A skin marking device that can be used in radiographic imaging comprising a platform having a handle, a marking member that extends from the handle over the platform, and radiographic markings. The platform has an opening that one end of the marking member is positioned over. The marking member also has a marking pad deployed on that end. When the marking member is depressed, at least a portion of the marking member extends into the opening in the platform allowing the marking pad to protrude from the opposite side of the platform. In use, the device is placed on or near a patients skin during radiographic imaging and the radiopaque markings are used to assist in proper placement of the device. Once proper placement is achieved, the marking member is depressed, which presses the marking pad through the opening to mark the patients skin at the desired location.