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\left(2x+8\right)\left(4+x\right)+\left(2x+32\right)\left(b+x\right)=5\left(x+4\right)\left(x+16\right)
Multiply both sides of the equation by 2\left(x+4\right)\left(x+16\right), the least common multiple of 16+x,4+x,2.
16x+2x^{2}+32+\left(2x+32\right)\left(b+x\right)=5\left(x+4\right)\left(x+16\right)
Use the distributive property to multiply 2x+8 by 4+x and combine like terms.
16x+2x^{2}+32+2xb+2x^{2}+32b+32x=5\left(x+4\right)\left(x+16\right)
Use the distributive property to multiply 2x+32 by b+x.
16x+4x^{2}+32+2xb+32b+32x=5\left(x+4\right)\left(x+16\right)
Combine 2x^{2} and 2x^{2} to get 4x^{2}.
48x+4x^{2}+32+2xb+32b=5\left(x+4\right)\left(x+16\right)
Combine 16x and 32x to get 48x.
48x+4x^{2}+32+2xb+32b=\left(5x+20\right)\left(x+16\right)
Use the distributive property to multiply 5 by x+4.
48x+4x^{2}+32+2xb+32b=5x^{2}+100x+320
Use the distributive property to multiply 5x+20 by x+16 and combine like terms.
4x^{2}+32+2xb+32b=5x^{2}+100x+320-48x
Subtract 48x from both sides.
4x^{2}+32+2xb+32b=5x^{2}+52x+320
Combine 100x and -48x to get 52x.
32+2xb+32b=5x^{2}+52x+320-4x^{2}
Subtract 4x^{2} from both sides.
32+2xb+32b=x^{2}+52x+320
Combine 5x^{2} and -4x^{2} to get x^{2}.
2xb+32b=x^{2}+52x+320-32
Subtract 32 from both sides.
2xb+32b=x^{2}+52x+288
Subtract 32 from 320 to get 288.
\left(2x+32\right)b=x^{2}+52x+288
Combine all terms containing b.
\frac{\left(2x+32\right)b}{2x+32}=\frac{x^{2}+52x+288}{2x+32}
Divide both sides by 32+2x.
b=\frac{x^{2}+52x+288}{2x+32}
Dividing by 32+2x undoes the multiplication by 32+2x.
b=\frac{x^{2}+52x+288}{2\left(x+16\right)}
Divide x^{2}+52x+288 by 32+2x.