\[ y'(x)=x^2 \sqrt {x^2+4 y(x)-4 x}+\sqrt {x^2+4 y(x)-4 x}+x^3 \sqrt {x^2+4 y(x)-4 x}-\frac {x}{2}+1 \] ✓ Mathematica : cpu = 0.327627 (sec), leaf count = 68
\[\left \{\left \{y(x)\to \frac {1}{144} \left (-72 c_1 x^4-96 c_1 x^3-288 c_1 x+144 c_1^2+9 x^8+24 x^7+16 x^6+72 x^5+96 x^4+108 x^2+144 x\right )\right \}\right \}\]
✓ Maple : cpu = 0.381 (sec), leaf count = 35
\[ \left \{ {\frac {1}{2}\sqrt {{x}^{2}-4\,x+4\,y \left ( x \right ) }}-{\frac {{x}^{4}}{4}}-{\frac {{x}^{3}}{3}}-x-{\it \_C1}=0 \right \} \]