OBJECTIVE. This report discusses the relationship of supradiaphragmatic hep
atic 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 ap
parent diaphragmatic hernia characterized by mediastinal shift towards the
hypoplastic lung or when the mediastinum does not shift away from the mass.