35-year-old female patient with history of polycystic liver and kidney disease, recent acute abdominal pain with fever. ABDOMEN:LIVER, BILIARY TRACT: There are multiple cystic lesions of varying sizes scattered throughout the liver compatible with provided history of polycystic liver and kidney disease. No suspicious hepatic lesion is identified. There is no intra- or extrahepatic biliary ductal dilatation. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Bilateral kidneys are enlarged and replaced by innumerable cystic lesions of varying size and intensity compatible with provided history of polycystic kidney disease. Some of these lesions demonstrate intermediate T2 signal with fluid fluid levels and intrinsic T1 hyperintensity compatible with blood products/complicated cysts. For example, the largest lesion within the left lower pole demonstrating intrinsic T1 hyperintensity measures 7.6 x 8.7 cm. There is no definite suspicious enhancement within either kidney on postcontrast and subtraction imaging. No evidence hydronephrosis.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, polycystic kidneys and multiple hepatic cysts compatible with patient's history of polycystic liver and kidney disease. No definite suspicious renal or hepatic lesion is identified.