This research poster is about the roles of ultrasound (US) and computed tomography (CT) in the imaging and diagnosis of patients with kidney failure. It emphasizes their strengths, weaknesses, and ability to diagnose accurately. Kidney failure is described as the partial or complete loss of kidney function. There are two main kinds of kidney failure, acute and chronic. Acute kidney failure happens suddenly, usually in people who were injured or are already critically ill. Chronic kidney disease develops over time and may not cause symptoms until much later. It is necessary to be precise and timely in imaging to aid in the clinical diagnosis and treatment of the patient. The faster kidney failure is caught and diagnosed, the better off the patient will be. The benefits of ultrasound include its accessibility, lack of ionizing radiation, and cost-effectiveness. It serves as a primary diagnostic tool and is useful in evaluating kidney size, structure, and any possible obstructions. Its strengths lie in the initial assessment and ongoing monitoring of the patient. On the other hand, CT imaging offers higher resolution and detailed anatomical information, crucial for detecting complex pathologies such as renal masses, and complications not as easily visualized by ultrasound. This paper reviews comparative studies, explaining situations where the benefits of using CT outweigh its higher cost and radiation exposure, and the benefits of using US for continued monitoring. The combined use of these imaging modalities can enhance diagnostic accuracy, improve patient outcomes, and optimize the management of kidney failure. This paper discusses the need for a tailored imaging approach, considering patient-specific factors and clinical scenarios, to utilize the strengths of both ultrasound and computed tomography in the evaluation of kidney failure.