today he came   for  follow up 
pth  700 
albumin/creatinine  ratio  2200 


renal us  showed    both kidney   appears   with  diffuse increase   parenchymal  echogenecity 
right kidney   11
left kidney  1.5 
normal   renal   size     and  cortical   thickness  without  evidacne of  left  renal mass     or  stone 
cortical thickness   1.3-1.5 

