This condition must be distinguished from ARPKD because it occurs only sporadically and not with a defined inheritance pattern, though it is more common than ARPKD. The cysts of multicystic renal dysplasia are larger and more variably sized than those of ARPKD. Often, multicystic renal dysplasia is unilateral. If bilateral, it is often asymmetric. If bilateral, oligohydramnios and its complications can ensue, just as with ARPKD.