Renal - AP Renal Area (Expiration)

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Renal - AP Renal Area
Area Covered	Kidneys, proximal ureter
Pathology shown	opaque renal stones, hydronephrosis
Radiographic Anatomy	Abdomen Radiographic Anatomy
IR Size & Orientation	24 x 30 cm Landscape
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Moving or Stationary Grid
Filter	No
Exposure	75 kVp 35 mAS
FFD / SID	100 cm
Central Ray	Directed to the midsaggital plane at the midpoint between the distal sternum and the lower costal margins Perpendicular to the IR
Collimation	Centre: To the midsaggital plane at the midpoint between the distal sternum and the lower costal margins Shutter A: Open to include renal outline superiorly and inferiorly Shutter B: Open to include the renal outlines laterally
Markers	Inferior and Lateral Marker orientation AP
Shielding	Gonadal (check your department's policy guidelines)
Respiration	On suspended expiration (check departmental technique protocol)
Positioning	Patient is supine and positioned without rotation of the torso Ensure there are no artefacts such as zips or buttons over the area being imaged Centre the midsaggital plane of the patient to the midline of the IR
Critique PACEMAN	Positioning No rotation as evidenced by the pedicles of the vertebrae are the same distance from the spinous processes on each side Area Covered Outline of the kidneys and the proximal ureter Collimation Centre: Approximately at the level of Lumbar vertebra L1 Shutter A: Open to include kidneys both superiorly and inferiorly Shutter B: Open to include the lateral renal outlines Exposure There should be adequate exposure and no patient motion so that the following anatomy is demonstrated the outline of the kidneys skeletal structures such as the posterior ribs and vertebrae
Special Notes