case_images: PMC10874158_01
case_images: Computed tomography imaging reveals enormous bilateral kidney cysts. There are multiple bilateral extremely large renal cysts, some of which demonstrate thin internal septations without calcifications or nodularity. The cysts are predominantly homogeneous with predominantly fluid attenuation. The largest on the right measures 19 cm in craniocaudal extent. The largest peripheral cyst on the left measures 12 cm. There is resultant mass effect and displacement of the adjacent spleen and liver parenchyma as well as the small bowel mesentery. The spleen is enlarged at 15 cm. The central fluid-filled structure in the left kidney may be a markedly distended collecting system. The left renal parenchyma is markedly thinned and barely perceivable. The right renal pelvis is mildly dilated as well as a moderately distended pole calyx. Both ureters and urinary bladder are within normal limits. The partially visualized aspect of the pancreatic parenchyma is within normal limits.
case_images: 10.1177_20543581241232470-fig2.jpg
case_images: PMC10874158_01_10.1177_20543581241232470-fig2.jpg
case_images: fig2-20543581241232470
case_images: Computed tomography imaging revealed markedly enlarged kidneys with multiple large bilateral kidney cysts, with the largest cysts measuring 19 cm on the right and 12 cm on the left (Figure 2).