Table 3: Bosniak Renal Cyst Classification. Adopted from Eknoyan G. A Clinical View of Simple and Complex Renal Cysts. J Am Soc Nephrol 20: 1874-1876, 2009

Category Cyst Wall Septae Calcification Enhancement
I Hairline thin No No No
II Minimal regular thickening Few, hairline thin Smooth, hairline thin No
IIF Minimal regular thickening Multiple, minimal smooth thickening Thick, nodular No
III Irregular thickening Measurably thick, irregular Thick, nodular, irregular Yes
IV Gross irregular thickening Irregular gross thickening Thick, nodular, irregular Yes, tissue and cyst