Faces of Polycystic Disease Polycystic Kidney DiseaseCT scan with contrast of a 54 year old male with polycystic kidney disease. In this case the cysts are distributed in a relatively orderly and homogeneous fashion in the periphery of the both kidneys with an unusual symmetry. There is a reasonable amount of functioning parenchyma. One of theAshley Davidoff MD TheCommonVein.net Polycystic Kidney DiseaseCT scan with contrast of a 54 year old male with polycystic kidney disease. In this case, the cysts are distributed in a relatively orderly and homogeneous fashion in the periphery of the both kidneys with an unusual symmetry. There is a reasonable amount of functioning parenchyma. One of the cysts in the periphery of the right kidney has a higher density and high density sediment suggesting hemorrhageAshley Davidoff MD TheCommonVein.net Polycystic Kidney DiseaseCT scan with contrast of a 54 year old male with polycystic kidney disease. In this case, the cysts are distributed in a relatively orderly and homogeneous fashion in the periphery of the both kidneys with an unusual symmetry. There is a reasonable amount of functioning parenchyma. One of the cysts in the periphery of the right kidney (yellow arrowhead) has a higher density and high density sediment (red arrowhead lower image suggesting hemorrhageAshley Davidoff MD TheCommonVein.net CT with Contrast– Polycystic Kidney Disease PCKD56-year-old male in chronic renal failure presents with flank pain. CT with contrast shows diffuse cystic changes of near normal sized kidneys with total replacement of the renal parenchyma by small uniformly sized cysts. Multiple calcifications are scattered throughout the parenchyma.Ashley Davidoff MD TheCommonVein.net 135723c APKD Berry Aneurysm CVA and Spermatic Cord Cyst Polycystic Kidney DiseaseCT scan without contrast of a 52 year old male with polycystic kidney disease shows extensive replacement of renal parenchyma by cystic disease with many high density cysts suggesting hemorrhage. Extensive polycystic liver disease is also presentAshley Davidoff MD TheCommonVein.net Polycystic Kidney Disease Berry Aneurysm Rupture and MCA StrokeCT scan without contrast of a 52 year old male with polycystic kidney disease shows extensive replacement of liver parenchyma by cystic disease. A surgical clip in the region of the MCA is from prior MCA clipping following rupture of a berry aneurysmAshley Davidoff MD TheCommonVein.net Polycystic Kidney Disease Berry Aneurysm and MCA StrokeCT scan of the head without contrast of a 52 year old male with polycystic kidney disease shows an evidence of a prior MCA stroke in the region of the middle cerebral artery with encephalomalaciaAshley Davidoff MD TheCommonVein.net Polycystic Kidney and Liver Disease with Cystic Changes in the Right Spermatic Cord52 year old male with polycystic kidney disease and MCA berry has a biloculated cystic abnormality along the course of the right spermatic cord. The wall are smooth but thickened. Associated anomalies of the vasa deferens and epididymis are known so spermatic cord cystic changes may be part of the syndromeAshley Davidoff MD TheCommonVein.net