Fig. 4. Follow-up of child with 13q syndrome. A. (Case #4) This patient presented with developmental delay and was found by genetic screening at age 4 months to have 13q syndrome and multifocal retinoblastoma. In this photo, she is age 10 years with short stature and the developmental delay is noted. B. (Case #4) Fundus examination at age 4 months shows large retinoblastoma that was successfully treated with external beam radiotherapy.