Q. A 60-year-old female presents to your clinic with complaints of abdominal pain and a palpable mass in her abdomen. On physical examination, her blood pressure is 160/95 mm Hg, heart rate 72/min, respiratory rate 20/min, and oxygen saturation is 99 percent on room air. The patient is alert and oriented, and in no acute distress. A neurologic examination is normal. Auscultation of her chest reveals a normal cardiopulmonary assessment. Palpation of her abdomen reveals a large, irregularly shaped left-sided mass that is non-tender, mobile, and non-pulsatile. The patient's skin examination is normal with no stigmata of chronic liver disease or jaundice. Her extremities are normal with no edema, and peripheral pulses are 2 plus and symmetric. You order a urinalysis and bloodwork, which shows gross hematuria, and a slightly elevated creatinine level with decreased estimated glomerular filtration rate. You subsequently order a CT scan of her abdomen and pelvis (see image), which demonstrates multiple cysts of varying sizes throughout both kidneys, with the largest cyst measuring 8 cm in diameter. The cysts are causing significant enlargement of the kidneys, with the right kidney measuring 18 cm and the left kidney measuring 16 cm. The renal parenchyma is compressed and displaced by the cysts, and there is evidence of cyst wall calcification. Which of the following statements is NOT true regarding her most likely diagnosis?