When Fred is in the lab with Knox, and she shows him the picture of Tommy, the picture she shows him in the 2-shot, is not the same picture you next see in the close-up. The 1st is taken from the right side of a hospital bed, and shows a child with his arms at his sides, and his eyes closed. The 2nd, is of Tommy - this time taken from the left side of the bed, his arms are both up, he's smiling, and his eyes are wide open.