H.3.5 Multiple renal calculi causing chronic pyelonephritis

  • Cut open longitudinally.
  • This kidney is distorted.
  • Scarring is noted on the surface.
  • Cut surface – Cortico-medullary demarcation is not distinct.
  • Fibrous streaks are seen in some areas.
  • The pelvicalyceal system is dilated.
  • The lining of the pelvis appears irregular and thick.
  • There is a staghorn calculus seen in the upper part of the dilated renal pelvis.
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