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British Journal of Radiology (2007) 80, e305-e309
© 2007 British Institute of Radiology
doi: 10.1259/bjr/36850585
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Case report

Polycystic kidneys: a cautionary story

R J Currie, MA, MRCS1, S J Freeman, MRCP, FRCR1, F McCormick, FRCPath2 and R J S McGonigle, MD, FRCP3

Departments of 1 Radiology, 2 Pathology and 3 Renal Medicine, Derriford Hospital, Plymouth PL6 8DH, UK

Correspondence: Dr Simon Freeman, Consultant Radiologist, X-Ray West, Level 6, Derriford Hospital, Plymouth PL6 8DH, UK. E-mail: simon.freeman{at}phnt.swest.nhs.uk

We describe the imaging appearances of a patient with bilateral, synchronous, multiloculated renal cell carcinoma with a predominantly cystic nature. The patient had progressive chronic renal failure. He was initially erroneously diagnosed as having autosomal dominant polycystic kidney disease (ADPKD) on the basis of the imaging findings. We believe this to be the first report describing bilateral synchronous renal carcinomas replacing the renal parenchyma imitating ADPKD.






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