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A 51-year-old woman presented to the primary care clinic with mild worsening of chronic abdominal pain. On physical examination, the liver was enlarged. Magnetic resonance cholangiopancreatography revealed a markedly enlarged liver with numerous cystic structures (a three-dimensional maximum-intensity-projection reconstruction is shown in the figure). What is the most likely underlying diagnosis?

.A. Alpha1-antitrypsin deficiency

B. Amebiasis

C. Autosomal dominant polycystic kidney disease

D. Hepatocellular adenomas

E. Tuberous sclerosis

Figure it out fridays 


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