Review Question - QID 210863

A 38-year-old man with a history of hypertension presents to his primary care physician for a headache and abdominal pain. His symptoms began approximately 1 week ago and have progressively worsened. He describes his headache as pressure-like and is mildly responsive to ibuprofen. His abdominal pain is located in the bilateral flank area. His hypertension is poorly managed with lifestyle modification and chlorthalidone. He had 1 urinary tract infection that was treated with ciprofloxacin approximately 6 months ago. He has a home blood pressure monitor, where his average readings are 155/95 mmHg. His family history is notable for his father dying secondary to a myocardial infarction after having refractory hypertension and end-stage renal disease. His temperature is 98.7°F (37°C), blood pressure is 158/100 mmHg, pulse is 68/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical examination is notable for bilateral flank masses. Laboratory testing is significant for a creatinine of 3.1 mg/dL. Urinalysis is remarkable for hematuria and proteinuria. Which of the following will this patient most likely be at risk for developing?