MRI
Axial T2 fat sat
Coronal T2 fat sat
Axial renal cortical phase
Axial renal excretory phase
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.
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.