34-year-old male with history of autosomal dominant polycystic kidney disease and abdominal pain. Evaluate for hemorrhagic cyst. ABDOMEN:LIVER, BILIARY TRACT: Innumerable hepatic cysts are present with the largest segment 8 measuring 6.2 x 4.5 cm. No evidence of enhancing suspicious hepatic lesion. The liver measures approximately 18 cm in length.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Renal parenchyma bilaterally is replaced by innumerable cysts some of which demonstrate proteinaceous material and hemorrhage. No evidence of an enhancing renal lesion. The right kidney measures 12 cm and the left kidney measures 15 cm in length.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.Both kidneys are replaced by numerous cysts, some of which are hemorrhagic and proteinaceous.2.Hepatomegaly with innumerable hepatic cysts with the largest measuring up to 6 cm in segment 8.