This 64-year-old white man had His terminal admission was for congestive heart failure and ventricular tachycardia. He underwent a history of hypertension, adult-onset diabetes, gouty arthritis, chronic obstructive pulmonary disease coronary artery bypass grafting (COPDCABG), chronic anemia, bleeding from colonic polyps, and bleeding from gastric ulcers. The patient was in end-stage renal failure due to polycystic kidney disease and operation but two days after the operation he required renal dialysis. His mother developed pneumonia and a brother both died from renal complications.

His terminal admission was for congestive heart failure At autopsy the kidneys were markedly enlarged. The right kidney weighed 1660 grams and ventricular tachycardia. He underwent a coronary artery bypass grafting (CABG) operation after which he was ventilator-dependent. Two days after the operation he developed pneumonia and diedleft kidney weighted 1780 grams.

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: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).