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Autosomal dominant polycystic kidney disease

Case contributed by Townsville radiology training

Presentation

Sudden onset pain in right renal area. Masses palpable in the abdomen. Creatinine 93, GFR 58.

Patient Data

Age: 40 years
Gender: Female

The kidneys are greatly enlarged (>18 cm left, 15 cm right). Both contain multiple cysts of varying density. Some cysts are quite dense, indicating hemorrhage into the cysts. Multiple hepatic cysts are also present. No ovarian cysts seen.

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