A 13-year-old female patient with known histopathologically proven nephronophthisis now presenting with flank pain. The patient is on chronic hemodialysis. Coronal plane T2W MR image shows multiple cysts in both kidneys located at the corticomedullary junction. There was no discernible healthy renal parenchyma in the kidneys. Also note that both kidneys (arrows) are small in their overall sizes in contrast to ARPKD