Mystery of the Lethargic Neonate

A 16-day-old girl presents with lethargy, tachypnea, and hepatomegaly. Explore a case of hepatic lesions, cardiomegaly, and consumptive Hypothyroidism.

Infantile hepatic hemangiomas


A 16-day-old girl was brought to the emergency department with lethargy. Physical exam showed tachypnea and marked hepatomegaly, as well as small hemangiomas on the skin. TSH was elevated. MRI showed numerous hepatic lesions and cardiomegaly. What is the most likely diagnosis?

What is the most likely diagnosis?

Hepatic adenoma
Pyogenic liver abscess
Hepatocellular carcinoma
Infantile hepatic hemangiomas
Undifferentiated embryonal sarcoma

Consumptive Hypothyroidism, Hepatomegaly, High-Output Cardiac Failure, Infantile hepatic hemangiomas, Neonate

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