Both kidneys are small in size showing replacement of their parenchyma by innumerable simple looking cysts (acquired cystic kidney disease).
The liver shows established cirrhotic changes, manifested as nodular contours and parenchymal dysmorphism. No focal lesions in T2 or diffusion sequences. No intrahepatic biliary dilatation observed. Normal course and caliber of the CBD, with no signal defects identified. The gall bladder shows a small 1 cm stone at its neck, with mild luminal distension and luminal mud.
The spleen is missing (surgically removed). Mild free upper abdominal ascites is seen.