It is often confusing to decide what to do about an incidental prominent to mildly enlarged paratracheal or subcarinal node seen on a chest CT. The ACR gave detailed guidelines on managing these and many other similar incidental findings on a chest CT in an open-access 2018 article. Apart from the tables below, the article  published recommendations on reporting incidental thoracic aortic and pulmonary arterial dilatation and coronary artery calcifications, which you can read here in more detail.

Evaluation of Incidental Mediastinal Node 

Evaluation of Incidental Asymptomatic Mediastinal Mass

Evaluation of Incidental Asymptomatic Pericardial Abnormality

– Akshay Baheti, Tata Memorial Hospital

PS: All images are a copyright of the original published article.