False, False), (" - is normal in size, shape & homogenous echopattern. No focal lesion.", False, False, False)])

body_runs([("PANCREAS", True, False, False), (" - is normal in size, shape, position and echotexture. No pancreatic duct dilatation. No focal lesion/calcification.", False, False, False)])

body_runs([("KIDNEYS", True, False, False), (" - normal in size, shape, position & contours. Shows normal cortical thickness, parenchymal thickness and cortico-medullary differentiation. No evidence of mass. No calculus or hydronephrosis or hydroureter.", False, False, False)])

body_runs([("URINARY BLADDER", True, False, False), (" - is physiologically distended. Lumen is echofree. No mural or intramural pathology. Both vesico-ureteric junctions appear normal.", False, False, False)])

body_runs([("UTERUS AND OVARIES", True, False, False), (" - normal for age.", False, False, False)])

nl(1)

# -- ABNORMAL FINDINGS (bullets) --
bullet_runs([
    ("IC junction, cecum appears mild inflamed and shows thick wall, max. wall thickness 5-6 mm. ", True, False, False),
    ("appendix", True, False, True),
    (" visualized at origin measures 7-8 mm appears inflamed, rest of the length is obscured due to bowel gas.", True, False, False),
])
nl(1)

bullet_runs([
    ("Multiple enlarged ", True, False, False),
    ("hypoechoic mesenteric lymph nodes", True, False, True),
    (" noted at RIF; larger one 12 x 9 mm.", True, False, False),
])
nl(1)

bullet_runs([("Minimal free fluid seen at RIF.", True, False, False)])
nl(1)

bullet_runs([
    ("Few dilated content loaded ", True, False, False),
    ("small bowel loops", True, False, True),
    (" seen at RIF and pelvis with max. diameter 2.5 cm and shows ", True, False, False),
    ("sluggish peristalsis.", True, False, True),
])
nl(2)

# -- IMPRESSION (bold italic underline) --
wrap_and_draw([
    ("Findings needs consideration for infective/inflammatory etiology with ?developing subcuate intestinal obstruction", True, True, True),
], indent=MARGIN)
nl(2)

wrap_and_draw([
    ("Further evaluation with CE-CT abdomen is suggested for appendicitis and to look for possibility of tuberculosis", True, True, True),
], indent=MARGIN)
nl(2)

# Advice
wrap_and_draw([("Advice: ", True, False, False), ("Clinical correlation & follow up / SOS further evaluation.", False, False, False)], indent=MARGIN)
nl(3)

# Signature
d.text((MARGIN, y), "Dr. Dharita Shah", font=font(36, True), fill=BLACK)
y += 44
d.text((MARGIN, y), "Consultant Radiologist, SVP Hospital, Ahmedabad", font=font(28), fill=BLACK)
y += 36

nl(3)
hline(thick=2)
nl(1)

# Disclaimer
txt_d = "** FOR CASE STUDY ILLUSTRATION PURPOSE ONLY - NOT A CLINICAL REPORT **"
draw_text_center(txt_d, font(28, True), y)
y += 36
nl(1)
hline(thick=2)

out = "/home/daytona/workspace/svp-report/SVP_USG_Ayushi_Agrawal.png"
img.save(out, dpi=(300, 300))
print(f"Saved: {out}")