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4x=y\left(x+4\right)\left(x+16\right)
Multiply both sides of the equation by \left(x+4\right)\left(x+16\right).
4x=\left(yx+4y\right)\left(x+16\right)
Use the distributive property to multiply y by x+4.
4x=yx^{2}+20yx+64y
Use the distributive property to multiply yx+4y by x+16 and combine like terms.
yx^{2}+20yx+64y=4x
Swap sides so that all variable terms are on the left hand side.
\left(x^{2}+20x+64\right)y=4x
Combine all terms containing y.
\frac{\left(x^{2}+20x+64\right)y}{x^{2}+20x+64}=\frac{4x}{x^{2}+20x+64}
Divide both sides by x^{2}+20x+64.
y=\frac{4x}{x^{2}+20x+64}
Dividing by x^{2}+20x+64 undoes the multiplication by x^{2}+20x+64.
y=\frac{4x}{\left(x+4\right)\left(x+16\right)}
Divide 4x by x^{2}+20x+64.