This consists of approximately half of each kidney, mounted to show on the face a very marked
reduction in cortical thickness, with increase in the extra pelvic fat. The pyramids, although apparently
intact, are small. The external surface shows gross nodular scarring.
This man was admitted to hospital in January 1977 with renal failure, and was subsequently
shown to have multiple myeloma. The history of renal failure goes back to 1968. At autopsy, the right
kidney weighed 50g., and the left 65g. Microscopically, these showed only nephrosclerosis. Clinically,
he had had epileptic fits and, at autopsy, a vascular haemartoma was found in the left temporal lobe
of the brain.