RADIOLOGY: KIDNEY: Case# 33524: POLYCYSTIC LIVER KIDNEY. 42-year-old woman. 1. Ascites. 2. Massive hepatomegaly with extensive cystic replacement of liver parenchyma. 3. Patent portal system. 4. Polycystic kidneys with no area of particular concern. 5. 1.5 cm left adrenal nodule. In a patient with no known primary malignancy, this is almost certainly a benign adenoma.