64     years old mmae pt 
dm    for the las t 15 
htn     21   hyears
dld     for the last     f ew years
no ishcemic heart  disease 

chronic kidney doisease 
  before  3  years    


9/2024  both kidney shwoed  size of  8 cm 
  base lince   cratinine  3,5  before    one yeatr8