Autosomal dominant polycystic kidney disease - early onset
Bilateral flank pain and haematuria.
CT Abdomen and pelvis
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Abdomen and pelvis CT scan showing multiple renal cysts bilaterally, having different sizes, some of them are confluent, and most have characteristic of simple cysts. Both kidneys are enalarged.
The presence of enlarged kidneys with multiple cysts in a young adult patient complaining of bilateral flank pain and haematuria should raise the possibility of an autosomal dominant polycystic kidney disease (or "adult polycystic kidney disease"). Especially because the patient was considered previously well, with no history of renal diseases, and her kidneys are still demonstrating a preserved cortex.
The images haven't shown any complicated cyst that catches the radiologist attention.