Orris
attachment
attachment

Help me prepare slides for pediatric radiology meet i

analyse_media
Asking for Preferences
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]}') "

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.
This is a shared conversation. Sign in to Orris to start your own chat.