A 51-year-old woman presented to the emergency clinic with worsening pain in the abdomen. The patient reported experiencing mild abdominal pain for a long time, which worsened before the current presentation. The physical examination revealed an enlarged liver. Magnetic resonance cholangiopancreatography showed a notably enlarged liver with the presence of numerous cyst-like structures covering the liver (as shown in the image above).

From the image, can you diagnose this patient? Alpha-1 antitrypsin deficiency Amebiasis Autosomal dominant polycystic kidney disease Hepatocellular adenomas *This case challenge is from the Docplexus Editorial Team and is meant for educational purposes only. Source : New England Journal Of Medicine