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At autopsy the kidneys were markedly enlarged. The right kidney weighed 1660 grams and the left kidney weighted 1780 grams.
== Images ==
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File:IPLab5PolycysticKidney1IPLab5PolycysticKidney1b.jpg|This is a gross photograph of the kidneys from this case. Note that both kidneys contain multiple large cysts (arrows). File:IPLab5PolycysticKidney2IPLab5PolycysticKidney2b.jpg|This is a gross photograph of one of the kidneys from this case next to a normal kidney. This photograph demonstrates how big these polycystic kidneys are compared to a normal kidney. File:IPLab5PolycysticKidney3IPLab5PolycysticKidney3b.jpg|This is a gross photograph of a cut section from one of these polycystic kidneys. Note that the renal parenchyma is almost completely replaced by cystic structures.
File:IPLab5PolycysticKidney4.jpg|This is a low-power photomicrograph of an H&E-stained section from this polycystic kidney. Note the large cystic structures (1), the few residual glomeruli (2), and the fibrous connective tissue throughout this section.
File:IPLab5PolycysticKidney5.jpg|This is another low-power photomicrograph of an H&E-stained section from this polycystic kidney. Again note the large cystic structures (arrows)and the fibrous connective tissue throughout this section.
File:IPLab5PolycysticKidney6.jpg|This is a higher-power photomicrograph of polycystic kidney showing the edge of a large cyst (1). In this section there are numerous tubules and dilated collecting ducts (2) that are filled with the same red proteinaceous material as the larger cysts.
File:IPLab5PolycysticKidney7.jpg|This high-power photomicrograph shows abnormal glomeruli (arrows) and some tubules.
File:IPLab5PolycysticKidney8IPLab5PolycysticKidney8b.jpg|This is a gross photograph of the liver from this patient. Multiple cysts can be seen on the surface of this liver (arrows).
File:IPLab5PolycysticKidney9.jpg|This photomicrograph of liver demonstrates the histologic appearance of these cysts.
File:IPLab5PolycysticKidney10.jpg|This is another photomicrograph of liver demonstrating the histologic appearance of these cysts. These cystic structures are associated with the biliary tree.
