Table 4 Diagnoses missed by CT and MRI (n = 14)
Final diagnosis | Clinical impression | N (% for total N) | Shape of mass | CT interpretation | MRI interpretation | Treatment | |
|---|---|---|---|---|---|---|---|
Clear RCC | TCC | 3 (4.41) | Case #1 | Solid | “3 (indeterminate RCC),” “4 (probably solid TCC)” | “3 (indeterminate RCC),” “4 (probably solid TCC)” | Nephroureterectomy |
AML | Case #2 | Solid | “4 (probably solid AML)” | “3 (indeterminate RCC),” “4 (probably solid AML)” | Percutaneous biopsy and partial Nx | ||
Complicated cyst | Case #3 | Cystic | “2 (probably fluid)” | “2 (probably fluid),” “3 (indeterminate RCC)” | Percutaneous biopsy and partial Nx | ||
Papillary or chromophobe RCC | Complicated cyst | 3 (4.41) | Case #1 | Cystic | “2 (probably fluid)” | “2 (probably fluid),” “3 (indeterminate RCC)” | Percutaneous biopsy and partial Nx |
Complicated cyst | Case #2 | Cystic | “2 (probably fluid)” | “2 (probably fluid),” “3 (indeterminate RCC)” | Percutaneous biopsy and partial Nx | ||
AML | Case #3 | Cystic | “3 (indeterminate RCC)” | “4 (probably solid RCC)” | Percutaneous biopsy and partial Nx | ||
Angiomyolipoma | RCC | 1 (1.47) | Case #1 | Solid | “3 (indeterminate RCC)” | “4 (probably solid RCC)" | Partial Nx |
Oncocytoma | RCC | 4 (5.88) | Case #1 | Solid | “3 (indeterminate RCC)” | “4 (probably solid RCC)” | Partial Nx |
RCC | Case #2 | Solid | “3 (indeterminate RCC)” | “4 (probably solid RCC)” | Partial Nx | ||
RCC | Case #3 | Solid | “4 (probably solid AML)” | “3 (indeterminate RCC)” | Partial Nx | ||
RCC | Case #4 | Solid | “4 (probably solid AML)” | “3 (indeterminate RCC)” | Partial Nx | ||
Adenocarcinoma | RCC | 1 (1.47) | Case #1 | Cystic | “3 (indeterminate RCC)” | “3 (indeterminate RCC)” | Partial Nx |
Multi-locular cyst | RCC | 1 (1.47) | Case #1 | Cystic | “4 (probably solid RCC)” | “3 (indeterminate RCC)” | Partial Nx |
Total | 14 (20.58 %) |