<s>[INST] Hi sir, My mother is an anemic patient with hypertension since last 5 years, she has been diagnosed with bilateral renal disease in ultrasound scanning report of abdomen. Her uterus is Atrophic, right kidney size is 8.1x2.6cms. left kidney measured 8.8x3.2cms. both kidneys show echotexture s/o renal diseas. Kindly guide us, whether it is a chronic renal failure or sickle cell anemia effect. Thanks in advance. [/INST] Dear friend, welcome and thanks for entrusting your query here at HCM! I am Dr. Prasad Akole (Critical Care Expert-  and am glad to address to your query here. Did she have sickle cell anaemia earlier? It is chronic kidney disease and anaemia is part of it (if sickle was not there earlier). If sickling was pre-existing, it could cause progressive renal failure too. You should be carefully guided by your nephrologist and physician. You should not neglect as treatment can result in improved living. I hope you are fully satisfied with the guidance I gave. I would be glad to answer any further queries. May I request you to rate your experience here before you close. Thank you and Good luck! </s>