28-year-old female with history of leiomyoma of the uterus presents for MRI evaluation. ABDOMEN:LIVER, BILIARY TRACT: Few scattered subcentimeter T2 hyperintense lesions which do not enhance compatible with cysts. No intrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple T2 high signal and intermediate signal lesions throughout both kidneys. The larger lesions do not demonstrate obvious enhancement. The smaller lesions are small to characterize.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.PELVIS:UTERUS, ADNEXA: There is a large T1 and T2 heterogeneous intramural lesion measuring 11 x 8 x 12 cm (series 17, image 23; series 19, image 15) which demonstrates avid enhancement. The endometrial stripe is displaced inferiorly from mass effect.BLADDER: No significant abnormality noted.LYMPH NODES: No evidence of pelvic lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Large avidly enhancing intramural uterine lesion, likely a leiomyoma.2.Multiple kidney lesions, some of which are compatible with simple cysts. The other renal cysts demonstrate T2 intermediate signal however there is no obvious enhancement. Probable subcentimeter scattered hepatic cysts. Findings most compatible with autosomal polycystic kidney disease.