This is a 39-year-old woman, G3P1 (C-Section) A1, non-contributive history.  
In the first 10 weeks + 4 days of gestation, I found a cystic hygroma and and I thought in a monosomy X0.  The next ultrasound at 11 weeks + 5 days revealed post axial polydactyly. The patient asked for another ultrasound at 13 weeks. Omphalocele, hypertelorism and pathologic nuchal translucency thickness was found.  Amniocentesis at 15 weeks revealed 47XY,+13.

Image 1-4: Cystic hygroma and nuchal translucency thickness