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Marked diffuse abnormal T1 and T2 weighted low signal throughout the renal cortices bilaterally. This has worsened since the previous MRI from 2015, and was not present on the more remote MRI from 2009. On review of the patient's EMR, I note he has a diagnosis of hemolytic anemia. Appearance of the kidneys is favored to represent iron deposition secondary to chronic hemolysis.