<style type="text/css">
    .lms * {
      -webkit-box-sizing: border-box;
      -moz-box-sizing: border-box;
      box-sizing: border-box;
    }

    .lms-text-center {
      text-align: center;
    }

    .lms-full-height {
      height: 100%;
    }

    .lms-container {
      margin-right: auto;
      margin-left: auto;
      max-width: 1046px;
    }

    .lms-row {
	  width: 100%;
      display: -moz-box;
      -moz-flex-flow: row wrap;
      -moz-justify-content: center;

      display: -ms-flexbox;
      -ms-flex-flow: row wrap;
      -ms-justify-content: center;
      
      display: -webkit-flex;
      display: -webkit-box;
      -webkit-flex-flow: row wrap;
      -webkit-justify-content: center;

      display: flex;
      flex-flow: row wrap;      
      justify-content: center;     

    }

    .lms-col {
      width: 50%;
      padding-right: 20px;
      padding-left: 20px;
      margin-bottom: 40px;
    }

    .lms-panel {
      border: 1px solid #dadada;
      border-radius: 4px;
      padding: 30px;
    }

    .lms-panel .lms-panel-thumb {
      width: 95px;
    }

    .lms-panel .lms-panel-title {
      font-size: 20px;
      color: #58595b;
    }

    .lms-panel .lms-panel-title > a {
      color: #58595b;
      font-weight: bold;
    }

    .lms-panel .lms-panel-text {
      color: #58595b;
      line-height: 1.75;
      margin-bottom: 0;
    }
.teste{
   position: absolute;
    top: 0;
    left: 0;
    width: 100%;
    height: 100%;
    object-fit: cover;
    opacity: 0.5; /* ajuste a opacidade conforme necessário */
    z-index: -1; 
}
  </style>
<div class="lms">   
<div class="lms-container">
    <div>
      <img src="https://cdn-icons-png.flaticon.com/512/1809/1809239.png" /
      class="teste">
    </div>      
 <div class="lms-row">
          <div class="lms-col">
          <div class="lms-panel lms-text-center lms-full-height">
           <img class="lms-panel-thumb" src="https://tdn.totvs.com/download/thumbnails/838217172/Centro%20cir%C3%BArgico.png?api=v2&nonce=1742820776752">
            <h1 class="lms-panel-title">
              <a href="https://tdn.totvs.com/pages/viewpage.action?pageId=927532619">Centro Cirúrgico</a>
            </h1>
          </div>
        </div>
        <div class="lms-col">
          <div class="lms-panel lms-text-center lms-full-height">
            <img class="lms-panel-thumb" src="https://tdn.totvs.com/download/thumbnails/838217172/Postos%20de%20enfermagem.png?api=v2&nonce=1742820777075">
            <h1 class="lms-panel-title">
              <a href="https://tdn.totvs.com/display/LRM/Postos+de+Enfermagem+-+Cuidados+com+paciente">Postos de Enfermagem</a>
            </h1>
          </div>
	 	</div>
        <div class="lms-col">
          <div class="lms-panel lms-text-center lms-full-height">
            <img class="lms-panel-thumb" src="https://tdn.totvs.com/download/thumbnails/838217172/Farrm%C3%A1cia.png?api=v2&nonce=1742820776940">
            <h1 class="lms-panel-title">
              <a href="https://tdn.totvs.com/pages/viewpage.action?pageId=927532643">Farmácia</a>
            </h1>
          </div>
        </div>
		<div class="lms-col">
          <div class="lms-panel lms-text-center lms-full-height">
            <img class="lms-panel-thumb" src="https://tdn.totvs.com/download/thumbnails/838217172/Arquivos%20do%20paciente.png?api=v2&nonce=1742820776607">
            <h1 class="lms-panel-title">
              <a href="https://tdn.totvs.com/display/LRM/Arquivos+do+Paciente+-+Cuidados+com+paciente">Arquivos do Paciente</a>
            </h1>
          </div>
        </div>
      </div>
    </div>
</div>