Image of the Week: Recurring abdominal and flank pain in a 37-year-old woman

A 37-year-old woman presents to her family clinician with recurring abdominal and flank pain. She mentions her mother had kidney problems, but she does not know many details. Examination reveals a blood pressure of 170/110 mm Hg, and proteinuria is present on dipstick. Laboratory tests show elevated hematocrit, microalbuminuria, and microscopic hematuria levels. A CT scan later reveals the findings seen here. Which of the following conditions is most commonly associated with this patient’s likely diagnosis?  Learn more about this case, take the quiz, and join the conversation on Figure 1.

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