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\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{x^{2}+4x+4}{x^{2}}-\frac{9x^{2}}{x^{2}}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 9 times \frac{x^{2}}{x^{2}}.
\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{x^{2}+4x+4-9x^{2}}{x^{2}}}
Since \frac{x^{2}+4x+4}{x^{2}} and \frac{9x^{2}}{x^{2}} have the same denominator, subtract them by subtracting their numerators.
\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{-8x^{2}+4x+4}{x^{2}}}
Combine like terms in x^{2}+4x+4-9x^{2}.
\frac{\left(x^{2}-4\right)x^{2}}{\left(x^{2}+6x+9\right)\left(-8x^{2}+4x+4\right)}
Divide \frac{x^{2}-4}{x^{2}+6x+9} by \frac{-8x^{2}+4x+4}{x^{2}} by multiplying \frac{x^{2}-4}{x^{2}+6x+9} by the reciprocal of \frac{-8x^{2}+4x+4}{x^{2}}.
\frac{x^{4}-4x^{2}}{\left(x^{2}+6x+9\right)\left(-8x^{2}+4x+4\right)}
Use the distributive property to multiply x^{2}-4 by x^{2}.
\frac{x^{4}-4x^{2}}{-8x^{4}-44x^{3}-44x^{2}+60x+36}
Use the distributive property to multiply x^{2}+6x+9 by -8x^{2}+4x+4 and combine like terms.
\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{x^{2}+4x+4}{x^{2}}-\frac{9x^{2}}{x^{2}}}
To add or subtract expressions, expand them to make their denominators the same. Multiply 9 times \frac{x^{2}}{x^{2}}.
\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{x^{2}+4x+4-9x^{2}}{x^{2}}}
Since \frac{x^{2}+4x+4}{x^{2}} and \frac{9x^{2}}{x^{2}} have the same denominator, subtract them by subtracting their numerators.
\frac{\frac{x^{2}-4}{x^{2}+6x+9}}{\frac{-8x^{2}+4x+4}{x^{2}}}
Combine like terms in x^{2}+4x+4-9x^{2}.
\frac{\left(x^{2}-4\right)x^{2}}{\left(x^{2}+6x+9\right)\left(-8x^{2}+4x+4\right)}
Divide \frac{x^{2}-4}{x^{2}+6x+9} by \frac{-8x^{2}+4x+4}{x^{2}} by multiplying \frac{x^{2}-4}{x^{2}+6x+9} by the reciprocal of \frac{-8x^{2}+4x+4}{x^{2}}.
\frac{x^{4}-4x^{2}}{\left(x^{2}+6x+9\right)\left(-8x^{2}+4x+4\right)}
Use the distributive property to multiply x^{2}-4 by x^{2}.
\frac{x^{4}-4x^{2}}{-8x^{4}-44x^{3}-44x^{2}+60x+36}
Use the distributive property to multiply x^{2}+6x+9 by -8x^{2}+4x+4 and combine like terms.