Few x-ray findings are abnormal with CKD. Bone x-rays of the hand can show renal osteodystrophy.
With long term ESKD the kidneys have shrunk and may be 8 to 9 cm or smaller. This small size results from atrophy and fibrosis. If CKD progresses suddenly a kidney ultrasound or CT scan without contrast medium may be used to rule out and obstruction.