35  years old male pt 
suffered from  flank  trauma   at the age of  16 
leading to  left side  renal imparement 


he  hs  discopathy and left  knee  pain 
he received   NSAID 

2023   CREATININE 
CREATININE   2025     1.4 
URINE ANALYSIS  +1  PROTEIN 

PLAN 
MAG 3 
LABS 

RENAL US
echgenicty     and  atrophied kidney      4  cm   containing   small  cystic leasion  changhes up to 5 mm 


copensated  right kidney   14.5      and contrical thickness   2-2.5 
other  wise  norma 