CT
CT demonstrates much better the extent of bilateral renal replacement and enlargement by the extensive AMLs. Note that as well as the multiple hepatic cysts, there are two lesions in the liver which are essentially isointense pre-contrast, demonstrate vivid arterial enhancement, and are again isointense in the portovenous phase. These likely correspond to the echogenic lesions seen on ultrasound, and the enhancement pattern supports the suspicion of TS-associated angiomyolipomas, rather than haemangiomas.
A large submucosal fibroid is also present -presumably incidental rather than syndromic, with IUD in situ (conceivably, to control the menstrual abnormalities which such a large fibroid is likely to cause). Note also peritoneal end of the VP shunt.