Rendering a Base64 PNG with Express

Yes you can encode your base64 string and return it to the client as an image:

server.get("/api/id/:w", function(req, res) {
    var data = getIcon(req.params.w);
    var img = Buffer.from(data, 'base64');

   res.writeHead(200, {
     'Content-Type': 'image/png',
     'Content-Length': img.length
   });
   res.end(img); 
});

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