Polycystic liver disease

Case contributed by Daniel J Bell
Diagnosis certain

Presentation

Acute epigastric pain and distension

Patient Data

Age: 50 years
Gender: Male
ct

Innumerable simple cysts throughout the enlarged liver and both kidneys consistent with known polycystic disease. Most of the cysts demonstrate pure fluid density, a few show slightly increased density (15-20 HU), likely representing old hemorrhage and/or proteinaceous material.  No intracystic high density to suggest acute hemorrhage into a cyst. 

Case Discussion

Polycystic liver disease and multicystic kidneys. No cysts within the other solid viscera.

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