EURORAD ESR

Case 3113

Adult autosomal dominant polycystic kidney disease

Author(s)
Allen SD, Harvey CJ
 
Patient
male, 75 year(s)
 
 
  • Figure 1
    Renal cysts

    Ultrasound images showing multiple simple renal cysts.

     
    Area of Interest: unknown; Imaging Technique: Renal cysts;
     
     
  • Figure 2
    Hepatic cysts

    Ultrasound images showing multiple simple hepatic cysts.

     
    Area of Interest: unknown; Imaging Technique: Hepatic cysts;
     
     
  • Figure 3
    Renal and pancreatic cysts

    Axial CT images showing multiple simple renal cysts bilaterally. There is also a simple cyst seen within the uncinate process of the pancreas.

     
    Area of Interest: unknown; Imaging Technique: Renal and pancreatic cysts;
     
     
  • Figure 4
    Hepatic cysts

    Axial CT images showing multiple simple hepatic cysts.

     
    Area of Interest: unknown; Imaging Technique: Hepatic cysts;
     
     
  • Figure 5
    Complex renal cysts seen with an unenhanced CT
     

    An unenhanced CT image showing multiple uncomplicated cysts and a solitary hyperintense cyst with a fluid level, within the right kidney (indicated by an arrow). A neoplastic lesion cannot be excluded based on this...

     

    An unenhanced CT image showing bilateral multiple simple cysts and a solitary hyperintense cyst within the left kidney (indicated by an arrow). Again, a neoplastic lesion cannot be excluded based on this image alone,...

     
     
     
  • Figure 6
    Complex renal cysts seen with an enhanced CT
     

    An enhanced CT image showing the same hyperintense cyst within the right kidney as that shown in Fig. 5a (indicated by an arrow). No significant enhancement is demonstrated to suggest a neoplastic pathology, and a...

     

    An enhanced CT image showing the same hyperintense cyst within the left kidney as that shown in Fig. 5b (indicated by an arrow). Again, no significant enhancement is demonstrated to suggest a neoplastic pathology,...

     
     
     
  • Figure 7
    Complicated calcified left renal cyst

    A CT image showing left renal cyst associated with rim calcification. This is likely to be representative of an old haemorrhage. No additional soft tissue is seen, to imply a more sinister pathology.

     
    Area of Interest: unknown; Imaging Technique: Complicated left renal cyst;
     
     
  • Figure 8
    Colonic diverticulae

    A CT image showing the colonic diverticulae within the transverse colon.

     
    Area of Interest: unknown; Imaging Technique: Colonic diverticulae;
     
     
  • Figure 9
    Lung cysts

    A CT image showing multiple intrapulmonary cysts. Incidental pleural effusions and a right-sided consolidation are also present.

     
    Area of Interest: unknown; Imaging Technique: Lung cysts;
     
     
  • Figure 10
    Bilateral renal cysts
     

    T1-weighted coronal MR images of the abdomen showing multiple liver and renal cysts. Some of the renal cysts have fluid levels within them, consistent with a recent haemorrhage.

     
    Area of Interest: unknown; Imaging Technique: Bilateral renal cysts;

    T2-weighted coronal MR images of the abdomen showing multiple liver and renal cysts. Some of the renal cysts have fluid levels within them, consistent with a recent haemorrhage.

     
    Area of Interest: unknown; Imaging Technique: Bilateral renal cysts;
     
     
Ultrasound images showing multiple simple renal cysts.
 
Ultrasound images showing multiple simple hepatic cysts.
 
Axial CT images showing multiple simple renal cysts bilaterally. There is also a simple cyst seen within the uncinate process of the pancreas.
 
Axial CT images showing multiple simple hepatic cysts.
 
An unenhanced CT image showing multiple uncomplicated cysts and a solitary hyperintense cyst with a fluid level, within the right kidney (indicated by an arrow). A neoplastic lesion cannot be excluded based on this image alone, so an enhanced study was performed.
 
An unenhanced CT image showing bilateral multiple simple cysts and a solitary hyperintense cyst within the left kidney (indicated by an arrow). Again, a neoplastic lesion cannot be excluded based on this image alone, so an enhanced study was performed.
 
An enhanced CT image showing the same hyperintense cyst within the right kidney as that shown in Fig. 5a (indicated by an arrow). No significant enhancement is demonstrated to suggest a neoplastic pathology, and a complex cyst is the diagnosis.
 
An enhanced CT image showing the same hyperintense cyst within the left kidney as that shown in Fig. 5b (indicated by an arrow). Again, no significant enhancement is demonstrated to suggest a neoplastic pathology, and a complex cyst is the diagnosis.
 
A CT image showing left renal cyst associated with rim calcification. This is likely to be representative of an old haemorrhage. No additional soft tissue is seen, to imply a more sinister pathology.
 
A CT image showing the colonic diverticulae within the transverse colon.
 
A CT image showing multiple intrapulmonary cysts. Incidental pleural effusions and a right-sided consolidation are also present.
 
T1-weighted coronal MR images of the abdomen showing multiple liver and renal cysts. Some of the renal cysts have fluid levels within them, consistent with a recent haemorrhage.
 
T2-weighted coronal MR images of the abdomen showing multiple liver and renal cysts. Some of the renal cysts have fluid levels within them, consistent with a recent haemorrhage.
 
 
 
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