Multiple bilateral well marginated cortical heterogenous tumoral lesions within the kidneys, with areas of fat density, are most likely angiomyolipomas. The large right lesion is hyperdense precontrast, isodense with muscle.
Bilateral small renal cysts. Segment 3 and segment 5 & 6 hypoattenuating, fat density, liver lesions with no contrast enhancement. Although these are not well defined but given the fatty density can be compatible with hepatic AMLs.
Multiple sclerotic bone lesions are seen.