Case report
This is a case of trisomy 18 with following findings:
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Strawberry shaped skull
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Dilated esophagus, upper neck pouch sign suggestive of esophageal atresia
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Symmetric growth restriction
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Overlapping fingers, clenched fists
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Deviated heart axis
Images 1,2: Image 1 shows a strawberry-shaped skull, both BPD and head perimeter measure less than 3rd percentile. Image 2 shows a dilated esophagus with blind esophageal pouch as a sign of esophageal atresia.

Images 3,4: Image 3 shows a deviated heart axis. Image 4 shows growth charts showing the symmetric growth restriction of the fetus.

Images 5-8: 3D-images showing clenched fists and overlapping fingers.


Video: Dilated esophagus.