Figure 1

Cincinnati Children's Radiology

A teenager presents with hypertension. The ultrasound shows multiple hypoechoic (dark) cysts and areas of "twinkle" artifact. Based on the ultrasound appearance of the kidneys, what is the most likely diagnosis?

• Autosomal recessive polycystic kidney disease
• Autosomal dominant polycystic kidney disease
• Joubert Syndrome
• DICER1 mutation