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Mitani Y et al. – The authors describe prenatal findings of one such case. Sonographic examination of a 26–week fetus showed a double cystic structure and an intrathoracic cyst. MRI and ultrasound at 26 weeks and 2 days' gestation showed shrinkage of the stomach and duodenum, massive ascites, and the presence of dilated pouch–like structure in the thoracic inlet level, consistent with an upper pouch sign.

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