Make this booklet into left and right per page..anatropic nephrolithiotmy and cysteine stones mention under radioopaque stone

Reading File
Let me first read the PDF to understand its content and structure.
Running Command

cd /home/daytona/workspace/attachments/ea490fdc-5360-4819-af64-b62d53ec2ff4/ && python3 -c " import pdfplumber with pdfplumber.open('Urolithiasis.pdf') as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages[:3]): print(f'\n--- Page {i+1} ---') print(page.extract_text()[:800]) "

The PDF appears to be image-based. Let me extract the pages as images and then rebuild the booklet.
Running Command

python3 -c " from pypdf import PdfReader import os path = '/home/daytona/workspace/attachments/ea490fdc-5360-4819-af64-b62d53ec2ff4/Urolithiasis.pdf' reader = PdfReader(path) print(f'Pages: {len(reader.pages)}') page = reader.pages[0] print(f'Page 1 size: {page.mediabox}') print(f'Resources: {list(page.get(\"/Resources\", {}).keys()) if page.get(\"/Resources\") else \"none\"}') # Check for images if page.images: print(f'Images on page 1: {len(page.images)}') img = page.images[0] print(f'Image name: {img.name}, size: {img.width}x{img.height}') else: print('No images found on page 1 via pypdf') "

Running Command

python3 -c "import fitz; print('pymupdf ok')" 2>/dev/null || echo "not available" python3 -c "from pdf2image import convert_from_path; print('pdf2image ok')" 2>/dev/null || echo "pdf2image not available"

Running Command

mkdir -p /home/daytona/workspace/urolithiasis-booklet/pages python3 -c " from pdf2image import convert_from_path from PIL import Image import os pdf_path = '/home/daytona/workspace/attachments/ea490fdc-5360-4819-af64-b62d53ec2ff4/Urolithiasis.pdf' out_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' pages = convert_from_path(pdf_path, dpi=150) print(f'Total pages: {len(pages)}') for i, page in enumerate(pages): out_path = os.path.join(out_dir, f'page_{i+1:02d}.png') page.save(out_path, 'PNG') print(f'Saved page {i+1}: {page.size}') print('Done extracting pages.') "

Each original page is 2867x1600 pixels - already landscape/wide format. Let me view the pages to understand the current layout (single page vs already 2-up), and find where cystine stones and radiopaque content are.
Reading File
Reading File
Running Command

python3 -c " from PIL import Image import os # Create small thumbnails for inspection pages_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' thumb_dir = '/home/daytona/workspace/urolithiasis-booklet/thumbs' os.makedirs(thumb_dir, exist_ok=True) for i in range(1, 13): img = Image.open(f'{pages_dir}/page_{i:02d}.png') # Make thumbnail at 30% size w, h = img.size thumb = img.resize((w//4, h//4), Image.LANCZOS) thumb.save(f'{thumb_dir}/thumb_{i:02d}.jpg', 'JPEG', quality=85) print('Thumbnails created') "

Reading File
Reading File
I can see these are individual slides. Each page is a single wide slide (2867x1600). The user wants a booklet layout with left and right pages per sheet. Let me view more pages to find the radiopaque stones slide.
Reading File
Reading File
I can see:
  • Page 3: Radiopaque Calculi (Calcium Oxalate + Phosphate/Struvite) - needs "Cystine stones" added here
  • Page 4: Shows Cystine Stones (Radiopaque, Rare) + Radiolucent Stones
The user wants:
  1. Booklet format: 2 slides per sheet (left + right)
  2. Cystine stones mentioned under the radiopaque stones slide (page 3), and anatropic nephrolithotomy added there too
Let me view the remaining pages first, then build the booklet.
Reading File
Reading File
Now I have a good understanding of the content. Let me now build the booklet. The plan is:
  1. Modify page 3 (Radiopaque Calculi) to add "Cystine Stones (Radiopaque, Rare)" as a note and "Anatropic Nephrolithotomy" mention
  2. Create 2-up layout: Place 2 original slides side by side on each output sheet (landscape A4/Letter)
The output will have pages paired: 1+2, 3+4, 5+6, 7+8, 9+10, 11+12 (6 sheets total).
First, let me see the high-res version of page 3 to understand where to add the annotation:
Running Command

python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont import os pages_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' out_dir = '/home/daytona/workspace/urolithiasis-booklet' # Load page 3 (radiopaque calculi) page3 = Image.open(f'{pages_dir}/page_03.png') w, h = page3.size print(f'Page 3 size: {w}x{h}') # Check what fonts are available import subprocess result = subprocess.run(['fc-list', '--format=%{file}\n'], capture_output=True, text=True) fonts = [f.strip() for f in result.stdout.split('\n') if 'DejaVu' in f or 'Liberation' in f or 'Roboto' in f or 'Arial' in f or 'Ubuntu' in f] for f in fonts[:10]: print(f) EOF

Running Command

python3 << 'EOF' from PIL import Image, ImageDraw, ImageFont import os pages_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' out_dir = '/home/daytona/workspace/urolithiasis-booklet' # Load fonts font_bold = ImageFont.truetype('/usr/share/fonts/truetype/liberation/LiberationSans-Bold.ttf', 52) font_reg = ImageFont.truetype('/usr/share/fonts/truetype/liberation/LiberationSans-Regular.ttf', 44) font_small = ImageFont.truetype('/usr/share/fonts/truetype/liberation/LiberationSans-Regular.ttf', 38) font_small_bold = ImageFont.truetype('/usr/share/fonts/truetype/liberation/LiberationSans-Bold.ttf', 40) # Load page 3 (Radiopaque Calculi - Common) page3 = Image.open(f'{pages_dir}/page_03.png').copy() draw = ImageDraw.Draw(page3) w, h = page3.size # 2867x1600 # Add a "Also Radiopaque:" note box at the bottom of the slide # The slide has two main columns. We add a full-width banner at the bottom. # Background banner banner_y_start = h - 220 banner_y_end = h - 20 banner_color = (44, 62, 80) # dark navy border_color = (255, 193, 7) # amber/yellow # Draw filled rectangle banner draw.rectangle([40, banner_y_start, w-40, banner_y_end], fill=banner_color, outline=border_color, width=4) # Title text title_text = "Also Radiopaque (Rare):" draw.text((70, banner_y_start + 18), title_text, font=font_small_bold, fill=(255, 193, 7)) # Cystine stones text cystine_text = "• Cystine Stones — Hexagonal crystals, seen in acidic urine; very hard, resistant to ESWL." draw.text((70, banner_y_start + 70), cystine_text, font=font_small, fill=(255, 255, 255)) # Anatropic nephrolithotomy anatrop_text = "• Anatropic Nephrolithotomy — Surgical approach for large/staghorn stones; incision along avascular plane of kidney." draw.text((70, banner_y_start + 120), anatrop_text, font=font_small, fill=(255, 255, 255)) page3.save(f'{pages_dir}/page_03_modified.png') print("Page 3 modified and saved.") # Create a thumbnail to check thumb = page3.resize((716, 400), Image.LANCZOS) thumb.save(f'{out_dir}/thumbs/thumb_03_modified.jpg', 'JPEG', quality=88) print("Thumbnail saved.") EOF

Reading File
The annotation looks good - dark navy banner with amber title showing "Also Radiopaque (Rare):" with Cystine Stones and Anatropic Nephrolithotomy. Now let me build the full 2-up booklet PDF.
Running Command

python3 << 'EOF' from PIL import Image from reportlab.lib.pagesizes import A3, landscape from reportlab.pdfgen import canvas import os, io pages_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' out_path = '/home/daytona/workspace/urolithiasis-booklet/Urolithiasis_Booklet_2up.pdf' # Build ordered list of 12 slide image paths (page_03 uses modified version) slides = [] for i in range(1, 13): if i == 3: slides.append(f'{pages_dir}/page_03_modified.png') else: slides.append(f'{pages_dir}/page_{i:02d}.png') # A3 landscape: 1190.55 x 841.89 pts (each half = ~595 x 841 pt = approx A4) page_w, page_h = landscape(A3) # ~1190.55 x 841.89 half_w = page_w / 2 margin = 8 # small margin in pts c = canvas.Canvas(out_path, pagesize=landscape(A3)) for pair_idx in range(0, len(slides), 2): left_path = slides[pair_idx] right_path = slides[pair_idx + 1] if pair_idx + 1 < len(slides) else None # Draw left slide left_img = Image.open(left_path) lw, lh = left_img.size # Scale to fit half_w x page_h with margin avail_w = half_w - 2 * margin avail_h = page_h - 2 * margin scale = min(avail_w / lw, avail_h / lh) draw_w = lw * scale draw_h = lh * scale x_offset = margin + (avail_w - draw_w) / 2 y_offset = margin + (avail_h - draw_h) / 2 # Save left img to bytes buffer buf = io.BytesIO() left_img.save(buf, format='PNG') buf.seek(0) c.drawImage(buf, x_offset, y_offset, width=draw_w, height=draw_h) # Draw right slide if right_path: right_img = Image.open(right_path) rw, rh = right_img.size scale2 = min(avail_w / rw, avail_h / rh) draw_w2 = rw * scale2 draw_h2 = rh * scale2 x_offset2 = half_w + margin + (avail_w - draw_w2) / 2 y_offset2 = margin + (avail_h - draw_h2) / 2 buf2 = io.BytesIO() right_img.save(buf2, format='PNG') buf2.seek(0) c.drawImage(buf2, x_offset2, y_offset2, width=draw_w2, height=draw_h2) # Draw center dividing line (subtle) c.setStrokeColorRGB(0.7, 0.7, 0.7) c.setLineWidth(0.5) c.line(half_w, 10, half_w, page_h - 10) c.showPage() print(f'Sheet {pair_idx//2 + 1} done') c.save() print(f'\nBooklet saved to: {out_path}') import os size_mb = os.path.getsize(out_path) / (1024*1024) print(f'File size: {size_mb:.1f} MB') EOF

Running Command

python3 << 'EOF' from PIL import Image from reportlab.lib.pagesizes import A3, landscape from reportlab.pdfgen import canvas from reportlab.lib.utils import ImageReader import os, io pages_dir = '/home/daytona/workspace/urolithiasis-booklet/pages' out_path = '/home/daytona/workspace/urolithiasis-booklet/Urolithiasis_Booklet_2up.pdf' # Build ordered list of 12 slide image paths slides = [] for i in range(1, 13): if i == 3: slides.append(f'{pages_dir}/page_03_modified.png') else: slides.append(f'{pages_dir}/page_{i:02d}.png') page_w, page_h = landscape(A3) # ~1190.55 x 841.89 half_w = page_w / 2 margin = 8 c = canvas.Canvas(out_path, pagesize=landscape(A3)) for pair_idx in range(0, len(slides), 2): left_path = slides[pair_idx] right_path = slides[pair_idx + 1] if pair_idx + 1 < len(slides) else None # Draw left slide left_img = Image.open(left_path) lw, lh = left_img.size avail_w = half_w - 2 * margin avail_h = page_h - 2 * margin scale = min(avail_w / lw, avail_h / lh) draw_w = lw * scale draw_h = lh * scale x_offset = margin + (avail_w - draw_w) / 2 y_offset = margin + (avail_h - draw_h) / 2 ir = ImageReader(left_img) c.drawImage(ir, x_offset, y_offset, width=draw_w, height=draw_h) if right_path: right_img = Image.open(right_path) rw, rh = right_img.size scale2 = min(avail_w / rw, avail_h / rh) draw_w2 = rw * scale2 draw_h2 = rh * scale2 x_offset2 = half_w + margin + (avail_w - draw_w2) / 2 y_offset2 = margin + (avail_h - draw_h2) / 2 ir2 = ImageReader(right_img) c.drawImage(ir2, x_offset2, y_offset2, width=draw_w2, height=draw_h2) # Center dividing line c.setStrokeColorRGB(0.6, 0.6, 0.6) c.setLineWidth(0.5) c.line(half_w, 8, half_w, page_h - 8) c.showPage() print(f'Sheet {pair_idx//2 + 1} done') c.save() print(f'\nBooklet saved: {out_path}') size_mb = os.path.getsize(out_path) / (1024*1024) print(f'File size: {size_mb:.1f} MB') EOF

Your booklet is ready. Here's what was done:
Layout: All 12 slides arranged as 6 A3 landscape sheets, with one slide on the left half and one on the right half per sheet - classic booklet/2-up format.
Edits made to the Radiopaque Calculi slide (page 3): A dark navy banner was added at the bottom of the slide titled "Also Radiopaque (Rare):" containing:
  • Cystine Stones - Hexagonal crystals, seen in acidic urine; very hard, resistant to ESWL
  • Anatropic Nephrolithotomy - Surgical approach for large/staghorn stones; incision along avascular plane of kidney

Urolithiasis Booklet 2up

PDF Document · PDF

No make it into notes

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