![]() ![]() Ribs cover the upper third of each kidney. Notice in the following image, shown from a lateral view, that the most posterior intercostal space on each side usually gives a long axis, coronal view of the kidneys. The cephalad portion of the kidney is tilted posteriorly. The vessels in this region were covered in a previous chapter but are labeled again in this frontal anatomy diagram. ![]() The left kidney may lie more cephalad than the right kidney. However, these beans are not identically shaped and are rotated medially. ![]() The kidneys lie in the retroperitoneum, behind all other abdominal organs, and really are shaped like “beans”. However, spotting a larger adrenal mass can be an important finding for some patients. Ultrasound is not sensitive for evaluating adrenal glands, so we do not need to worry about increasing the diagnosis of small incidentalomas. The adrenal glands are small and near the kidneys, so large lesions in the adrenal need to be recognized during a kidney exam. However, it is important to identify some additional kidney diseases. IMBUS of the kidneys is most frequently needed in clinic for the question of hydronephrosis. How to Save and Send studies from SonoSite. ![]()
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