Orris
attachment
attachment

Help me prepare slides for pediatric radiology meet i

analyse_media
Before I build the slides, let me clarify a couple of things to make the presentation as useful as possible for the radiology meet.
Asking for Preferences

What should the slides focus on for the radiology meet? · Do you have radiology images (MRI/HRCT screenshots) to include in the slides? · What slide format do you want?

I'll build a full case presentation PPTX with radiology focus, including image placeholder slots, using the clinical details from the document. Let me read the PPTX skill first.
Reading File
Reading File
Running Command

mkdir -p /tmp/workspace/peds-radiology-meet && ls /tmp/workspace/peds-radiology-meet/

Writing File

~/peds-radiology-meet/build_slides.py

from pptx import Presentation
from pptx.util import Inches, Pt, Emu
from pptx.dml.color import RGBColor
from pptx.enum.text import PP_ALIGN, MSO_ANCHOR
from pptx.util import Inches, Pt
from pptx.oxml.ns import qn
from lxml import etree
from io import BytesIO

# ─── Color palette ───────────────────────────────────────────────
C_NAVY   = RGBColor(0x1A, 0x3A, 0x5C)   # dark navy – header bg
C_TEAL   = RGBColor(0x00, 0x7A, 0x87)   # teal accent
C_GOLD   = RGBColor(0xD4, 0x9A, 0x00)   # gold highlight
C_WHITE  = RGBColor(0xFF, 0xFF, 0xFF)
C_LGRAY  = RGBColor(0xF2, 0xF4, 0xF7)   # slide background
C_DGRAY  = RGBColor(0x33, 0x33, 0x33)   # body text
C_RED    = RGBColor(0xCC, 0x00, 0x00)   # highlight
C_LIGHT_TEAL = RGBColor(0xE0, 0xF4, 0xF6)

W = Inches(13.333)
H = Inches(7.5)

prs = Presentation()
prs.slide_width  = W
prs.slide_height = H
blank = prs.slide_layouts[6]

# ─── Helpers ─────────────────────────────────────────────────────
def add_rect(slide, x, y, w, h, fill_color):
    shape = slide.shapes.add_shape(1, x, y, w, h)
    shape.fill.solid()
    shape.fill.fore_color.rgb = fill_color
    shape.line.fill.background()
    return shape

def add_tb(slide, x, y, w, h, text, size, bold=False,
           color=C_DGRAY, align=PP_ALIGN.LEFT, italic=False, wrap=True):
    tb = slide.shapes.add_textbox(x, y, w, h)
    tf = tb.text_frame
    tf.word_wrap = wrap
    tf.margin_left  = Inches(0.05)
    tf.margin_right = Inches(0.05)
    tf.margin_top   = Pt(2)
    tf.margin_bottom= Pt(2)
    p = tf.paragraphs[0]
    p.alignment = align
    run = p.add_run()
    run.text = text
    run.font.name   = "Calibri"
    run.font.size   = Pt(size)
    run.font.bold   = bold
    run.font.italic = italic
    run.font.color.rgb = color
    return tb

def add_bullet_tb(slide, x, y, w, h, items, size=14, color=C_DGRAY,
                  bullet_char="▸ ", title=None, title_size=16):
    tb = slide.shapes.add_textbox(x, y, w, h)
    tf = tb.text_frame
    tf.word_wrap = True
    tf.margin_left  = Inches(0.08)
    tf.margin_right = Inches(0.05)
    tf.margin_top   = Pt(4)
    tf.margin_bottom= Pt(2)
    first = True
    if title:
        p = tf.paragraphs[0]
        p.alignment = PP_ALIGN.LEFT
        r = p.add_run()
        r.text = title
        r.font.name  = "Calibri"
        r.font.size  = Pt(title_size)
        r.font.bold  = True
        r.font.color.rgb = C_TEAL
        first = False
    for item in items:
        if first:
            p = tf.paragraphs[0]
            first = False
        else:
            p = tf.add_paragraph()
        p.alignment = PP_ALIGN.LEFT
        r = p.add_run()
        # support (text, highlight_color) tuples
        if isinstance(item, tuple):
            r.text = bullet_char + item[0]
            r.font.color.rgb = item[1]
        else:
            r.text = bullet_char + item
            r.font.color.rgb = color
        r.font.name = "Calibri"
        r.font.size = Pt(size)
        p.space_before = Pt(3)
    return tb

def slide_bg(slide, color=C_LGRAY):
    add_rect(slide, 0, 0, W, H, color)

def header_bar(slide, title, subtitle=None):
    add_rect(slide, 0, 0, W, Inches(1.1), C_NAVY)
    add_tb(slide, Inches(0.35), Inches(0.08), Inches(12.5), Inches(0.6),
           title, 26, bold=True, color=C_WHITE)
    if subtitle:
        add_tb(slide, Inches(0.35), Inches(0.65), Inches(12.5), Inches(0.4),
               subtitle, 14, color=RGBColor(0xB0, 0xD4, 0xE8), italic=True)
    # gold accent line
    add_rect(slide, 0, Inches(1.1), W, Pt(4), C_GOLD)

def img_placeholder(slide, x, y, w, h, label="[Insert Radiology Image Here]"):
    add_rect(slide, x, y, w, h, RGBColor(0xCC, 0xDD, 0xEE))
    # dashed border simulation using thin outline
    shape = slide.shapes.add_shape(1, x, y, w, h)
    shape.fill.background()
    shape.line.color.rgb = C_TEAL
    shape.line.width = Pt(1.5)
    # label
    add_tb(slide, x + Inches(0.1), y + h//2 - Pt(20),
           w - Inches(0.2), Inches(0.5), label,
           11, color=C_TEAL, align=PP_ALIGN.CENTER, italic=True)

def section_divider(slide, text):
    slide_bg(slide, C_NAVY)
    add_rect(slide, Inches(1.5), Inches(3.1), Inches(10.3), Pt(4), C_GOLD)
    add_tb(slide, Inches(1.5), Inches(2.5), Inches(10.3), Inches(0.9),
           text, 36, bold=True, color=C_WHITE, align=PP_ALIGN.CENTER)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 1: TITLE
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
add_rect(slide, 0, 0, W, H, C_NAVY)
add_rect(slide, 0, Inches(2.8), W, Inches(2.2), RGBColor(0x00, 0x55, 0x70))
# Gold strip
add_rect(slide, 0, Inches(2.75), W, Pt(6), C_GOLD)
add_rect(slide, 0, Inches(5.0), W, Pt(6), C_GOLD)

add_tb(slide, Inches(1), Inches(1.0), Inches(11.3), Inches(0.9),
       "PEDIATRIC RADIOLOGY MEET", 18, color=RGBColor(0xB0, 0xD4, 0xE8),
       align=PP_ALIGN.CENTER, bold=True)

add_tb(slide, Inches(0.5), Inches(1.8), Inches(12.3), Inches(1.1),
       "DISSEMINATED TUBERCULOSIS", 40, bold=True, color=C_WHITE,
       align=PP_ALIGN.CENTER)

add_tb(slide, Inches(0.5), Inches(2.85), Inches(12.3), Inches(0.8),
       "TB Meningitis Stage 2  |  Multiple Tuberculomas  |  Middle Ear TB  |  Pulmonary TB",
       16, color=C_GOLD, align=PP_ALIGN.CENTER, italic=True)

# Presenting team
add_tb(slide, Inches(0.5), Inches(5.15), Inches(12.3), Inches(0.4),
       "Presented by:", 13, color=RGBColor(0xAA, 0xCC, 0xDD), align=PP_ALIGN.CENTER)
add_tb(slide, Inches(0.5), Inches(5.5), Inches(12.3), Inches(1.5),
       "Dr. Shinola (Senior Resident)   |   Dr. Dheeraj Kanekanti (Pediatric Surgeon)\n"
       "Dr. Arathi (Pediatric Neurologist)   |   Dr. Shankar Kanumakala (Pediatric Endocrinologist)\n"
       "Dr. Krithika (Geneticist)",
       12, color=C_WHITE, align=PP_ALIGN.CENTER)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 2: CASE OVERVIEW
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "Case Overview", "Pediatric Radiology Meet")

add_rect(slide, Inches(0.3), Inches(1.3), Inches(6.0), Inches(5.7), C_WHITE)
add_rect(slide, Inches(6.7), Inches(1.3), Inches(6.3), Inches(5.7), C_WHITE)

add_bullet_tb(slide, Inches(0.4), Inches(1.35), Inches(5.8), Inches(5.5),
    items=[
        "Age: Pediatric patient (school age)",
        "Sex: Female",
        "Referring team: Pediatric Surgery, Neurology, Endocrinology, Genetics",
        "Setting: Tertiary care (NIMHANS referral)",
    ],
    size=13, title="Patient Profile", title_size=15)

add_bullet_tb(slide, Inches(6.8), Inches(1.35), Inches(6.0), Inches(5.5),
    items=[
        ("Disseminated TB", C_RED),
        "TB Meningitis - Stage 2",
        "Multiple Intracranial Tuberculomas",
        "? Middle Ear TB",
        "? Pulmonary TB (Miliary pattern)",
    ],
    size=13, title="Final Diagnosis", title_size=15)

# divider line
add_rect(slide, Inches(6.55), Inches(1.3), Pt(2), Inches(5.7), C_TEAL)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 3: CHIEF COMPLAINTS & TIMELINE
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "Chief Complaints & Presenting Timeline")

# Timeline arrow background
add_rect(slide, Inches(0.3), Inches(2.1), Inches(12.7), Inches(0.5), C_LIGHT_TEAL)

# Timeline markers
for i, (label, desc) in enumerate([
    ("3 months ago",  "Ear pain + tinnitus\nRight-sided discharge"),
    ("2 months ago",  "Imbalance while\nwalking"),
    ("1 month ago",   "Headache, photophobia\nDiplopia (right lateral gaze)\nOutside hosp. admission\nDx: Disseminated TB\nATT started"),
    ("Present",       "Vomiting (1 day)\nFever (1 day)\nReferral to NIMHANS"),
]):
    x = Inches(0.5 + i * 3.1)
    add_rect(slide, x, Inches(2.0), Inches(0.15), Inches(0.7), C_TEAL)
    add_tb(slide, x - Inches(0.6), Inches(1.5), Inches(1.5), Inches(0.5),
           label, 11, bold=True, color=C_TEAL, align=PP_ALIGN.CENTER)
    add_rect(slide, x - Inches(0.6), Inches(2.75), Inches(1.5), Inches(2.8),
             RGBColor(0xE8, 0xF4, 0xF8))
    add_tb(slide, x - Inches(0.58), Inches(2.8), Inches(1.46), Inches(2.7),
           desc, 12, color=C_DGRAY)

# Complaints table below
add_tb(slide, Inches(0.3), Inches(5.7), Inches(12.5), Inches(0.3),
       "Key Associated Features:", 13, bold=True, color=C_NAVY)
add_bullet_tb(slide, Inches(0.3), Inches(6.0), Inches(12.5), Inches(1.0),
    items=["Neck stiffness  |  Diurnal headache variation (worse AM)  |  Holocranial progression  |  Non-projectile vomiting"],
    size=12, bullet_char="• ")


# ═══════════════════════════════════════════════════════════════════
# SLIDE 4: SECTION DIVIDER - INVESTIGATIONS
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
section_divider(slide, "Investigations & Radiology Findings")


# ═══════════════════════════════════════════════════════════════════
# SLIDE 5: CSF ANALYSIS
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "CSF Analysis (Lumbar Puncture – NIMHANS)", "Microbiology & Biochemistry")

# CSF table
headers = ["Parameter", "Result", "Reference / Comment"]
rows = [
    ["Total Cells", "101 cells/mm³", "Elevated – lymphocytic pleocytosis"],
    ["Neutrophils", "11%", ""],
    ["Lymphocytes", "82%", "Consistent with TBM"],
    ["Protein", "85.6 mg/dL", "Elevated (Normal <45 mg/dL)"],
    ["Glucose (CSF)", "40 mg/dL", "Low – ratio 40/140 = 0.28 (N: >0.6)"],
    ["Blood Sugar", "140 mg/dL", "Concurrent value"],
    ["CSF Culture/Sensitivity", "No Growth", ""],
    ["CSF CBNAAT", "NEGATIVE", "MTB not detected by molecular assay"],
]

col_w = [Inches(3.2), Inches(2.8), Inches(6.0)]
col_x = [Inches(0.3), Inches(3.6), Inches(6.5)]
row_h = Inches(0.48)
start_y = Inches(1.25)

# Header row
for ci, (cx, cw, hdr) in enumerate(zip(col_x, col_w, headers)):
    add_rect(slide, cx, start_y, cw, row_h, C_NAVY)
    add_tb(slide, cx + Inches(0.05), start_y + Pt(5), cw - Inches(0.1), row_h - Pt(5),
           hdr, 13, bold=True, color=C_WHITE, align=PP_ALIGN.CENTER)

for ri, row in enumerate(rows):
    y = start_y + row_h * (ri + 1)
    bg = C_LIGHT_TEAL if ri % 2 == 0 else C_WHITE
    for ci, (cx, cw, cell) in enumerate(zip(col_x, col_w, row)):
        add_rect(slide, cx, y, cw, row_h, bg)
        fc = C_RED if "NEGATIVE" in cell else C_DGRAY
        if cell == "82%":
            fc = C_RED
        add_tb(slide, cx + Inches(0.05), y + Pt(4), cw - Inches(0.1), row_h - Pt(4),
               cell, 12, color=fc)

# Key interpretation
add_rect(slide, Inches(0.3), Inches(5.55), Inches(12.5), Inches(0.65), RGBColor(0xFF, 0xF3, 0xCD))
add_tb(slide, Inches(0.4), Inches(5.6), Inches(12.3), Inches(0.6),
       "Interpretation: Lymphocytic pleocytosis + elevated protein + low glucose ratio — classical TBM CSF profile. "
       "Negative CBNAAT does not exclude TB (sensitivity ~60-70% in TBM).",
       12, italic=True, color=RGBColor(0x66, 0x44, 0x00))


# ═══════════════════════════════════════════════════════════════════
# SLIDE 6: MRI BRAIN – FINDINGS
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "MRI Brain – Findings (Outside / NIMHANS)", "Multiple Ring-Enhancing Lesions")

# Left: findings text
add_rect(slide, Inches(0.3), Inches(1.25), Inches(5.3), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(0.35), Inches(1.3), Inches(5.2), Inches(5.7),
    title="Imaging Characteristics",
    items=[
        "Multiple ring-enhancing lesions",
        "T1: Isointense",
        "T2/FLAIR: Hypointense (target sign)",
        "Surrounding vasogenic edema",
        "No diffusion restriction typical of abscess",
    ],
    size=13, bullet_char="• ", color=C_DGRAY)

# Right: locations
add_rect(slide, Inches(5.9), Inches(1.25), Inches(7.1), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(5.95), Inches(1.3), Inches(7.0), Inches(2.5),
    title="Lesion Locations",
    items=[
        "Right frontal lobe",
        "Right parietal lobe",
        "Right occipital lobe",
        "Left periventricular region",
        "Bilateral basal ganglia",
        "Thalamus (bilateral)",
        "Left temporal lobe",
        "Left cerebellum",
    ],
    size=13, bullet_char="• ", color=C_DGRAY)

add_rect(slide, Inches(5.9), Inches(3.95), Inches(7.1), Inches(0.35), C_NAVY)
add_tb(slide, Inches(6.0), Inches(3.98), Inches(6.9), Inches(0.3),
       "Radiology Impression", 13, bold=True, color=C_WHITE)
add_rect(slide, Inches(5.9), Inches(4.3), Inches(7.1), Inches(0.75), RGBColor(0xFF, 0xF3, 0xCD))
add_tb(slide, Inches(6.0), Inches(4.35), Inches(6.9), Inches(0.7),
       "Granulomatous etiology — consistent with TUBERCULOMA",
       13, bold=True, color=RGBColor(0x88, 0x33, 0x00))

# Divider
add_rect(slide, Inches(5.75), Inches(1.25), Pt(2), Inches(5.8), C_TEAL)

# Image placeholder
img_placeholder(slide, Inches(5.9), Inches(5.1), Inches(3.4), Inches(1.9),
                "[Insert MRI T1 post-contrast image]")
img_placeholder(slide, Inches(9.4), Inches(5.1), Inches(3.6), Inches(1.9),
                "[Insert MRI T2/FLAIR image]")


# ═══════════════════════════════════════════════════════════════════
# SLIDE 7: MRI BRAIN – IMAGES (Full image slide)
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide, C_DGRAY)
header_bar(slide, "MRI Brain – Image Gallery", "Ring-Enhancing Lesions | Tuberculomas")

for i, (lbl, loc) in enumerate([
    ("T1 Post-Contrast\n(Right frontal lobe)", "Right frontal"),
    ("T2/FLAIR\n(Basal ganglia / Thalamus)", "Basal ganglia"),
    ("T1 Post-Contrast\n(Posterior fossa / Cerebellum)", "Cerebellum"),
    ("T2/FLAIR\n(Periventricular region)", "Periventricular"),
]):
    col = i % 2
    row = i // 2
    x = Inches(0.4 + col * 6.55)
    y = Inches(1.3 + row * 3.0)
    img_placeholder(slide, x, y, Inches(6.2), Inches(2.7), f"[{lbl}]")


# ═══════════════════════════════════════════════════════════════════
# SLIDE 8: HRCT CHEST
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "HRCT Chest – Findings", "Disseminated Pulmonary Tuberculosis")

add_rect(slide, Inches(0.3), Inches(1.25), Inches(5.3), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(0.35), Inches(1.3), Inches(5.2), Inches(3.0),
    title="Radiological Findings",
    items=[
        "Consolidation – left lower lobe",
        "Miliary infiltrates (diffuse bilateral small nodules)",
        "Distribution: Random (miliary pattern)",
        "Size: 1-2 mm nodules throughout both lungs",
    ],
    size=13, bullet_char="• ", color=C_DGRAY)

add_bullet_tb(slide, Inches(0.35), Inches(4.1), Inches(5.2), Inches(2.5),
    title="Clinical Significance",
    items=[
        "Miliary TB = hematogenous spread",
        "Confirms disseminated disease",
        "Links pulmonary + CNS + ear involvement",
        "High index of suspicion required in children",
    ],
    size=13, bullet_char="• ", color=C_DGRAY)

img_placeholder(slide, Inches(5.9), Inches(1.3), Inches(7.1), Inches(3.2),
                "[Insert HRCT Chest – Miliary Pattern Image]")
img_placeholder(slide, Inches(5.9), Inches(4.6), Inches(7.1), Inches(2.5),
                "[Insert HRCT Chest – LLL Consolidation Image]")

add_rect(slide, Inches(5.75), Inches(1.25), Pt(2), Inches(5.8), C_TEAL)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 9: RADIOLOGY DISCUSSION – KEY TEACHING POINTS
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "Radiology Discussion – Teaching Points", "Pediatric CNS Tuberculosis")

# 3-column layout
col_data = [
    ("Tuberculoma on MRI", [
        "Ring-enhancing on post-contrast T1",
        "T2 hypointense center = solid granuloma",
        "'Target sign': central T2 hypointense + ring + edema",
        "Typically no restricted diffusion (unlike abscess)",
        "May be at any stage: non-caseating → caseating → calcified",
        "Multiple lesions in disseminated disease",
    ]),
    ("TBM Imaging Features", [
        "Basal meningeal enhancement",
        "Communicating hydrocephalus",
        "Infarcts: lenticulostriate territory",
        "Cranial nerve involvement",
        "Choroid plexus enhancement",
        "Stage 2 (MRC): GCS normal + cranial nerve palsy",
    ]),
    ("Differentials for Ring-Enhancing Lesions", [
        "Pyogenic abscess (DWI +ve)",
        "Neurocysticercosis (scolex visible)",
        "Toxoplasmosis (immunocompromised)",
        "Primary CNS lymphoma",
        "Metastasis (rare in children)",
        "Demyelinating disease (tumefactive MS)",
    ]),
]

for ci, (title, bullets) in enumerate(col_data):
    x = Inches(0.3 + ci * 4.35)
    add_rect(slide, x, Inches(1.25), Inches(4.1), Inches(5.8), C_WHITE)
    add_rect(slide, x, Inches(1.25), Inches(4.1), Inches(0.5), C_TEAL)
    add_tb(slide, x + Inches(0.07), Inches(1.28), Inches(3.96), Inches(0.45),
           title, 13, bold=True, color=C_WHITE)
    add_bullet_tb(slide, x + Inches(0.07), Inches(1.8), Inches(3.96), Inches(5.1),
                  bullets, size=12, bullet_char="• ", color=C_DGRAY)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 10: EAR DISCHARGE / MIDDLE EAR TB
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "Middle Ear Involvement – ? Middle Ear TB", "Otological Tuberculosis")

add_rect(slide, Inches(0.3), Inches(1.25), Inches(6.0), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(0.35), Inches(1.3), Inches(5.9), Inches(5.5),
    title="Clinical Features in This Case",
    items=[
        "Right-sided ear pain + tinnitus (3 months duration)",
        "Ear discharge with spontaneous TM perforation",
        "Imbalance – resolved with treatment",
        "Culture: Staphylococcus aureus (superinfection)",
        "Linezolid given for 2 weeks (Staph coverage)",
        "Diagnosed as Middle Ear TB at outside hospital",
    ],
    size=13, bullet_char="• ")

add_rect(slide, Inches(6.5), Inches(1.25), Inches(6.5), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(6.55), Inches(1.3), Inches(6.4), Inches(2.8),
    title="Middle Ear TB – Radiology",
    items=[
        "CT temporal bone: soft tissue in middle ear cavity",
        "Ossicular erosion / destruction",
        "Mastoid opacification",
        "Absence of bony sclerosis (unlike chronic suppurative OM)",
        "MRI: may show meningeal enhancement near petrous bone",
    ],
    size=13, bullet_char="• ")

add_rect(slide, Inches(6.5), Inches(4.3), Inches(6.5), Inches(2.75), C_LIGHT_TEAL)
add_bullet_tb(slide, Inches(6.55), Inches(4.35), Inches(6.4), Inches(2.6),
    title="Key Teaching",
    items=[
        "TB can affect any part of the ear",
        "Painless otorrhoea classic but not always present",
        "Multiple TM perforations (pathognomonic if present)",
        "Always consider TB in chronic ear disease unresponsive to antibiotics",
    ],
    size=12, bullet_char="• ")

add_rect(slide, Inches(6.35), Inches(1.25), Pt(2), Inches(5.8), C_TEAL)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 11: TREATMENT & RADIOLOGY FOLLOW-UP
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide)
header_bar(slide, "Treatment & Radiology Follow-up Protocol", "Anti-Tubercular Therapy + Imaging Monitoring")

add_rect(slide, Inches(0.3), Inches(1.25), Inches(6.0), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(0.35), Inches(1.3), Inches(5.9), Inches(5.5),
    title="Treatment Initiated",
    items=[
        "ATT (Anti-Tubercular Therapy) – started 1 month prior",
        "Intensive phase: HRZE (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol)",
        "Oral Steroids (following IV Dexamethasone) – for TBM",
        "Pyridoxine (Vitamin B6) – INH prophylaxis",
        "Antiepileptic drugs (AEDs) – for seizure prophylaxis",
        "Linezolid – 2 weeks (Staph aureus ear superinfection)",
    ],
    size=13, bullet_char="• ")

add_rect(slide, Inches(6.5), Inches(1.25), Inches(6.5), Inches(5.8), C_WHITE)
add_bullet_tb(slide, Inches(6.55), Inches(1.3), Inches(6.4), Inches(5.5),
    title="Imaging Follow-up (Recommended)",
    items=[
        "MRI Brain at 3 months: assess response (paradoxical enlargement possible early)",
        "MRI Brain at 6 months: interval change in tuberculoma size",
        "MRI Brain at 12 months: resolution vs calcification",
        "Paradoxical reaction: TB lesions may enlarge on ATT — do NOT stop treatment",
        "HRCT Chest: repeat at 2-3 months to assess miliary resolution",
        "CT Temporal bone: before/after treatment for ossicular status",
    ],
    size=13, bullet_char="• ")

add_rect(slide, Inches(6.35), Inches(1.25), Pt(2), Inches(5.8), C_TEAL)


# ═══════════════════════════════════════════════════════════════════
# SLIDE 12: SUMMARY
# ═══════════════════════════════════════════════════════════════════
slide = prs.slides.add_slide(blank)
slide_bg(slide, C_NAVY)
add_rect(slide, 0, Inches(1.1), W, Pt(4), C_GOLD)
add_rect(slide, 0, 0, W, Inches(1.1), RGBColor(0x10, 0x28, 0x40))
add_tb(slide, Inches(0.5), Inches(0.15), Inches(12.3), Inches(0.85),
       "Summary & Teaching Points", 28, bold=True, color=C_WHITE, align=PP_ALIGN.CENTER)

summary_items = [
    ("MRI hallmark of tuberculoma: T1 iso, T2 hypo ring-enhancing lesion with vasogenic edema — 'target sign'",),
    ("CNS TB can present without positive CSF CBNAAT — clinical + imaging diagnosis is key",),
    ("Multiple ring-enhancing lesions in a child from endemic region = TB until proven otherwise",),
    ("Miliary TB on HRCT confirms hematogenous dissemination — links pulmonary + CNS + ear disease",),
    ("Paradoxical reaction: lesions may transiently enlarge on ATT — continue treatment",),
    ("Steroids are standard of care in TBM to reduce meningeal inflammation and vasculitis",),
    ("Middle Ear TB: rare, typically painless, may co-exist with CNS TB",),
]

for i, (item,) in enumerate(summary_items):
    y = Inches(1.3 + i * 0.84)
    add_rect(slide, Inches(0.3), y, Inches(12.7), Inches(0.72),
             RGBColor(0x00, 0x40, 0x60) if i % 2 == 0 else RGBColor(0x00, 0x50, 0x70))
    add_tb(slide, Inches(0.65), y + Pt(6), Inches(12.2), Inches(0.62),
           f"{i+1}.  {item}", 13, color=C_WHITE)


# ═══════════════════════════════════════════════════════════════════
# SAVE
# ═══════════════════════════════════════════════════════════════════
out_path = "/tmp/workspace/peds-radiology-meet/Peds_Radiology_Meet_DisseminatedTB.pptx"
buf = BytesIO()
prs.save(buf)
with open(out_path, "wb") as f:
    f.write(buf.getvalue())
print(f"Saved: {out_path}")
Running Command

cd /tmp/workspace/peds-radiology-meet && python build_slides.py 2>&1

Running Command

python3 -c " from pptx import Presentation prs = Presentation('/tmp/workspace/peds-radiology-meet/Peds_Radiology_Meet_DisseminatedTB.pptx') print(f'Slides: {len(prs.slides)}') for i, s in enumerate(prs.slides, 1): texts = [sh.text_frame.text[:60].replace(chr(10),' ') for sh in s.shapes if sh.has_text_frame and sh.text_frame.text.strip()] print(f' Slide {i}: {texts[:2]}') "

All 12 slides verified. Let me mark this complete.Your presentation is ready. Download it here:

Peds Radiology Meet DisseminatedTB

Presentation · PPTX

What's included (12 slides, 16:9 widescreen)

#SlideContent
1Title slideCase title, diagnosis, presenting team names
2Case OverviewPatient profile + diagnosis panel (side by side)
3Chief Complaints & TimelineVisual 4-point timeline (3 months ago → present)
4Section divider"Investigations & Radiology Findings"
5CSF AnalysisFull table: cells/protein/glucose/CBNAAT + interpretation box
6MRI Brain – FindingsT1/T2 characteristics, lesion locations, radiology impression + 2 image placeholders
7MRI Brain – Image Gallery4 labeled image placeholders for your actual MRI screenshots
8HRCT ChestMiliary pattern + LLL consolidation + 2 image placeholders
9Radiology Discussion3-column teaching: Tuberculoma on MRI / TBM features / Differentials for RELs
10Middle Ear TBClinical features, CT/MRI findings, key teaching points
11Treatment + Follow-upATT regimen + imaging surveillance schedule
12Summary7 key take-home radiology teaching points
To add your actual MRI/HRCT images: click any blue placeholder box and replace it with your screenshot using Insert > Picture. All placeholders are pre-sized and labeled.
Color scheme: Navy/teal/gold on light gray - suitable for conference projection.
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