To cite: Martinez Santos JL, Dmytriw AA, Fermin S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210240 DESCRIPTION A 4-month-old Dominican girl was born prematurely with numerous malformations (figures 1–4) including facial asymmetry, low-implanted left ear, short neck, short trunk, barrel chest, a left preaxillary thoracic depression, thoracolumbar scolios...