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\frac{x^{2}-18x}{\left(x+2\right)^{2}}-4
Combine 3x and -21x to get -18x.
\frac{x^{2}-18x}{\left(x+2\right)^{2}}-\frac{4\left(x+2\right)^{2}}{\left(x+2\right)^{2}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 4 times \frac{\left(x+2\right)^{2}}{\left(x+2\right)^{2}}.
\frac{x^{2}-18x-4\left(x+2\right)^{2}}{\left(x+2\right)^{2}}
Since \frac{x^{2}-18x}{\left(x+2\right)^{2}} and \frac{4\left(x+2\right)^{2}}{\left(x+2\right)^{2}} have the same denominator, subtract them by subtracting their numerators.
\frac{x^{2}-18x-4x^{2}-16x-16}{\left(x+2\right)^{2}}
Do the multiplications in x^{2}-18x-4\left(x+2\right)^{2}.
\frac{-3x^{2}-34x-16}{\left(x+2\right)^{2}}
Combine like terms in x^{2}-18x-4x^{2}-16x-16.
\frac{-3x^{2}-34x-16}{x^{2}+4x+4}
Expand \left(x+2\right)^{2}.
\frac{x^{2}-18x}{\left(x+2\right)^{2}}-4
Combine 3x and -21x to get -18x.
\frac{x^{2}-18x}{\left(x+2\right)^{2}}-\frac{4\left(x+2\right)^{2}}{\left(x+2\right)^{2}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 4 times \frac{\left(x+2\right)^{2}}{\left(x+2\right)^{2}}.
\frac{x^{2}-18x-4\left(x+2\right)^{2}}{\left(x+2\right)^{2}}
Since \frac{x^{2}-18x}{\left(x+2\right)^{2}} and \frac{4\left(x+2\right)^{2}}{\left(x+2\right)^{2}} have the same denominator, subtract them by subtracting their numerators.
\frac{x^{2}-18x-4x^{2}-16x-16}{\left(x+2\right)^{2}}
Do the multiplications in x^{2}-18x-4\left(x+2\right)^{2}.
\frac{-3x^{2}-34x-16}{\left(x+2\right)^{2}}
Combine like terms in x^{2}-18x-4x^{2}-16x-16.
\frac{-3x^{2}-34x-16}{x^{2}+4x+4}
Expand \left(x+2\right)^{2}.