Presentation
Abdominal pain.
Patient Data
Age: 60 years
Gender: Female
From the case:
Polycystic liver disease
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Multiple thin walled cysts of varying sizes are present throughout the liver without apparent biliary tree dilatation. The giant cyst measures about 90 mm in diameter.
A 60 mm simple cortical cyst is present at the lower pole of the left kidney.
Additionally, a few small cortical cysts are scattered at the kidneys.
Case Discussion
Features on MRI are most compatible with polycystic liver disease (PCLD), which is a hereditary condition. 75-90% of patients with autosomal dominant polycystic kidney disease have PCLD, and PCLD without ADPKD has a prevalence of <0.01%.
Most patients are asymptomatic, but occasionally patients can have pain with large cysts.
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