Due to history of haematuria a bleeding protocol CT was performed.
The pre-contrast study shows bilateral multiple large fat containing renal masses in keeping with bilateral angiomyolipomatosis causing significant mass effect. There are three sites of previous vascular embolisation coils in the right kidney (upper and lower pole). There are also small foci of calcification in some of the angiomyolipomas (AMLs).
On lung windows the patient has multiple thin-walled cysts at both lung bases in keeping with TS complex. There is some chronic associated interlobular septal thickening, patchy consolidation and atelectasis. Findings are consistent with tuberous sclerosis complex (TSC) associated lymphangioleiomyomatosis (LAM).
Ring pessary noted within the vagina.