CT - 13 years later
Right femoral permacath is seen in place with its tip lying in the IVC below the renal veins. No signs of IVC obstruction noted. Innumerable variable size simple cysts in both kidneys, in keeping with acquired cystic kidney disease (in this patient with history of long-standing hemodialysis). Multiple venous collaterals noted along anterior abdominal wall (history of chronic superior vena cava obstruction secondary to the dialysis catheters). Simple left adnexal cyst measuring 3.5 x 4.2 cm.