Generalized Vaccinia in Infancy

ACUTE RADIATION NEPHRITIS IN CHILDHOOD MEDICALJSHORNAL dilatation.The lungs showed severe pulmonary oedema and there were serous transudates in both pleural cavities and in the peritoneal cavity.The right renal pedicle was free from disease, and the right kidney (84 g.), which was somewhat larger than usual, was embedded in very fibrous perirenal fat containing an apparently encapsulated tumour (diameter 3.5 cm.) showing foci of haemorrhage and necrosis.The lower pole of the kidney was distorted by this mass.At the upper pole the capsule stripped easily, leaving a smooth speckled surface, but over the lower pole adjacent to the tumour it was densely adherent.The cortex was a little broader than normal and showed accentuation of its markings and prominence of the glomeruli.The medulla was congested and the intrarenal vessels were not unduly prominent.The pelvis was normal, but the upper part of the right ureter, although embedded in the sclerotic perirenal tissue, was patent.There was an irregular haemor- rhagic speckling of the lower part of the right lobe of the liver overlying the right kidney.No other significant