Management of Radiology Incidental Findings in the Adnexa

Based on recommendations by the American College of Radiology (ACR), published as guidelines (white papers)
incidental-adnexal
Which option best describes the finding? *
* Exclusions:
(1) normal findings, including crenulated enhancing wall of corpus luteum, asymmetric ovary without mass, with normal shape
(2) calcifications without associated noncalcified mass
(3) previous characterization with ultrasound (US) or MRI
documented stability in size and appearance for 2 years.
What is the imaging modality?
How is the patient's menopausal status?
How is the patient's menopausal status?
Is the cyst fully characterized on this exam?
* Cyst is consistent with a simple appearing cyst, but characterization is limited by low signal-to-noise ratio, artifact, lack of contrast assessment, or incomplete anatomic coverage
Is the cyst fully characterized on this exam?
* Cyst is consistent with a simple appearing cyst, but characterization is limited by low signal-to-noise ratio, artifact, lack of contrast assessment, or incomplete anatomic coverage

Recommendation:

No further imaging

Recommendation:

No further imaging

Recommendation:

No further imaging

Recommendation:

No further imaging

Recommendation:

No further imaging

Recommendation:

Further characterization with ultrasound

Recommendation:

Ultrasound follow-up in 6-12 months

Recommendation:

Ultrasound follow-up in 6-12 months

Recommendation:

Ultrasound follow-up in 6-12 months

Recommendation:

Ultrasound follow-up in 6-12 months

Recommendation:

Further evaluation with ultrasound or MRI

Recommendation:

Further evaluation with ultrasound or MRI

Recommendation:

Further imaging per gynecology recommendations.

Recommendation:

Ultrasound follow-up in 2-3 months

Click here to visit the incidental findings page on ACR.

References:

  1. 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

Share your thoughts

Your email address will not be published. Required fields are marked *