Large bilateral renal angiomyolipomas with minimal visible residual renal tissue. Haemorrhage within right renal angiomyolipoma with central hyperdense acute component and surrounding large sub-acute component extending inferiorly. Nil intraperitoneal haemorrhage/free fluid.
Distended gallbladder. Multiple hypodense liver lesions unchanged from previous imaging. Lung bases clear. No pleural effusion. Multiple sclerotic foci throughout the visible skeleton unchanged from previous imaging. VP shunt in situ.