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This 1727-year-old white male had end-stage renal disease requiring hemodialysis for 10 years. For the previous four years he had hypertension which slowly increased to about 180/120 mm Hg. Laboratory findings included a greatly markedly elevated BUN and creatinine. He was admitted for underwent bilateral nephrectomy and discharged in satisfactory condition was placed on the 10th postoperative daytransplant list. He  On examination the kidneys were similar in appearance. Cortices were pale, diffusely granular with a few 1-2 mm cysts. On being sectioned, the cortex of each kidney was to be contacted thin (4-5 mm) and pale. Renal medullae were pale yellow-tan in the future for transplantationcolor and there was abundant peripelvic fat. The ureters, pelvis, calyces and hilar vessels showed no abnormalities.