Q. A 55-year-old man presents to his primary care physician with a complaint of persistent left-sided abdominal pain. He has a history of hypertension and reports a family history of kidney disease. A physical examination reveals a palpable mass in his left lumbar region and blood work shows a creatinine level of 2.1 mg/dL. A CT scan confirms the presence of multiple cysts throughout both kidneys, and the patient is diagnosed with autosomal dominant polycystic kidney disease (ADPKD). Which of the following is a complication of ADPKD?