Hint $\ 11\mid 4+9x\!\iff\! {\rm mod}\ 11\!:\ 4+9x\equiv 0\! \iff\! 9x\,\equiv-4\!\iff\!x\,\equiv\, \dfrac{-4}9 \,\equiv\, \dfrac{-4}{-2} \,\equiv\, 2$
Remark $\ $ The familiar arithmetic of $ $ fractions $ $ is valid modulo $\,m\,$ as long as one restricts to fractions $\,a/b\,$ with denominator coprime to the modulus $\,m.\,$ Indeed, by Bezout's identity for the gcd, $\,(b,m) = 1\,\Rightarrow\,b\,$ is invertible $ $ mod $\,m,\,$ therefore the fraction has the unique denotation $\,x = a/b = ab^{-1}$ (the unique solution of $\,bx = a).\,$ The usual rules of fraction arithmetic remain true (as long as one restricts to such fractions), e.g. from a prior answer:
Hint $\ {\rm mod}\ 13\!:\ \dfrac{41}7 \equiv \dfrac{28}7 = 4\ \ $ by $\ \ 41\equiv 41\!-\!13 = 28$
Alternatively $\ \dfrac{41}{7}\equiv\dfrac{(-2)(-1)}{-6}\equiv \dfrac{-2}{-2}\dfrac{12}3\equiv 4\ \ $ by $\ \ \begin{eqnarray}41&&\equiv\ \ 2\\ 7 &&\equiv -6\end{eqnarray}$
Alternatively $\ \dfrac{41}{7}\equiv \dfrac{2}7\equiv \dfrac{4}{14}\equiv \dfrac{4}1\ $ by Gauss's Algorithm.
Such fraction twiddling (adding/subtracting the modulus from numerator or denominator till things divide or factor nicely) works well for small numbers. For larger numbers one can invert the denominator by the Extended Euclidean Algorithm, or Gauss's algorithm if the modulus is prime.
Beware $ $ A fraction with noninvertible denominator (not coprime to modulus) is not well-defined. For example, mod $\rm\:10,\:$ $\rm\:4\,x\equiv 2\:$ has solutions $\rm\:x\equiv 3,8,\:$ so the "fraction" $\rm\:x \equiv 2/4\pmod{10}\,$ cannot designate a unique solution of $\,4x\equiv 2.\,$ Indeed, the solution is $\rm\:x\equiv 1/2\equiv 3\pmod 5,\,$ which requires canceling $\,2\,$ from the modulus too, because $\rm\:10\:|\:4x-2\iff5\:|\:2x-1.\,$ Similarly ill-defined is the fraction $\,x \equiv 1/4\,$ since $\,10\mid 4x-1\,\Rightarrow 10n = 4x-1\,$ $\Rightarrow$ $\,4x-10 = 1\,$ is even, contradiction. Ring-theoretically, this may be viewed as a generalization of the fact that division by zero is not well-defined, i.e. division by a $\,\rm\color{#c00}{zero\!-\!divisor}\,$ is not well-defined (in a nontrivial ring), since if $\,\color{#c00}{ac=0,\ c\ne 0}\,$ then $\,ax = b\,\Rightarrow\,a(x\!+\!c) = b\,$ so if a solution $\,x\,$ exists then it is not unique.
Generally the grade-school rules of fraction arithmetic apply universally (i.e. in all rings) where the denominators are all invertible. This fundamental property will be clarified conceptually when one learns in university algebra about the universal properties of fractions rings (and localizations).