Presentation
Bilateral flank pain.
Patient Data
Age: 45 years
Gender: Male
From the case:
Autosomal dominant polycystic kidney disease
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Both kidneys are markedly enlarged and containing innumerable varying sized cysts less than 55 mm. Some cysts show hyper dense internal contents inferring hemorrhage. Additionally, some cysts have fine marginal calcifications. Two stones 37 mm (480HU) and 17 mm (540HU) are evident at right renal collecting system.
Multiple small cysts are seen at liver less than 25 mm.
The prostate gland is enlarged.
Case Discussion
Features on CT are typical for autosomal dominant polycystic kidney disease which is a common hereditary form of adult cystic renal disease.