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The detailed scan revealed conjoined twins from thorax up to the cord insertion, sharing a heart and liver. On postmortem the cardiac findings corresponded to the scan findings of single chamber system with incomplete atrioventricular septum within both hearts with presence of all branches of the outflow tracts for each. Despite advanced gestation, ultrasound findings are relatively accurate to counsel patients on management and prognosis especially when financial constraints limit the option of other imaging modalities. [Extracted from the article]