Autosomal dominant polycystic kidney disease

Case contributed by Assoc Prof Frank Gaillard

Presentation

Renal failure.

Patient Data

Age: Adult

CT of the abdomen (coronal reformats) demonstrates both kidneys to be markedly enlarged by innumerable cysts ranging in size from a few millimeters to multiple centimeters. These cysts also vary in density: most are near-water density, some are hyperdense, others are calcified. 

Also present are numerous cysts in the liver. The pancreas is unremarkable.

Features are consistent with autosomal dominant polycystic kidney disease, which was subsequently confirmed. 

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