ACR Incidental Findings Management Guidelines

Interactive radiology tools for managing incidental adrenal, adnexal, lung, mediastinal, cardiovascular, and pituitary findings on imaging.

Adnexal Incidental Findings

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 with documented stability in size and appearance for 2 years.
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Reference

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

Adrenal Incidental Findings

How are the imaging features? *
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Reference

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

Mediastinal and Cardiovascular Incidental Findings

Which incidental & asymptomatic finding have you identified? *
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Reference

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

Lung Incidental Findings

Which incidental & asymptomatic lung finding have you identified? *
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Reference

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.2021.04.014

Pituitary Incidental Findings

What is the imaging modality? *
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Reference

Hoang JK, Hoffman AR, González RG, et al. Management of Incidental Pituitary Findings on CT, MRI, and 18F-Fluorodeoxyglucose PET: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(7):966-972. doi:10.1016/j.jacr.2018.03.037

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