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CT shows enlarged, dysmorphic kidneys with multiple small hypoattenuating lesions that are compatible with angiomyolipomas. The left kidney demonstrates a subcapsular heterogeneous mass compressing the spleen and pancreas, and which occupies almost the whole left hemiabdomen. Lower lobe of left lung is compressed with free pleural fluid. There is also free fluid seen in the abdominal cavity. The basal part of the lung shows multiple thin walled cysts.