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Hepatic Pulmonary Fusion in Neonates

¹ Department of Pediatric Imaging, Children's Hospital of Michigan, 3901 Beaubien Blvd., Detroit, MI 48201.
² Department of Pediatric Surgery, Children's Hospital of Michigan, Detroit, MI 48201.
³ Department of Radiology, Babies and Children's Hospital of New York, 3975 Broadway, Rm. 3-318, New York, NY 10032.
⁴ Department of Pathology, Children's Hospital of Michigan, Detroit, MI 48201.
⁵ Department of Radiology, Arnold Palmer Hospital for Children and Women, 92 W. Miller St., Orlando, FL 32806.

OBJECTIVE. This report discusses the relationship of supradiaphragmatic hepatic tissue that is fused to the lung (through a diaphragmatic defect) with pulmonary hypoplasia—a new constellation of findings.

CONCLUSION. Hepatic pulmonary fusion should be suspected in instances of apparent diaphragmatic hernia characterized by mediastinal shift towards the hypoplastic lung or when the mediastinum does not shift away from the mass.

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