Explain the Ramzi theory? 🤦🏻‍♀️🤷🏻‍♀️

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Help? Insight? I don’t get the Ramzi theory even after reading everything I could on it and looking at a ton of examples. My eyes are crossing from staring at so many ultrasounds. 😜 Any input on mine? I have an earlier ultrasound I can add if that helps.