#user_relationships.select-patient > .list-group > a.list-group-item > .media > .media-left > .thumbnail {
  margin-bottom: 0;
  width: 64px;
  height: 64px;
  display: -webkit-box;
  display: -ms-flexbox;
  display: flex;
  -webkit-box-align: center;
      -ms-flex-align: center;
          align-items: center;
  -webkit-box-pack: center;
      -ms-flex-pack: center;
          justify-content: center;
}