Question category: Nephrology
A 73 year old gentleman presents to his GP with significant peripheral oedema. He has a past medical history of well controlled type 2 diabetes mellitus. He is also complaining of fatigue. Over the last few months he has been taking diclofenac for his osteoarthritis. A urinalysis leaves protein 3+ and bloods reveal a urea of 12.1 and a creatinine of 210. These had been normal 3 months ago. Which of the following would you expect to find on renal biopsy?