instruction: hi doctor I am a 74 year old male for the past two years I am house ridden but not bedridden yet I feel tired after walking a mere half a kilometer I walk with the help of a walking stick because I lose balance while walking sometimes I feel orthostatic hypotension I consulted a cardiologist a pulmonologist an endocrinologist and a urologist cardiologist took an egg and an echocardiogram he ruled out heart trouble even though I had undergone aortic valve replacement six years back pulmonologist asked me to take a thoracic it scan and did not find any significant malignancy of the lungs urologist who 10 years ago diagnosed me having gu aft and cured me with a six month course of aft treatment ruled out recurrence of aft in gu area endocrinologist prescribed various tests like serum cortisol test thyearoid test act test and ruled out addison or cushing disease last week when I was going through those records I read in the thoracic it scan report that my right adrenal gland has hyperplasia on the internet I found that hyperplasia means growth of additional cells since the previous it scan was one and a half years old I decided to have another it scan of abdomen to find out the condition of my right adrenal gland hyperplasia I knew that I cannot have an mri scan as I had a replaced aortic valve the radiologist had my serum creatinine tested before administering me with the liquid necessary for contrast the new it scan report appeared to me as a death sentence the report did not find any change in adrenal hyperplasia but the report of my kidneys appeared to be concerned I consulted a nephrologist in a renowned leading hospital in my area he did not prescribe any treatment for me at all he even chastised me for taking a it scan telling me about the radiation effect of the scan and effect on kidneys of the contrast liquid he asked me to come back after six months after thinking about it for the past one week I have come to the conclusion that the honorable doctor decided that my kidney condition is terminal and it is futile to prescribe anything as I spend lots of time surfing on the internet I had a whim of having a second opinion online
output: hi please attach all your it reports and your blood profile for my best opinion thanks revert back with the reports to a nephrologist online