The patient after flank discomfort, urologist sent for urine analysis in which it revealed microscopic hematuria, then ultrasound was done which showed multiple various size renal cysts then clinician request an MRI.

As cerebral berry aneurysms are found in 6% of patients with ADPKD without a family history of aneurysms, and in up to 16% of patients with ADPKD with a family history. So, the suggestion of brain MR angiography is recommended.