PMC4317206_01
Clinical photograph showing depressed nasal bridge and prominent forehead.
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His initial examination showed a large anterior fontanel, depressed nasal bridge, bilateral epicanthic folds, full lips (Fig.1), and hypospadias with chordee.
MRI spine - narrowing of cervical canal.
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Repeat MRI showed indentation of the dorsal aspect of the spinal cord with T2 signal changes suggestive of injury of the spinal cord (Fig.2).
Abdominal ultrasound showing narrowing of the abdominal aorta above the bifurcation.
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A repeat abdominal ultrasound showed normal renal Dopplers but narrowing of the lower part of the abdominal aorta (just above the bifurcation) with minimal thickening of the aortic wall suggestive of arteritis (Fig.3).