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x^{2}+18x+81=144+x^{2}
Use binomial theorem \left(a+b\right)^{2}=a^{2}+2ab+b^{2} to expand \left(x+9\right)^{2}.
x^{2}+18x+81-x^{2}=144
Subtract x^{2} from both sides.
18x+81=144
Combine x^{2} and -x^{2} to get 0.
18x=144-81
Subtract 81 from both sides.
18x=63
Subtract 81 from 144 to get 63.
x=\frac{63}{18}
Divide both sides by 18.
x=\frac{7}{2}
Reduce the fraction \frac{63}{18} to lowest terms by extracting and canceling out 9.