KIDNEY - Chronic Rejection

The specimen consists of a kidney sectioned longitudinally. The kidney is oedematous and the renal capsule is thickened. There is loss of cortico-medullary demarcation and there is widespread haemorrhage and infarction within both the cortex and medulla. The collecting system is distended by blood stained fluid. The specimen is a chronic rejection kidney with super imposed infarction. The infarction is most pronounced in the upper and lower poles.