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What`s your Diagnosis ?

A 55-year-old man presents with a history of hypertension that is becoming more diffi cult to control
despite the use of three antihypertensive drugs over the last two years. Clinical examination
reveals a vascular bruit in the region of the right kidney. Renal function is normal. An MR angiogram of the renal arteries was performed..

Right Answer :Renal artery stenosis-
The right kidney is signifi cantly
smaller than the left.
- There is ostial stenosis of the right
renal artery.

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