Would someone look at the copyright issues surrounding the image in Marfan syndrome?  This article was mentioned in the Signpost as being worked on in honor of Kevin Gorman.  The image shows a pubescent child, partially clothed, apparently during a medical exam. The image was uploaded with a CC-by-2.5 license.  But if you go to the copyright information in the case study, it says the article was published under 2.0 license. There is separate copyright statement for the image: "Written informed consent was obtained from the patient's parents for the publication of this case report and accompanying images. A copy of the consent form is available for review by the Editor-in-Chief of this journal."  It says the child is 13 years old and has a "global intellectual impairment".

Is the consent needed for a medical study in Brazil the same type of consent needed to host an image on Commons?   Does the license for the article also apply to the image of the child?  Can someone sort through these issues?

https://en.wikipedia.org/wiki/Marfan_syndrome