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. Author manuscript; available in PMC: 2019 Dec 28.
Published in final edited form as: Abdom Radiol (NY). 2019 Apr;44(4):1423–1429. doi: 10.1007/s00261-018-1851-2

Table 4.

Core structured template for the reporting of indeterminate renal masses evaluated at renal mass protocol CT or MRI

Core template Dictation picklist
Mass size (single largest dimension) [X] cm
Growth rate Previously [X] cm on [most recent relevant comparison date] and [X] cm on [oldest relevant comparison date]
Mass type [Cystic/solid/indeterminate]
Bosniak classification [Not applicable (not a cystic mass)/Bosniak I (simple cyst)/Bosniak II/Bosniak IIF/Bosniak III/Bosniak IV]
Macroscopic fat [Yes/no]
Solid enhancement [Yes/no/equivocal]
Axial location [Anterior/posterior/neither anterior nor posterior]
Craniocaudal location [Upper pole/interpolar/lower pole]
Mass margins [Circumscribed/infiltrative]
Capsular location [≥ 50% exophytic, < 50% exophytic, endophytic]
Distance to the sinus fat or collecting system [X] cm
Tumor thrombus (distal extent) [No tumor thrombus/ipsilateral renal vein (no IVC extension)/IVC < 2 cm above renal vein/IVC ≥ 2 cm above renal vein but below hepatic veins/IVC above hepatic veins but below diaphragm/IVC above diaphragm/into right atrium]
Bland venous thrombus [Yes/no] (optional free text description to follow)
Lymph nodes [Normal/possible nodal metastases/definite nodal metastases] (optional free text description to follow)
Metastases in field of view [None/possible distant metastases/definite distant metastases] (optional free text description to follow)

Items in brackets are input variables; lists separated by slashes represent input variable options