This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genitourinary radiology, Subject name: Radiology
Bouquet of Flowers appearance is seen in? 
Select and explain. 
A. ADPKD, B. ARPKD, C. Horse Shoe Kidney, D. Medullary sponge kidney
D: Medullary sponge kidney
Answer: D: Medullary sponge kidney 
Explanation: Medullary sponge kidney: Shows Bouquet of Flowers appearance in IVP Autosomal dominant polycystic kidney disease Swiss cheese appearance on nephrogram Spider leg appearance on pyelogram Autosomal recessive polycystic kidney disease Shows striated nephrogram