Examining the anterior right kidney. Frequent lack of appreciation in examination of the right upper quadrant.
An anteriorly positioned lower pole of the right kidney is often unappreciated on physical examination. Yet, on review of a large number of abdominal sonograms, more than 12% of the patients had a right kidney with a lower pole sufficiently anterior in position so as to lie at the same depth as the anterior surface of the liver. In a group of patients referred for ultrasound evaluation of hepatomegaly, 20% proved to have a normal liver and an anteriorly positioned lower pole of the right kidney.
D000008:Abdominal Neoplasms / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D008297:Male; D010173:Palpation; D010808:Physical Examination; D011187:Posture; D012737:Sex Factors; D014463:Ultrasonography