1. Case study Clinical scenario: A 22-year-old female transferred to your clinic from another facility. She sees you for the first time today. She states that she has a 2 cm indeterminate renal mass that was incidentally detected during a work-up for a suspected kidney stone almost 3 years ago. Her previous physician told her that it needed to be re-imaged within 3 years. She does not remember what imaging test was used to detect the mass. She denies any new symptoms or blood in her urine. She is here for an imaging test. Please click on the arrow to order an imaging test for your patient. Next

2. Initial ordering options

3. Clinical evidence

4. Estimated radiation exposure & health risk

5. Cost OrderStudy optionEstimated cost of study CT abdomen without and with contrast $916 MRI abdomen without and with contrast$1,478 US kidney retroperitoneal with Doppler$272 The American College of Radiology Appropriateness Criteria® suggests that the following three imaging tests are usually clinically appropriate in this clinical scenario, but they differ with respect to estimated cost. The reimbursement shown below are the Centers for Medicare and Medicaid Services (CMS) national average (includes professional and technical fee). Knowing this, which medical imaging study would you order for this patient? ORDER