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4\left(x+2\right)+9\left(y-3\right)^{2}=36
Multiply both sides of the equation by 36, the least common multiple of 9,4.
4x+8+9\left(y-3\right)^{2}=36
Use the distributive property to multiply 4 by x+2.
4x+8+9\left(y^{2}-6y+9\right)=36
Use binomial theorem \left(a-b\right)^{2}=a^{2}-2ab+b^{2} to expand \left(y-3\right)^{2}.
4x+8+9y^{2}-54y+81=36
Use the distributive property to multiply 9 by y^{2}-6y+9.
4x+89+9y^{2}-54y=36
Add 8 and 81 to get 89.
4x+9y^{2}-54y=36-89
Subtract 89 from both sides.
4x+9y^{2}-54y=-53
Subtract 89 from 36 to get -53.
4x-54y=-53-9y^{2}
Subtract 9y^{2} from both sides.
4x=-53-9y^{2}+54y
Add 54y to both sides.
4x=-9y^{2}+54y-53
The equation is in standard form.
\frac{4x}{4}=\frac{-9y^{2}+54y-53}{4}
Divide both sides by 4.
x=\frac{-9y^{2}+54y-53}{4}
Dividing by 4 undoes the multiplication by 4.
x=-\frac{9y^{2}}{4}+\frac{27y}{2}-\frac{53}{4}
Divide -53-9y^{2}+54y by 4.