Polycystic liver disease
Acute epigastric pain and distension
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Innumerable simple cysts throughout the enlarged liver and both kidneys consistent with known polycystic disease. Most of the cysts demonstrate pure fluid density, a few show slightly increased density (15-20 HU), likely representing old hemorrhage and/or proteinaceous material. No intracystic high density to suggest acute hemorrhage into a cyst.
Polycystic liver disease and multicystic kidneys. No cysts within the other solid viscera.