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Face to face fusion at the level of thorax and abdomen is noted with common heart and diaphragm, and absent sternum body. Pulmonary consolidation is noted at the gravity dependent lung of each twin. There is an ill-defined border line separating the two livers. The right twin's liver seems to be enlarged with heterogeneous enhancement and a sign of intra-hepatic bile ducts dilatation. The urinary system in both twins is normal.