Abstractoccur during embryonic development. These anomalies can lead to significant morbidity and mortality if not timely diagnosed and managed. This review aims to explore the key role of Computed Tomography (CT) scans in examining congenital renal anomalies by analysing peer-reviewed articles, case studies and clinical guidelines. This review outlines common anomalies, assesses CT’s diagnostic accuracy and protocols, and explores its clinical implications. A comprehensive literature search from 2019-2023 was conducted using various databases and keywords, including “congenital renal anomalies”, “computed tomography”, and “imaging protocols” to ensure the inclusion of pertinent studies. It highlights recent advancements in CT technology that address concerns about radiation exposure while maintaining diagnostic quality. Ultimately, it provides future research directions for healthcare professionals to optimise CT use in diagnosing and managing congenital renal anomalies with the goal of improving patient care.