cd /home/daytona/workspace && mkdir -p fracture-annotation && python3 - << 'EOF' import urllib.request import os url = "https://d361swluvexzqs.cloudfront.net/chats-attachments/20260501_175742-1779162212202-99bh1p.jpg" output = "/home/daytona/workspace/fracture-annotation/original.jpg" urllib.request.urlretrieve(url, output) print(f"Downloaded: {os.path.getsize(output)} bytes") EOF

python3 - << 'EOF' from PIL import Image, ImageDraw, ImageFont import os img = Image.open("/home/daytona/workspace/fracture-annotation/original.jpg") w, h = img.size print(f"Image size: {w} x {h}") EOF

python3 - << 'EOF' from PIL import Image, ImageDraw, ImageFont img = Image.open("/home/daytona/workspace/fracture-annotation/original.jpg") w, h = img.size # 8160 x 6120 # The X-ray shows two views of a right wrist/forearm. # LEFT panel (PA view): occupies roughly x=300 to x=3200, forearm/wrist # RIGHT panel (lateral view): occupies roughly x=3400 to x=7800 # # The fracture is a DISTAL RADIUS fracture (Colles' type) visible in both views. # In the LEFT (PA) view: # - Distal radius fracture line is near the distal metaphysis # - Approx: The wrist joint is near y=1200, radius shaft runs down # - Fracture site on distal radius: roughly x=1200-1800, y=1400-1700 # In the RIGHT (lateral) view: # - Dorsal angulation visible # - Fracture site: roughly x=5500-6200, y=2000-2400 # # Scale: image is 8160 wide. The film occupies about 80% of that. draw = ImageDraw.Draw(img) # Line thickness proportional to image size lw = 20 # line width arrow_size = 120 font_size = 180 try: font = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", font_size) small_font = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 120) except: font = ImageFont.load_default() small_font = font # ---- LEFT VIEW (PA): Distal radius fracture ---- # The film occupies left panel ~x: 450 to 3050 (approx) # Wrist bones visible in upper portion, radius/ulna below # Fracture at distal radius metaphysis # Based on viewing: wrist joint ~y=1500, fracture ~y=1700-1800 # Draw a red circle/ellipse around the fracture zone in LEFT view frac_left_cx = 1520 # center x of distal radius in left panel frac_left_cy = 1780 # center y - distal radius fracture level frac_left_rx = 300 # radius x frac_left_ry = 150 # radius y draw.ellipse([ frac_left_cx - frac_left_rx, frac_left_cy - frac_left_ry, frac_left_cx + frac_left_rx, frac_left_cy + frac_left_ry ], outline=(255, 0, 0), width=lw) # Arrow pointing to fracture from upper left ax1, ay1 = frac_left_cx - 600, frac_left_cy - 500 ax2, ay2 = frac_left_cx - frac_left_rx - 30, frac_left_cy - 80 draw.line([(ax1, ay1), (ax2, ay2)], fill=(255, 0, 0), width=lw) # Arrowhead draw.polygon([ (ax2, ay2), (ax2 + 60, ay2 - 100), (ax2 - 60, ay2 - 60) ], fill=(255, 0, 0)) # Label draw.text((ax1 - 200, ay1 - 220), "FRACTURE\n(Distal Radius)", fill=(255, 0, 0), font=font) # ---- RIGHT VIEW (Lateral): Distal radius fracture with dorsal angulation ---- # Right panel ~x: 3400 to 7800 # Fracture + dorsal angulation visible frac_right_cx = 5750 frac_right_cy = 2150 frac_right_rx = 350 frac_right_ry = 180 draw.ellipse([ frac_right_cx - frac_right_rx, frac_right_cy - frac_right_ry, frac_right_cx + frac_right_rx, frac_right_cy + frac_right_ry ], outline=(255, 50, 50), width=lw) # Arrow from upper right ax2r1, ay2r1 = frac_right_cx + 700, frac_right_cy - 550 ax2r2, ay2r2 = frac_right_cx + frac_right_rx + 30, frac_right_cy - 80 draw.line([(ax2r1, ay2r1), (ax2r2, ay2r2)], fill=(255, 50, 50), width=lw) draw.polygon([ (ax2r2, ay2r2), (ax2r2 - 60, ay2r2 - 110), (ax2r2 + 60, ay2r2 - 50) ], fill=(255, 50, 50)) draw.text((ax2r1 - 100, ay2r1 - 220), "FRACTURE\n(Lateral view)", fill=(255, 50, 50), font=font) # ---- Add a diagnostic label at bottom ---- label = "Colles' Fracture — Distal Radius (Right Wrist) Dorsal angulation visible on lateral view" draw.text((400, h - 350), label, fill=(255, 255, 0), font=small_font) out_path = "/home/daytona/workspace/fracture-annotation/annotated_fracture.jpg" img.save(out_path, "JPEG", quality=88) print(f"Saved: {out_path}") EOF

python3 - << 'EOF' from PIL import Image, ImageDraw, ImageFont img = Image.open("/home/daytona/workspace/fracture-annotation/original.jpg") w, h = img.size # 8160 x 6120 # After carefully viewing: # LEFT panel = forearm PA view, x roughly 300-2900 of the film # The film itself starts ~x=350, ends ~x=7900 # Left panel center ~x=1500 # Wrist joint level appears ~y=1600-1700 (top third of image height) # Distal radius fracture: just proximal to radiocarpal joint # In AP view, the fracture line crosses the distal radius ~15-20mm proximal to joint # That puts it at approximately y=1900-2100 in the 6120px image # Radius center ~x=1300-1500 # RIGHT panel = hand+wrist oblique/lateral, x roughly 3500-7700 # The wrist joint in right panel ~x=5800, y=2500 # Distal radius fracture zone ~y=2700-2900, x=5600-6000 draw = ImageDraw.Draw(img) lw = 22 try: font_lg = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 200) font_sm = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 130) font_xs = ImageFont.truetype("/usr/share/fonts/truetype/dejavu/DejaVuSans-Bold.ttf", 100) except: font_lg = ImageFont.load_default() font_sm = font_lg font_xs = font_lg RED = (255, 30, 30) YELLOW = (255, 230, 0) ORANGE = (255, 140, 0) # ========================================== # LEFT PANEL — PA view of distal forearm # Fracture: distal radius, ~2cm proximal to radiocarpal joint # Estimated coords based on 8160x6120 image: # - Film top ~y=230, film bottom ~y=5900 # - Wrist joint in left panel ~y=1600 # - Fracture line ~y=1900, radius ~x=1350-1600 # ========================================== fl_cx = 1500 # fracture center x (distal radius PA) fl_cy = 1950 # fracture center y fl_rx = 320 fl_ry = 120 # Red circle around fracture draw.ellipse([fl_cx-fl_rx, fl_cy-fl_ry, fl_cx+fl_rx, fl_cy+fl_ry], outline=RED, width=lw+5) # Arrow: from upper-left pointing to fracture a1x, a1y = fl_cx - 900, fl_cy - 700 a2x, a2y = fl_cx - fl_rx - 10, fl_cy - 50 draw.line([(a1x, a1y), (a2x, a2y)], fill=RED, width=lw) # Arrowhead triangle import math angle = math.atan2(a2y - a1y, a2x - a1x) ah = 120 draw.polygon([ (int(a2x), int(a2y)), (int(a2x - ah*math.cos(angle - 0.4)), int(a2y - ah*math.sin(angle - 0.4))), (int(a2x - ah*math.cos(angle + 0.4)), int(a2y - ah*math.sin(angle + 0.4))) ], fill=RED) # Label box background label1 = "FRACTURE LINE" label2 = "Distal Radius" draw.text((a1x - 350, a1y - 450), label1, fill=RED, font=font_lg) draw.text((a1x - 200, a1y - 230), label2, fill=YELLOW, font=font_sm) # ========================================== # RIGHT PANEL — oblique/lateral view # Fracture visible with dorsal displacement # Right panel: wrist area ~x=5400-6200, y=2400-3000 # ========================================== fr_cx = 5850 fr_cy = 2700 fr_rx = 380 fr_ry = 160 draw.ellipse([fr_cx-fr_rx, fr_cy-fr_ry, fr_cx+fr_rx, fr_cy+fr_ry], outline=ORANGE, width=lw+5) # Arrow from upper right a3x, a3y = fr_cx + 900, fr_cy - 700 a4x, a4y = fr_cx + fr_rx + 10, fr_cy - 60 draw.line([(a3x, a3y), (a4x, a4y)], fill=ORANGE, width=lw) angle2 = math.atan2(a4y - a3y, a4x - a3x) draw.polygon([ (int(a4x), int(a4y)), (int(a4x - ah*math.cos(angle2 - 0.4)), int(a4y - ah*math.sin(angle2 - 0.4))), (int(a4x - ah*math.cos(angle2 + 0.4)), int(a4y - ah*math.sin(angle2 + 0.4))) ], fill=ORANGE) draw.text((a3x - 150, a3y - 450), "FRACTURE LINE", fill=ORANGE, font=font_lg) draw.text((a3x - 100, a3y - 230), "Lateral view", fill=YELLOW, font=font_sm) # ========================================== # Bottom diagnosis banner # ========================================== banner_y = h - 480 draw.rectangle([200, banner_y - 20, w - 200, banner_y + 300], fill=(0, 0, 0, 0)) draw.text((300, banner_y), "DIAGNOSIS: Colles' Fracture — Distal Radius (R) | Dorsal angulation + possible dorsal displacement", fill=YELLOW, font=font_xs) out_path = "/home/daytona/workspace/fracture-annotation/annotated_fracture.jpg" img.save(out_path, "JPEG", quality=90) print(f"Saved: {out_path}") EOF