Case of the Week # 146 Hector Quiroga, MD June 30 - July 14 , 2005 Hospital Central Universitario "Antonio MarÃa Pineda". Barquisimeto. Estado Lara. Venezuela This is the scan of a 26-year-old woman G5, P4. She had earlier ultrasound scans at 6 and 10 weeks that were reported as normal. The following images were obtained: View the Answer Hide the Answer Answer This is the scan of a 26-year-old woman G5, P4. She had earlier ultrasound scans at 6 and 10 weeks that were reported as normal. The following findings were noted: absent nasal bones, micrognathia, hypertelorism, and absent lower and upper limbs. The other findings that were noted and not included in the images above include dysplastic ears and a large penis. Further evaluation could not be carried out especially of the heart due to patient refusal. A diagnosis of Robert's syndrome was suggested. Discussion Board Start a discussion about this case Add to Favorites Favorite