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Brown Corpus
The kidneys were pale and weighed right, 110 gm., and left, 230 gm..
The surfaces were coarsely and finely granular and punctuated by clear, fluid-filled cysts measuring up to 3 cm. in diameter.
On the surface of the right kidney there were also 2 yellow, firm, friable raised areas measuring up to 2 cm. in diameter.
Microscopically, both kidneys showed many small cortical scars in which there was glomerular and interstitial fibrosis, tubular atrophy, and an infiltration of lymphocytes and plasma cells.
Occasional tubules contained hyaline casts admixed with neutrophils.
Throughout, there were marked arteriolosclerosis and hyalinization of afferent glomerular arterioles.
These changes were more marked in the atrophic right kidney than in the left.
In addition, there were 2 small papillary adenomas in the right kidney.
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