Here are the additional EM photos with high magnification:

Picture 2 you fisrt posting showed a lot of foamy cells and some things like HP  in a tubular cavity in the centre of picture. About picture 7, i can see one capillary loop and its endothelial cell, i'm doute of  like a tadpole someting different in the capillary cavity , can you tell me, thank you very much.

 Yes, I agree with your observation that there are a lot of foamy cells. The most impressive change is the lamination or splitting of the glomerular basement membrane.

 In the photo #7, there are three platelets in the capillary lumen. I don't know their significance.

 In the photo #7, there are three platelets in the capillary lumen. I don't know their significance.

Thank you，to combine the splitting of the glomerular basement membrane with a lot of foamy cells infiltration, I first take into account Alport Syndrome, but the age of the patient is too old, so Alport Syndrome seems unlikely. Under LM, the glomerulosclerosis and tubular atrophy/interstitial fibrosis. Please comment, thank you

 The patient has a long history of "chronic kidney disease". Initially, he did not tell the nephrologist that he started to have kidney disease decades ago. Given the characteristic ultrastructural changes, Alport's syndrome is suggested.