 10.7     hgb
wbc   4.7   plt    245
creatinne   3.5

pcr4.9


plan 
add  zimical add   arnsp 
add acidal 
rtc after one month

abdominal us   showed   right kidney  10.7  with cortical thickness      1.3 
left kidney    96   cm  with cortical thickness   1.2 
liver normal 
spleen  13 
prostat normal 
