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Multiple small cystic attenuation areas are seen in bilateral kidneys, suggesting ARPKD.
Multiple hypodense cystic areas are seen in right lobe of liver, which appear to be of similar attenuation to few linear dilated intrahepatic biliary radicals. Some of the lesions show a central enhancing focus ("central dot sign"), suggesting Caroli's disease.
Associated findings such as atrophied right lobe, left lobe hypertrophy, massive splenomegaly (due to portal hypertension), are also seen.
Large number of varices around the spleen.