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A 53-year-old man presents to his physician, because he has blood in his urine and some low back pain. A gross specimen of kidneys from a patient with the same condition is shown in the image. Which of the following also is associated with this disorder?

(A) Astrocytomas
(B) Berry aneurysm
(C) Ectopic lens
(D) Optic nerve degeneration

 (E) Squamous cell carcinoma

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