MRI
Both kidneys are enlarged and contain multiple varying-sized cystic lesions. Some cysts show thick irregular enhancing walls or eccentric enhancing solid components.
In addition, a sizeable heterosignal mass with central necrotic changes and heterogeneous enhancement is seen in the posterior aspect of the pancreatic head that extends into the porta hepatis and subhepatic regions.
A high T2W mass in segment VII of the liver also shows early peripheral nodular enhancement with centripetal extension suspected for haemangioma.
A little sludge is observed in the dependent part of the gallbladder.
Several small thin-walled cysts are noted in the pancreas.