Hello, Pete Forsyth! It is, Ellie Kesselman, your friend from that Q&A website where we are somewhat active. That Marfan's syndrome image in the Wikipedia article was of concern to me, for a variety of reasons. Subsequently, there was a discussion about it on Commons. Participants included the person who uploaded the image and some members of this mailing list, myself included. A compromise was reached which satisfied the uploader (he contributes to many medically-related articles for Wikipedia) *AND* we who had identified potentially problematic legal, ethical and privacy-related issues regarding the image in question. The complete Commons discussion and outcome is linked in the prior gendergap mailing notice if you are curious for details. To everyone, not just Pete: The Commons talk page discussion was amicable and resolution was prompt. Collectively, we did a good job! --FeralOink