Back to back CDH .
This was a 24 year old lady , gravida 2 , with one normal child. She has history of consanguinity.( married her mother’s step brother ).
This was referred for 2nd opinion for confirmation of CDH.
The following images were obtained .
R.V.,the LV outflow tract and LA are seen in the colour image . The stomach is seen behind the LA. in the left hemithorax.
according to radiology review manual , adducted thumb = short 1st metacarpal + phalanges and is diagnostic of trisomy E syndrome ( 16 to 18 )
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by F Rypens – 2006 – Cited by 16 – Related articles
… flexed and ulnarly deviated and the thumb is adducted. This position is constant during the examination and is strongly suggestive of trisomy 18
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