PMC6147895_01
Chest x-ray showing right diaphragmatic hernia with the liver occupying the right hemi thorax.
asm-2-129f1.jpg
PMC6147895_01_asm-2-129f1.jpg
f1-asm-2-129
Her initial chest X-ray showed right-side diaphragmatic hernia with the liver occupying a right hemithorax (Figure 1).
Coarse facial features with micrognathia, depressed nasal bridge and facial hair overgrowth.
asm-2-129f2.jpg
PMC6147895_01_asm-2-129f2.jpg
f2-asm-2-129
On examination, she had coarse facial features with micrognathia, a depressed nasal bridge, facial hair overgrowth (Figure 2), hypoplastic nails of both the left little finger (Figure 3) and the toe (Figure 4), a small rudimentary 4 terminal phalanx of the left fifth finger (Figure 3), and non-pitting generalized edema (Figure 4).
Hypoplastic nail of little finger.
asm-2-129f3.jpg
PMC6147895_01_asm-2-129f3.jpg
f3-asm-2-129
On examination, she had coarse facial features with micrognathia, a depressed nasal bridge, facial hair overgrowth (Figure 2), hypoplastic nails of both the left little finger (Figure 3) and the toe (Figure 4), a small rudimentary 4 terminal phalanx of the left fifth finger (Figure 3), and non-pitting generalized edema (Figure 4).
Hypoplastic nail of the toe and non pitting generalized oedema.
asm-2-129f4.jpg
PMC6147895_01_asm-2-129f4.jpg
f4-asm-2-129
On examination, she had coarse facial features with micrognathia, a depressed nasal bridge, facial hair overgrowth (Figure 2), hypoplastic nails of both the left little finger (Figure 3) and the toe (Figure 4), a small rudimentary 4 terminal phalanx of the left fifth finger (Figure 3), and non-pitting generalized edema (Figure 4).
Broad medial border of the clavicle.
asm-2-129f5.jpg
PMC6147895_01_asm-2-129f5.jpg
f5-asm-2-129
The skeletal survey showed a broad medial border of the clavicles (Figure 5), and hypoplastic distal phalanges of the left little finger (Figure 6).
Hypoplastic distal phalanx of the little finger.
asm-2-129f6.jpg
PMC6147895_01_asm-2-129f6.jpg
f6-asm-2-129
The skeletal survey showed a broad medial border of the clavicles (Figure 5), and hypoplastic distal phalanges of the left little finger (Figure 6).