New diagnosis of von Hippel–Lindau on CT

Excerpt

A 38-year-old woman presented to the emergency department with weakness and ambulatory dysfunction. She had been experiencing weakness in all four extremities for some time, but she experienced a recent progression of ambulatory dysfunction, and this prompted her visit to the hospital. She was alert and oriented, but weak in all four extremities on physical exam. She had no significant past medical or surgical history. Her father and two of her sisters have von Hippel–Lindau disease. Laboratory studies, including complete blood count, basic metabolic panel, and liver function tests, including a coagulation panel, were within normal limits. Microscopic hematuria was identified on urinalysis. A computed tomography (CT scan) of the chest, abdomen, and pelvis was ordered for further evaluation. …