The specimen consists of one half of a kidney and a segment of liver. The kidney is almost entirely
replaced by cysts measuring up to 2 cm. in diameter; some contain blood and others protein-aceous
material. The liver, which is rather poorly fixed, shows multiple cysts up to 3 cm. in diameter; there is
also scarring apparent.
This man was admitted at the age of 63 with hypertension; he died in hepato-renal failure.
At autopsy the heart was enlarged and showed left ventricular hypertrophy. There were bilateral
pleural effusions present and there was ascites. There were areas of mucosal haemorrhage in the
small intestine. Histologically the liver showed evidence of subacute necrosis as well as cystic change.