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; or (4) 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

References:

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