Please click to enlarge.
Note what signs you see.
I (W. Wertelecki, M.D.) see what may appear as a cleft of the hard palate – but it is NOT – illustrated are prominent “tori”, a term denoting bony palatal shelves which appear dysmorphic because of a failure of the tongue to opposed their growth and be a force molding the tori into an arch.
Several companion images demonstrating other dysmorphic features strongly suggest that the pathogenesis – etiology is most likely Edward syndrome usually associated with trisomy 18 (18+).