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Clinical scenario:   12-year old boy with ureter obstruction       

Left kidney and ureteropelvic junction, nephrectomy and ureterectomy:      

-- Marked ureteral mural muscular hypertrophy and fibrosis consistent with UPJ obstruction

-- Severe hydronephrosis with diffuse cortical atrophy, focal chronic inflammation and fibrosis, secondary to obstruction

-- No renal dysplasia is identified. 

Slides examined:  3 H&E

CPT code:        88307

Note: Use this template first. Convert is later into table formats as shown in the Design section

Editor's comment:

This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.

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Clinical scenario:         

Left kidney, simple nephrectomy:      

-- Marked subacute and chronic ureteritis and pyelonephritis with mural fibrosis

-- Chronic interstitial nephritis and fibrosis

-- The inflammation appear to involve the distal end (margin of the ureter)

-- No significant glomerular sclerosis, hypertensive arteriopathy or malignancy identified

-- No adrenal gland tissue

Slides examined:  4 H&E

CPT code:        88307

Note: Use this template first. Convert is later into table formats as shown in the Design section

Editor's comment:

This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.

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Clinical scenario:   54-year old woman        

Left kidney and ureteropelvic junction, nephrectomy and ureterectomy:      

-- End stage renal disease with extensive hyalinized glomerular sclerosis (greater than 90%) and parenchymal atrophy

-- Diffuse severe chronic pyelonephritis and interstitial fibrosis

-- Focal stromal dystrophic calcification

-- Severe chronic inflammation and mural fibrosis of the ureters

-- No granulomas, abscess or renal epithelial neoplasm identified 

Slides examined:  3 H&E

CPT code:        88307

Note: Use this template first. Convert is later into table formats as shown in the Design section

Editor's comment:

This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.

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Clinical scenario:   43-year woman       

Right kidney, total nephrectomy:      

-- Prominent cystic change of calyxes and diffuse chronic pyelonephritis with prominent interstitial fibrosis and cortical atrophy, consistent with hydronephrosis

-- No glomerular disease or neoplasia identified

-- No significant histological abnormality in the ureter at resection margin

-- No adrenal gland tissue is present

Slides examined:  6 H&E

CPT code:        88307

Note: Use this template first. Convert is later into table formats as shown in the Design section

Editor's comment:

This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.

=============

Clinical scenario:   12-year old boy with ureter obstruction       

Left kidney and ureteropelvic junction, nephrectomy and ureterectomy:      

-- Marked ureteral mural muscular hypertrophy and fibrosis consistent with UPJ obstruction

-- Severe hydronephrosis with diffuse cortical atrophy, focal chronic inflammation and fibrosis, secondary to upj obstruction

-- No renal dysplasia is identified. 

Slides examined:  3 H&E

CPT code:        88307

Note: Use this template first. Convert is later into table formats as shown in the Design section

Editor's comment:

This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.