62 year old male patient with hematuria and pain in PKD patient. Assess polycystic kidney disease. ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter T2 hyperintensities in the liver likely represent cysts. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Evaluation of the kidneys is limited secondary to lack of IV contrast. The kidneys are enlarged, measuring approximately 25 cm in length, and entirely replaced by innumerable mostly T2 hyperintense lesions, which likely represent cysts. Several of the lesions demonstrate fluid-fluid levels with intrinsic T1 hyperintensity compatible with blood products or proteinaceous material. Numerous T2 hypointense lesions also likely represent cysts with more chronic blood products. Most of the complicated cysts and cysts that have areas of complexity appear to have corresponding T1 hyperintensity suggesting blood products. There is no dominant mass. 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.
Enlarged kidneys entirely replaced by innumerable cysts some of which are complex/complicated likely with blood products. No dominant mass is identified, however, study is limited secondary to lack of IV contrast. 