Recent reports suggest that somatic structural changes occur in the human genome, but how these genomic alterations might contribute to disease is unknown. Using samples collected as part of the International Schizophrenia Consortium (schizophrenia, n ¼ 3518; control, n ¼ 4238) recruited across multiple university research centers, we assessed single-nucleotide polymorphism genotyping arrays for evidence of chromosomal anomalies. Data from genotyping arrays on each individual were processed using Birdsuite and analyzed with PLINK. We validated potential chromosomal anomalies using custom nanostring probes and quantitative PCR. We estimate chromosomal alterations in the schizophrenia population to be 0.42%, which is not significantly different from controls (0.26%). We identified and validated a set of four extremely large (410 Mb) chromosomal anomalies in subjects with schizophrenia, including a chromosome 8 trisomy and deletion of the q arm of chromosome 7. These data demonstrate that chromosomal anomalies are present at low frequency in blood cells of both control and schizophrenia subjects. Keywords: schizophrenia; copy number variation; mosaic; SNP microarrays INTRODUCTION Schizophrenia (SCZ) is a highly heritable, debilitating psychiatric disorder characterized by psychosis and cognitive deficits, and has a lifetime prevalence of B0.5-0.7%. 1,2 Recent studies into the genetic architecture of this disease have implicated both common singlenucleotide polymorphisms (SNPs) and rare copy number variants (CNVs). [3][4][5] In particular, recent studies of rare CNVs in SCZ have identified both individuals with single events of high penetrance and abundant events across the genome. Specifically, CNVs 4500 kb at 22q11-13, 15q11, 15q13, 3q29, 7q36.3 and 1q21 have been linked to SCZ in B1% of cases. 3,[6][7][8][9] In addition, it has been shown that individuals with SCZ are more likely to carry large, rare CNVs than individuals without the disorder. This 'burden' has also been shown to be significant in singleton CNVs -those CNVs observed only once in a particular sample.Recent reports suggest that somatic structural changes in the nuclear genome are not uncommon and can be identified using SNP genotyping arrays, 10-12 at least when using DNA from white blood cells. These studies have detected a mosaicism rate from 0.23 to 2% and mosaicism has been observed in 7 to 95% of lymphocytes based on probe intensity measures. No disease study has yet revealed a difference between cases and controls on this measure.