<s>[INST] I had a Renal Scan done which said that on my right kidney I have 35% Perfusion and 44% perfusion. mild Cortical thinning or scaring in the mid lateral kidney. Now I am just waiting to get another test done, a cystogram. I have been having pain for some time now. I also have stones that are hight up in my kidneys. But I know Im not passing them. I have passed stones before and this pain is different. This pain makes me feel week, it is more dull but at the same time it sometimes takes my breathe away. I have been a little short on breathe and my blood pressure use to be 115/77, last few months it has been 130 to 150 over 79 to 90, my heart rate has been from 110-143. I dont know if these symptoms are related to one problem. and how serious is the condition with my kidneys, what kind of treatment [/INST] You have not mentioned if you have an obstruction due to the stones. Most likely you are having it along with infection. What are the findings of urine routine and culture tests. The cortical thinning and scarring you mentioned is due to Chronic Pyelonephritis which is a result of persistent or recurrent infection of urinary tract and results in gradual damage to kidneys function. Along with the histogram get a urine culture done and decide further treatment accordingly. </s>