Stage IV Glomerulonephritis on Electron Microscopy This image shows acellular scanning EM of glomerular capillary loops from a biopsy with advanced membranous glomerulonephritis stage IV. There are shallow depressions and larger "craters" representing a second layer of basement membrane response on top of completely bridged GBM spikes. Dr. Stephen Bonsib via Arkana Laboratories @arkanalabs #membranous #glomerulonephritis #glomerulus #MGN #stage4 #ElectronMicroscopy #SEM #clinical #nephrology #pathology