03-14-2008, 02:34 PM
A 61-year-old man with a history of diabetes mellitus has been on hemodialysis for the past 12 years. During that time he has continued working and has had no major illnesses. Which of the following cystic changes is most likely to be present as a consequence of the chronic hemodialysis?
A Multiple cystic dilations of medullary collecting ducts
B Normal left kidney but enlarged right right kidney with variably-sized cysts
C Markedly enlarged kidneys with multiple cysts along with a polycystic liver
D Bilaterally enlarged cystic kidneys along with congenital hepatic fibrosis
E Multiple 1 to 2 cm cortical and medullary cysts withing small kidneys bilaterally
A Multiple cystic dilations of medullary collecting ducts
B Normal left kidney but enlarged right right kidney with variably-sized cysts
C Markedly enlarged kidneys with multiple cysts along with a polycystic liver
D Bilaterally enlarged cystic kidneys along with congenital hepatic fibrosis
E Multiple 1 to 2 cm cortical and medullary cysts withing small kidneys bilaterally