77    yearas old male patinet 
knonw to have      for the last  10 years 
hypertensio for the last   10 years 
chronic  kidney disease  and his creatinine was  1,3  


he   found to have    renal mass for   evaution 
no  weight loss 
no hematuruaimild  hystency

medication 
liponil 40 mg once 
metformin 1x2 
sitaglu 
asa   100 mg once 
omnic  0.4 