Left-right patterning defects of the viscera of NodalΔ/− deletion mutants. Organs were dissected from control and deletion pups on the day of birth. Left (L) and right (R) are as indicated in A and B. Normally the stomach is situated on the left-hand side of the body (A), but in the deletion mutants the stomach position is randomized such that half the mutants have stomachs on the right (B). The spleen is apposed to the stomach wall (C). In mutants, the spleen is greatly reduced in size (D). In the normal lung, there is one lobe on the left and four on the right (E). In the mutants, there were three or four lobes on both sides, indicating a right pulmonary isomerism (F). At 9.5 d, expression of α-cardiac actin mRNA in the heart tube illustrates normal heart looping to the right (G). In NodalΔ/− mutants, looping was randomized, with 3/7 showing rightward and 4/7 showing leftward looping (H). In normal littermates, the apex of the heart points to the left (I), yet in mutants the heart apex is ambiguously positioned such that a proportion point to the left, some to the middle (J), and others to the left. Sections through mutant hearts reveal septation defects between the two atria (J). A, accessory lobe; CA, common atrium; Ca, caudal lobe; Cr, cranial lobe; L, left lobe; LA, left atrium; LV, left ventricle; M, medial lobe; OT, outflow tract; RA, right atrium; RV, right ventricle; Vn, ventricles.