 Good afternoon everyone, myself Dr. Saurabh Raothre, secondary junior resident in department of diagnosis at the VSA Institute of Medical Science and Research, Urla Odza. I am here to present a case report on Hidological Manifestation of Clipple-Fill Syndrome. Introduction. Clipple-Fill Syndrome is a complex disorder that consists of congenital pusing of survey prepared today and the patient presents with a triton of short neck, limitation of movement of blood and neck and low posterior hair loss. It is estimated to occur in about 1 in 40,000 to 42,000 and females are slightly more predisposed than males. It has been reported by Clipple until 912. This syndrome results as a failure of normal segmentation of sub-vascular summaries during 3rd to 8th year gestation. Clipple-Fill Syndrome is a complex disorder and involves many insertion anomalies like sphaliosis, sphingal deformity, renalomalies, deafness, spinal cord injury, congenital heart disease and sleep failure. Case description. We have a 16-year-old syndrome that presents to the complex of stiff neck, painless deformity of neck and shoulder, a longer decreased range of movement of neck since birth. Antinatal history is undeniable. It was a full-term normal delivery at home. No intimation to delivery, no history of any particular trauma. On examination, she was having good build, short neck, short neck, low posterior hair length, along with big thumb, shoulder and chest pain, and scoliosis, the left was also noted. There are no confidence of any hearing anomalies or any other neurological symptoms. With this clinical background, the patient was subjected to a renalogical indication that includes X-ray and shiitism. Coming to X-ray, this is the chest-X-ray erect PADU, showing a higher ID in right scapula, along with scolotic changes, and multiple fused and deformed areas can also be seen. This is a sagittal six-ray CT scan in bone window, showing multiple fused cervical and thoracic vertebra, ranging from C6 to T4, along with fused and post-trailments of spine. This is a 3D CT scan back side, showing spangular deformity on right side, and multiple fused spinal processes. Note here the higher ID in right scapula and multiple fused spinal processes. Similarly, this is a 3D CT scan in frontal lobe, showing multiple fused ribs and bifurits, and note the absence of fast-ray. This is a CT scan in bone window, in thoracic section, showing scolotic changes. This is a agile CT scan at the level of T1, showing any vertebrae and absence of fast-ray, in right side. Left side read is normal-efficient. This is an agile CT scan at the level of C6, showing bifurits and absence of fast-ray. This is an agile CT scan and a 3D CT scan, showing non-fused and post-trail elements resulting in a spinal vertebra. It can be clearly appreciated in this 3D CT scan. Now, coming to diagnosis and management, this case was diagnosed as a case of platelet-filled syndrome with supportive and logical findings. As our case was not having any neurological or inhibitor system in development, she was advised to conservatively manage it. The exercise of night and sleep was advised by the system today. A corrective surgical follow-up was also prescribed. Coming to differential diagnosis, the entheodontalizing spondylitis, coronary discitis, and rejuvenate depotative arthritis. Most of them can be presented with cervical vertebrae. Discussion. As the input on symptoms and anomalies are usually revealed incidentally and illogicalizing in mild cases, the patient might have neurological symptoms that are secondary to degenerative disorders. Spiral instead of uterine hypovolterta or foot trauma. And spinal stenosis can also lead to the deterioration of life. Pestimid critical field syndrome should be assessed for a certain system of anomalies which is a surgical treatment. And such cases should be identified and treated earlier to minimize cosmetic and social stigma to the patient. Here are my references.