Gastroenterology clinical image challenge: A 57-year-old asymptomatic man with no medical history was recruited as a healthy control for a cardiac imaging study. Physical examination, including vital signs, was unremarkable. Blood counts and liver function tests were within normal limits. As part of the study evaluation, a cardiac computed tomography scan was performed showing incidental liver findings in the lower slices, followed by an abdominal magnetic resonance imaging with magnetic resonance cholangiopancreatography (Figure) showing hundreds of subcentimeter liver foci with prolonged relaxation characteristic, with the kidneys containing multiple T2 hyperintense cystic lesions. No other abnormalities were noted.
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