49   years old male pt 
HTN   
DM 
CKD    DISCOVERED  IN THE LAST      2 YEARS 
when it was  discovered  it  was 1.8
he was  followed by dr bilal  and he  was  askked  to do biopsy which was done and it  showed  significant   fibrosis 


and then   he  had another  kidney biopsy  at jordan 