PMC3652086_01
Physical examination revealed a short webbed neck, with a small nodular growth in the left side of the neck which moved with deglutition and was firm in consistency.
CRIM.NM2013-910656.001.jpg
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fig1
Physical examination revealed a short webbed neck with a small nodular growth in the left side of the neck which moved with deglutition and was firm in consistency (Figure 1) and mild scoliot'ic change in the vertebrae.
Side view showing dysmorphic facies of Noonan syndrome: low-set ears, micrognathia, and periauricular skin tags.
CRIM.NM2013-910656.002.jpg
PMC3652086_01_CRIM.NM2013-910656.002.jpg
fig2
The patient was 148 cms tall; her face was triangular with a small chin (micrognathia) and a more pronounced forehead; ptotic eyes and ears were set low with periauricular skin tags (Figure 2); neurofibromas cover the entire surface of her body (Figure 3) and cafe-au-lait macules with the largest one measuring 15 x 8 cms on her left calf (Figure 4) and axillary skin fold freckling. 
Neurofibromas were spread on the entire surface of the body.
CRIM.NM2013-910656.003.jpg
PMC3652086_01_CRIM.NM2013-910656.003.jpg
fig3
The patient was 148 cms tall; her face was triangular with a small chin (micrognathia) and a more pronounced forehead; ptotic eyes and ears were set low with periauricular skin tags (Figure 2); neurofibromas cover the entire surface of her body (Figure 3) and cafe-au-lait macules with the largest one measuring 15 x 8 cms on her left calf (Figure 4) and axillary skin fold freckling. 
Multiple cafe-au-lait macules on the calf, the largest one measuring 15 x 8 cms.
CRIM.NM2013-910656.004.jpg
PMC3652086_01_CRIM.NM2013-910656.004.jpg
fig4
The patient was 148 cms tall; her face was triangular with a small chin (micrognathia) and a more pronounced forehead; ptotic eyes and ears were set low with periauricular skin tags (Figure 2); neurofibromas cover the entire surface of her body (Figure 3) and cafe-au-lait macules with the largest one measuring 15 x 8 cms on her left calf (Figure 4) and axillary skin fold freckling. 