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Marked obesity is evident by the excessive soft tissue. Right forefoot varus is present with convergence of metatarsals bases (AP) and plantarflexed 5th metatarsal on the lateral view. Normal right talometatarsal axis on the lateral view. Left Pes planus deformity is present with pronounced arthritic changes in the mid-tarsal joints. Syndactyly/clinodactyly deformities of the bilateral 4th/5th proximal and distal phalanges are known to be associated with chromosomal aberration.