Microscopic report indicates     Epith. casts Hyaline casts   Broad (waxy) casts           Gran. casts Many broad (waxy) casts are seen, reflecting the marked proteinuria. There is evidence of lipiduria, an important element in the nephrotic syndrome. Oval fat bodies, note the Maltese Cross appearance when viewed with polarized light (PL). Many hyaline casts are noted. Few tubular cells and many tubular cell casts Some granular casts A few RBCs and WBCs are noted.