Provided history of tuberous sclerosis and renal angiomyolipomas. ABDOMEN: Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology.LIVER, BILIARY TRACT: Findings suggesting iron deposition. Numerous punctate probable hepatic cysts may reflect poly-cystic liver disease versus biliary hamartomas.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted. No pancreatic cysts.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys are markedly enlarged and the parenchyma is entirely replaced by innumerable well-defined simple and minimally complex (fluid-fluid levels and T2-weighted hypointensity) presumed cysts. Lack of intravenous contrast limits evaluation for a solid or cystic renal neoplasm. None of the lesions demonstrate significant macroscopic fat to suggest an angiomyolipoma. A lesion in the right superior pole measures 9.6 x 4.2 cm (series 4/31) and demonstrates restricted diffusion; may reflect a hemorrhagic cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with polycystic kidney disease. No discrete fat-containing lesion is identified to suggest an angiomyolipoma. Lack of intravenous contrast limits evaluation for a solid or cystic renal neoplasm. 2.Indeterminate right superior pole measures 9.6 x 4.2 cm (series 4/31) may reflect a large hemorrhagic cyst versus solid mass.3.Multiple punctate hepatic cysts may be related to polycystic liver disease or biliary hamartomas.4.Findings of iron deposition of the liver may reflect prior blood transfusions. 