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This fissure is a hilum that transmits the vessels, nerves, and ureter. From anterior to posterior, the renal vein exits, the renal artery enters, and the renal pelvis exits the kidney. On the left hand side the hilum is located at the L1 vertebral level and the right kidney at level L1-2. The lower border of the kidneys is usually alongside L3.
The right kidney is often found more caudally and is slimmer than the left kidney, which may have a so-called dromedary hump due to its proximity to the spleen. The kidney is surrounded by a capsule separating the kidney from the echogenic perirenal fat, which is seen as a thin linear structure.
The right vertical limb of the "H" defines the left and right functional lobes, while the left vertical limb of the "H" defines the right and left anatomical lobes. The horizontal line between the vertical limbs of the "H" represents the porta hepatis. The quadrate and caudate lobe lie superior and inferior to this line respectively.
[citation needed] A large "staghorn" kidney stone may block all or part of the renal pelvis. The size of the renal pelvis plays a major role in the grading of hydronephrosis . Normally, the anteroposterior diameter of the renal pelvis is less than 4 mm in fetuses up to 32 weeks of gestational age and 7 mm afterwards. [ 2 ]
Horizontal fissure or Transverse fissure: found between the cerebrum and the cerebellum. Note that a "transverse fissure" can also be found in the liver and lungs. Longitudinal fissure or Medial longitudinal fissure: which divides the cerebrum into the two hemispheres. Occipitoparietal fissure: found between the occipital and parietal lobes of ...
The kidney is surrounded by tough fibrous tissue, the renal capsule, which is itself surrounded by perirenal fat, renal fascia, and pararenal fat. The anterior (front) surface of these tissues is the peritoneum, while the posterior (rear) surface is the transversalis fascia. The superior pole of the right kidney is adjacent to the liver.
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Blood enters the kidney through the renal artery, [55] which in the multilobar kidney branches in the area of the renal pelvis into large interlobar arteries that pass through the renal columns. [ 10 ] [ 109 ] The interlobar arteries branch at the base of the pyramid, giving rise to arcuate arteries , from which the interlobular arteries extend ...