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\frac{\left(2+x\right)\left(4x+20\right)}{2\left(x^{2}+6x+8\right)}
Multiply \frac{2+x}{2} times \frac{4x+20}{x^{2}+6x+8} by multiplying numerator times numerator and denominator times denominator.
\frac{4\left(x+2\right)\left(x+5\right)}{2\left(x+2\right)\left(x+4\right)}
Factor the expressions that are not already factored.
\frac{2\left(x+5\right)}{x+4}
Cancel out 2\left(x+2\right) in both numerator and denominator.
\frac{2x+10}{x+4}
Expand the expression.
\frac{\left(2+x\right)\left(4x+20\right)}{2\left(x^{2}+6x+8\right)}
Multiply \frac{2+x}{2} times \frac{4x+20}{x^{2}+6x+8} by multiplying numerator times numerator and denominator times denominator.
\frac{4\left(x+2\right)\left(x+5\right)}{2\left(x+2\right)\left(x+4\right)}
Factor the expressions that are not already factored.
\frac{2\left(x+5\right)}{x+4}
Cancel out 2\left(x+2\right) in both numerator and denominator.
\frac{2x+10}{x+4}
Expand the expression.