Putting together lesions in the brain, retina, kidney and pancreas.

Quiz A 40-year-old Malay lady presented with a 6-month history of headache. She had a past history of a left nephrectomy 6 years ago. Neurological examination revealed generalised brisk limb reflexes and right ataxia. Additional clinical findings were a ballotable right kidney and bilateral retinal capillary hemangiomas. Brain magnetic resonance imaging (MRI) and abdominal computed tomographic (CT) imaging are shown below.