Newborn with a midline defect including a split anterior half of the sternum, a thoracoabdominal ectopic cordis, and an omphalocele CXR and AXR shows the cardiac margin to be absent below the level of the diaphragm. The left lung is hyperlucent compared to the right. There is a paucity of bowel gas within the abdomen and centralization of bowel loops The diagnosis was Pentalogy of Cantrell and ascites.