Diagnosis: Autosomal dominant polycystic kidney disease. For complete description of case, please visit http://www.radsWiki.net (sponsor of this image)
Findings on Imaging:
- Imaging studies such as ultrasound, CT, or MRI may show multiple cysts in both kidneys, consistent with ADPKD.
- On MRI, the cysts appear as round or oval structures with thin walls and fluid.
- The cysts may range in size from a few millimeters to several centimeters in diameter, and may be present in one or both kidneys.
Next Steps in Management:
- Management of ADPKD depends on the size and number of cysts, as well as the patient’s overall kidney function and risk of complications.
- Treatment options may include blood pressure control, management of complications such as infections or bleeding, and eventually renal replacement therapy (e.g. dialysis or kidney transplantation) if the cysts lead to end-stage renal disease.
- Regular imaging follow-up is recommended to monitor for changes in cyst size or number.
Key Take Away Points:
- ADPKD is a genetic disorder characterized by the development of multiple cysts in the kidneys, which can eventually lead to end-stage renal disease.
- Imaging studies such as ultrasound, CT, or MRI can help diagnose ADPKD and determine the number and size of the cysts.
- On MRI, the cysts appear as round or oval structures with thin walls and fluid-filled interiors.
- Treatment of ADPKD may include blood pressure control, management of complications, and renal replacement therapy, as well as regular imaging follow-up to monitor for changes in cyst size or number.
