Go around to the back of the room to get a small medi pack sitting on a ledge. Then climb the stepped blocks in the middle of the room.
Notice the doorway with the wooden ladders above and below it. Climb up into this opening. Enter the little room on the left.
Go behind the carved block and push it onto the gray tile in front of the doorway. This will return the tall pillar outside to its original position near the entrance.
Climb into the crawlspace above the movable block.
Turn around, back up to the opening...
...and drop down on the other side.
Move into the doorway overlooking the open room. Drop down onto the ledge below.
Walk out onto the top step.
Turn left and take a standing jump to grab the wooden slats on the ceiling.
Monkey swing forward and around to the left until you can't go any farther.
Then drop and grab the edge of the alcove with the save/power-up crystal. Pull up and get the crystal.
Lara won't grab the ceiling again from here, so safety drop to the floor.
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