Management of Radiology Incidentalomas

Management of incidental findings on imaging (i.e. incidentalomas) based on recommendations by the American College of Radiology (ACR), published as guidelines (white papers)

In which organ have you identified an incidental finding?

Adnexa (CT/MRI)
Adrenal gland
Mediastinum (+ Pericardium)
Lungs
Pituitary
References:

  1. Munden RF, Carter BW, Chiles C, et al. Managing Incidental Findings on Thoracic CT: Mediastinal and Cardiovascular Findings. A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(8):1087-1096. doi:10.1016/j.jacr.2018.04.029
  2. Munden RF, Black WC, Hartman TE, et al. Managing Incidental Findings on Thoracic CT: Lung Findings. A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2021;18(9):1267-1279. doi:10.1016/j.jacr.2021.04.014M
  3. Mayo-Smith WW, Song JH, Boland GL, et al. Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2017;14(8):1038-1044. doi:10.1016/j.jacr.2017.05.001
  4. Patel MD, Ascher SM, Horrow MM, et al. Management of Incidental Adnexal Findings on CT and MRI: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2020;17(2):248-254. doi:10.1016/j.jacr.2019.10.008
  5. Munden, R. F., Carter, B. W., Chiles, C., MacMahon, H., Black, W. C., Ko, J. P., McAdams, H. P., Rossi, S. E., Leung, A. N., Boiselle, P. M., Kent, M. S., Brown, K., Dyer, D. S., Hartman, T. E., Goodman, E. M., Naidich, D. P., Kazerooni, E. A., Berland, L. L., & Pandharipande, P. V. (2018). Managing Incidental Findings on Thoracic CT: Mediastinal and Cardiovascular Findings. A White Paper of the ACR Incidental Findings Committee. Journal of the American College of Radiology : JACR, 15(8), 1087–1096. https://doi.org/10.1016/j.jacr.2018.04.029
  6. Hoang, J. K., Hoffman, A. R., González, R. G., Wintermark, M., Glenn, B. J., Pandharipande, P. V., Berland, L. L., & Seidenwurm, D. J. (2018). Management of Incidental Pituitary Findings on CT, MRI, and 18F-Fluorodeoxyglucose PET: A White Paper of the ACR Incidental Findings Committee. Journal of the American College of Radiology : JACR, 15(7), 966–972. https://doi.org/10.1016/j.jacr.2018.03.037

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