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This case has a full hand of the VHL syndrome, i.e. multiple simple renal cysts as well as multiple mixed solid and cystic renal neoplasms. The pancreas also contains a huge number of cysts throughout and the patient has had a spinal haemangioblastoma removed causing the neurogenic bladder (note thoracic laminectomy and changes in the spinal cord on the T2 axial series). No phaeochromocytoma.