== Clinical Summary ==
This 64-year-old white man had a history of hypertension, adult-onset diabetes, gouty arthritis, chronic obstructive pulmonary disease (COPD), and chronic anemia. The patient was in end-stage renal failure due to polycystic kidney disease and he required renal dialysis. His mother and a brother both died from renal complications.
This 64-year-old white man had His terminal admission was for congestive heart failure and ventricular tachycardia. He underwent a history of hypertension, adult-onset diabetes, gouty arthritis, chronic obstructive pulmonary disease coronary artery bypass grafting (COPDCABG), chronic anemia, bleeding from colonic polyps, and bleeding from gastric ulcers. The patient was in end-stage renal failure due to polycystic kidney disease and operation but two days after the operation he required renal dialysis. His mother developed pneumonia and a brother both died from renal complications.
His terminal admission was for congestive heart failure At autopsy the kidneys were markedly enlarged. The right kidney weighed 1660 grams and ventricular tachycardia. He underwent a coronary artery bypass grafting (CABG) operation after which he was ventilator-dependent. Two days after the operation he developed pneumonia and diedleft kidney weighted 1780 grams.
== Autopsy Findings ==
