Incidental gall bladder findings, ranging from the more innocuous stones and mild CBD prominence to the more complex polyps, are common. ACR gave its recommendations on management/follow-up of incidental gall bladder and biliary findings in 2013 (you can read the closed-access article here). This was followed by a more comprehensive guideline for managing incidental gall …

Continue reading Management of Incidental Gall Bladder Polyps and Other Findings: ACR and ESGAR Guidelines

The management of incidental pancreatic cysts seen on CT/MRI is based on the patient's age, imaging features such as size and communication with the main pancreatic duct, and the fact that there is a slightly higher risk of developing pancreatic cancers in some of these patients (which arise separately from the cyst). You can read …

Continue reading Incidental pancreatic cyst management: ACR recommendations

Thyroid nodule management is quite complex, with multiple criteria and recommendations coming from different sources, including recommendations for incidental nodules seen on CT. Some of the recommendations are summarized below. Society of Radiologists in Ultrasound (SRU): The recommendations of the SRU, published in Radiology 2005 here, may appear a little dated now, but are still …

Continue reading Thyroid Nodule Management: SRU, ACR, and ATA Recommendations

There are two separate criteria for incidental lung nodule management. The more commonly used one is the Fleishner criteria, last updated in 2017. Note that the Fleishner criteria can not be applied to patients with known primary cancer, patients with immunosuppression, patients <35 years age, or to lung cancer screening, and need slice thickness ≤1.5 mm. …

Continue reading Incidental Pulmonary Nodule Management: Fleishner Society and LungRADS

Incidentalomas on Ultrasound: The Society of Radiologists in Ultrasound (SRU) have given guidelines for managing adnexal lesions detected on ultrasound, for simple cysts as also more complex lesions like hemorrhagic cysts and endometriosis. See the original open access article published in Radiology 2010 here, and its 2019 update here. Simple cysts in premenopausal women on …

Continue reading Adnexal/ Ovarian Incidentaloma Management: SRU and ACR Recommendations and O-RADS