A system and method for determining endoscopic dimensional measurements including a projector assembly comprising a light source (120) for projecting light through a telecentric lens (135) and into a surgical site (S), and a mask (140) coupled to the projector assembly. Light projected from the light source projects through the mask. The projected light through the mask may be a collimated pattern which does not significantly change in size as a function of the distance to a projected plane. The projected light patterns may include multiple wavelengths of light for measurements of different features of tissue and may be produced using a laser in conjunction with a light shaping optical diffuser, or using a light emitting diode in conjunction with a light shaping optical diffuser, or using a spatial filter. The projected light patterns may take the form of concentric rings with each ring representing a radius of a given dimension.