Presentation
Flank pain and palpable masses on physical exam.
Patient Data
Age: 35 years
Gender: Female
From the case:
Autosomal dominant polycystic kidney disease
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Both kidneys are markedly enlarged and contain numerous varying-sized cysts. Some of them are hyperdense inferring hemorrhagic contents. Additionally, a few focal wall calcifications and also tiny stones are evident between the cysts.
There are also a few small cysts at the liver less than 15 mm.
Case Discussion
Features on CT are compatible with autosomal dominant polycystic kidney disease which is a common hereditary form of adult cystic renal disease.
The kidneys are normal at birth but by the age of 60 years, approximately 50% of patients have end-stage renal failure due to numerous parenchymal cysts formation.
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