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
c. Autosomal dominant polycystic kidney disease
d. Hepatocellular adenomas
e. Tuberous sclerosis
Please post your answer in the comment section below. The Correct answer will be posted on Thursday (28th May).