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Marhuenda A et al. - When a cystic mass is evaluated, a surgical cyst can be suspected only if enhancement is present. Calcification in a cystic renal mass is not as important in diagnosis as the presence of associated enhancing soft-tissue elements. MR imaging may depict additional septa, thickening of the wall and/or septa, or enhancement, which may lead to an upgraded Bosniak cyst classification and can affect case management.

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