What’s causing this characteristic appearance on CT?

A 37-year-old female presents to her family physician with recurring abdominal and flank pain. She mentions her mother suffered from kidney problems but doesn’t know many details. Examination reveals a blood pressure of 170/110 mmHg and proteinuria is present on dipstick. Laboratory tests show an elevated hematocrit, microalbuminuria, and microscopic hematuria. A CT scan later reveals the findings seen here.Which of the following conditions is most commonly associated with this patient’s likely diagnosis?

A) Cerebral aneurysm
B) Abdominal aortic aneurysm
C) Renal cell carcinoma
D) Ovarian cyst

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Christy Crisologo

    Christy Crisologo is SDN’s Editor-in-Chief. She earned her BA in Communications from Asbury University and lives in Texas with her husband (and primary connection to the medical world) and their two young children. 

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    2 thoughts on “What’s causing this characteristic appearance on CT?

    • the case is ADPKD
      and the A is Answer

    • Adult variant of renal polycystic disease, with associated liver cysts too. Family history of ‘renal problems’ (mother)