today he came  for  follow up 
renal ultrasound showed   the slight increase in echogenecity of both kidney  could be related to the known medical illness 


cbc  showed    wbc   6,4   hgb   9,4  plt   263
esr 85 
creatinine   2.5 
albumin 2.3
protein/creatinine  ratio   5,1 
ANA negative 
c3  c4  normal 
pth   124


