Edit this PPT and Add more images from textbook of radiology

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Let me read the editing guide and analyze the existing presentation simultaneously.
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Running Command

cd /home/daytona/workspace && python -m markitdown "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" 2>&1 | head -200

Finding Sources
Running Command

cd /home/daytona/workspace && python /home/daytona/skills/pptx/scripts/thumbnail.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" 2>&1

Finding Sources
Finding Sources
Let me view the thumbnails to understand the existing presentation and search for MRI wrist content in the radiology textbook.
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Finding Sources
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Excellent! The "Imaging Anatomy" textbook (9781626239845) has rich wrist MRI content. Let me read more of this block and see the remaining thumbnails to understand all the slides.
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I need to find the wrist MRI section in the imaging anatomy book. Let me search block4 more specifically for image URLs related to wrist MRI.
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Now I have a clear picture of the presentation (88 slides). The presentation covers MRI anatomy of the wrist (tendons, ligaments, carpal tunnel, TFC, Kienböck disease, TFCC lesions, SL ligament tears, synovial conditions, extra-articular soft tissue).
I need to find wrist MRI images from the textbook (Imaging Anatomy Vol. 3). Let me find the specific wrist section in that book and extract image URLs to add to the presentation.
Finding Sources
Finding Sources
The wrist section is in block4 starting around line 1. The "Pathologies" section is at line 29. Let me read the wrist section content from block4 carefully to find all image URLs.
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The block4.md only has 116 lines. The wrist content with images is there but the images appear to be referenced figures from the whole chapter. The actual wrist anatomy images with URLs are likely in block1 (wrist/hand section of the anatomy atlas). Let me search the Grainger radiology book instead and also look for the actual wrist anatomy section.
Finding Sources
Running Command

grep -n "cdn.orris.care" /textbooks/9781626239845/9781626239845_block1.md | grep -i "wrist\|carpal\|scaphoid\|lunate\|TFCC\|radius\|ulna" | head -30

The Grainger radiology book has wrist sections. Let me read the wrist MRI content from Grainger's to extract image URLs.
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Excellent! I found images in Grainger's radiology book. I can see MRI images of the wrist. Let me now read more of this section to get more image URLs, then proceed with the PPTX editing.
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I need to focus on finding the actual wrist MRI images from the Grainger book. The wrist section is around line 3780-3900. Let me read that specific area.
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I now have several textbook images. Let me now proceed with the full task - extracting all wrist images from the Grainger book and creating new slides in the presentation. I'll use a subagent to handle the complex PPTX editing task efficiently.
general-purpose

You need to edit an existing PowerPoint presentation about MRI of the Wrist by adding new slides with textbook images. Here is the complete task: ## Context The presentation is at: `/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx` It has 88 slides covering MRI anatomy of the wrist (tendons, ligaments, carpal tunnel, TFC, Kienböck disease, TFCC lesions, SL ligament tears, etc.) ## Textbook Images Available From Grainger & Allison's Diagnostic Radiology textbook, the following wrist MRI images are available. You need to find ALL image URLs in the wrist section by reading the file: `/textbooks/9780323760751/9780323760751_block7.md` from line 3770 to about line 3950. Known images already found: 1. `https://cdn.orris.care/cdss_images/3de0f806d1e72be240d7f693f72e2c50b4ea15ca0fbf906c44d0e83c903a394b.png` - Fig 17.62: PA vs AP wrist X-ray views 2. `https://cdn.orris.care/cdss_images/7a757438d1c6fbf8e1f8d7796aa4bccc52c7128b47cf98f708fe4636977e8a3b.png` - Fig 39.26: Scaphoid Fracture Non-union on CT 3. `https://cdn.orris.care/cdss_images/66e3b3d0b44d5e0c90f0458d3cd4a9bf07585bbbe7c582251eba9b0529d211e1.png` - Fig 39.27: Non-union of Scaphoid Fracture (PA + MRI showing AVN) You need to READ the Grainger block7.md file from line 3780 to 3950 to find MORE image URLs (there should be images for ligaments, TFCC, carpal instability, etc.). Also read the Imaging Anatomy book at `/textbooks/9781626239845/9781626239845_block4.md` from line 1 to 100 to find the wrist pathology images. ## Task Steps 1. **Read the textbook files** to find all wrist-related image URLs and their captions (read `/textbooks/9780323760751/9780323760751_block7.md` at offset=3795, limit=200) 2. **Unpack the PPTX**: ```bash cd /home/daytona/workspace && mkdir -p mri-wrist-edit python /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" /home/daytona/workspace/mri-wrist-edit/unpacked/ ``` 3. **Download the textbook images** using the fetch_images helper: ```bash node /home/daytona/skills/shared/scripts/fetch_images.js "URL1" "URL2" ... ``` 4. **Add new slides** - Create 5-8 new slides at the END of the presentation (after slide 88). Each slide should: - Have a dark/blue background matching the existing style (#1a2744 or similar dark blue) - Show one textbook image (use `python /home/daytona/skills/pptx/scripts/add_slide.py unpacked/ slide23.xml` to duplicate a slide with blue background and image) - Have a title text like "Textbook: [Topic]" - Have caption text below or beside the image from the textbook figure caption - Include "Source: Grainger & Allison's Diagnostic Radiology" as source text 5. **Add slides to the presentation**: - After duplicating slides, add each new slide's `<p:sldId id="XXX" r:id="rIdXXX"/>` to the `<p:sldIdLst>` in `/home/daytona/workspace/mri-wrist-edit/unpacked/ppt/presentation.xml` 6. **Edit each new slide XML** to: - Embed the downloaded image as base64 - Set appropriate title and caption text 7. **Clean and repack**: ```bash python /home/daytona/skills/pptx/scripts/clean.py /home/daytona/workspace/mri-wrist-edit/unpacked/ python /home/daytona/skills/pptx/scripts/office/pack.py /home/daytona/workspace/mri-wrist-edit/unpacked/ /home/daytona/workspace/mri-wrist-edit/mri_wrist_with_textbook_images.pptx --original "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" ``` ## Important Notes - Read the skill files first: `/home/daytona/skills/pptx/editing.md` and `/home/daytona/skills/pptx/scripts/` directory - Use the scripts as documented - don't reinvent them - Focus on adding slides with WRIST-SPECIFIC MRI images from the textbook - The images need to be about: scaphoid AVN/fractures, wrist ligament tears (SL/LT), TFCC, carpal instability, Kienböck disease - Make slides visually clean - one or two large images per slide with concise caption - The add_slide.py script prints the XML to add to presentation.xml sldIdLst - you must add it manually ## Output Return the path to the final output PPTX file and a list of the slides you added with their topics.

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Running Command

cd /home/daytona/workspace && mkdir -p mri-wrist-edit && python /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" /home/daytona/workspace/mri-wrist-edit/unpacked/ 2>&1 | tail -20

Running Command

ls /home/daytona/workspace/mri-wrist-edit/ 2>/dev/null && echo "dir exists" || echo "dir missing"

Running Command

ls /home/daytona/workspace/mri-wrist-edit/unpacked/ 2>/dev/null | head -20

Running Command

ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | head -20 && echo "---" && ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | wc -l

Running Command

ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/

Running Command

rm -rf /home/daytona/workspace/mri-wrist-edit/unpacked && python /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" /home/daytona/workspace/mri-wrist-edit/unpacked/ 2>&1 | tail -5

When will it be ready ?

I'm starting fresh on your request right now! The previous session was interrupted before it could finish.
Let me get to work on it immediately — I'll add textbook radiology images to your wrist MRI presentation and have it ready for you shortly.
Running Command

ls /home/daytona/workspace/mri-wrist-edit/ 2>/dev/null && echo "EXISTS" || echo "NOT FOUND"; ls "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/" 2>/dev/null

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Good - the previous session already unpacked the PPTX. Let me read more of the textbook to gather all image URLs, and simultaneously check what's already in the unpacked folder.
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Running Command

ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | head -20; echo "---"; ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | wc -l

The unpacked folder only has 4 slides - the previous unpack was incomplete. Let me re-unpack properly and continue reading the textbook for more image URLs.
Running Command

rm -rf /home/daytona/workspace/mri-wrist-edit/unpacked && python /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" /home/daytona/workspace/mri-wrist-edit/unpacked/ 2>&1 | tail -5

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The unpack timed out - the PPTX is large (88 slides). Let me try with a longer timeout.
Running Command

python /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" /home/daytona/workspace/mri-wrist-edit/unpacked/ 2>&1 | tail -5

The unpack script is slow on this large file. Let me try direct unzip instead.
Running Command

ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | wc -l; ls /home/daytona/workspace/mri-wrist-edit/unpacked/ppt/slides/ | tail -5

Running Command

mkdir -p /home/daytona/workspace/mri-wrist-edit/unpacked && cd /home/daytona/workspace/mri-wrist-edit && unzip -q "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" -d unpacked/ && echo "Done" && ls unpacked/ppt/slides/ | wc -l

Running Command

ls -lh "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx"

The file is 20MB with embedded images - that's why unzip is slow. Let me use python-pptx directly to add slides, which is much more efficient than unpacking/repacking.
Running Command

python3 -c "from pptx import Presentation; print('pptx ok')" 2>&1

Running Command

node -e "const pptx = require('pptxgenjs'); console.log('pptxgenjs ok');" 2>&1; ls /home/daytona/skills/pptx/scripts/ 2>&1

Running Command

ls /home/daytona/skills/pptx/scripts/office/ && python /home/daytona/skills/pptx/scripts/office/unpack.py --help 2>&1 | head -20

The file is 20MB with lots of embedded images - unpack/unzip is timing out. Let me use a different approach: use Node.js with pptxgenjs to create new slides that append to the existing presentation, or use a Python script that directly manipulates the PPTX zip file in a streaming manner.
Running Command

# Try unzip with no-overwrite and background it - just extract the XML/rels files, skip media cd /home/daytona/workspace/mri-wrist-edit && mkdir -p unpacked2 && unzip -q "/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx" "ppt/presentation.xml" "ppt/slides/slide*.xml" "ppt/slides/_rels/*.rels" "ppt/slideLayouts/*" "ppt/slideMasters/*" "[Content_Types].xml" "_rels/.rels" -d unpacked2/ && echo "DONE" && ls unpacked2/ppt/slides/*.xml | wc -l

Running Command

# The zip has many large media files that slow extraction. Use Python zipfile with specific file extraction python3 -c " import zipfile, os z = zipfile.ZipFile('/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx') names = z.namelist() print('Total files:', len(names)) xml_files = [n for n in names if n.endswith('.xml') or n.endswith('.rels')] print('XML/rels files:', len(xml_files)) media = [n for n in names if 'media' in n] print('Media files:', len(media)) print('Sample media:', media[:3]) " 2>&1

The media files are TIFFs - that's why extraction is slow. Let me extract only the XML/rels files (no media) using Python's zipfile which is fast.
Running Command

python3 -c " import zipfile, os src = '/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx' dst = '/home/daytona/workspace/mri-wrist-edit/unpacked/' os.makedirs(dst, exist_ok=True) z = zipfile.ZipFile(src) extracted = 0 for name in z.namelist(): if name.endswith('.xml') or name.endswith('.rels'): z.extract(name, dst) extracted += 1 print(f'Extracted {extracted} XML/rels files') # List slides import glob slides = glob.glob(dst + 'ppt/slides/slide*.xml') print(f'Slides: {len(slides)}') " 2>&1

Even XML extraction is timing out. The TIFF images in the zip must be slow to iterate over. Let me try a different approach - use Node.js to write a script that uses JSZip (which might be faster), or better yet, create a completely fresh presentation that merges the original with new slides using pptxgenjs.
Running Command

# Try extracting just ONE specific file to test speed python3 -c " import zipfile, time src = '/home/daytona/workspace/attachments/e146ac61-a885-418d-a2c6-0ac41a92bd24/mri wrist final.pptx' t = time.time() z = zipfile.ZipFile(src) data = z.read('ppt/presentation.xml') print(f'Read presentation.xml in {time.time()-t:.2f}s, size={len(data)} bytes') " 2>&1

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