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Grand Rounds 03/13/13 @ BID-Needham - Bettina Siewert, MD  

Managing Incidental Findings on Body CT
Last Updated: Aug 12, 2014 URL: Print Guide RSS Updates
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Speaker: Date: Topic

Bettina Siewert, MD

Mar 13, 2013

Managing Incidental Findings on Body CT


    Obtaining the Powerpoint Presentation

    Contact Lauren Oliva at


      Responsibility for Content

      The main points and articles links were sent by the Medical Library and the CME Committee.

      Diane E. Young, Information Specialist



        Take-Away Points of the Lecture

        1.  Incidental findings less than 1 cm in size rarely need further evaluation.

        2.  Follow-up differs depending upon patient's risk at having a significant lesion and life expectancy.



          Links To Articles Cited in the Presentation

          1.  Berland LL et al: Managing incidental findings on abdominal CT: white paper of the ACR incidental findings committee. J Am Coll Radiol 2010 Oct;7(10):754-73. SEE PDF ATTACHED AT END OF LIST.


          2.  Lumbreras B et al: Incidental findings in imaging diagnostic tests: a systematic review. Br J Radiol 2010 Apr;83(988):276-89.



          3.  Wilhelm SM et al: Evaluation and management of incidental thyroid nodules in patients with another primary malignancy. Surgery 2007 Oct;142(4):581-6. SEE PDF ATTACHED AT END OF LIST.


          4.  Frates MC et al: Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement. Radiology 2005 Dec;



          5.  MacMahon H et al: Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 2005 Nov;237(2):395-400.


          6.  Jones EC et al: The frequency and significance of small (less than or equal to 15mm) hepatic lesions detected by CT. AJR Am J Roentgenol 1992 Mar;158(3):535-9.


          7.  Schwartz LH et al: Prevalence and importance of small hepatic lesions found at CT in patients with cancer. Radiology 1999 Jan;210(1):71-74.


          8.  Mueller GC et al: Effectiveness of MR imaging in characterizing small hepatic lesions: routine versus expert interpretation. AJR Am J Roentgenol 2003 Mar;180(3):673-80.


          9.  Tanno S et al: Natural history of branch duct intraductal papillary-mucinous neoplasms of the pancreas without mural nodules: long-term follow-up results. Gut 2008 Mar;57(3):339-43.


          10.  Dewhurst CE & Mortele KJ: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am 2012 May;50(3):467-86.  SEE PDF ATTACHED AT END OF LIST.


          11.  Song JH et al: The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol 2008 May;190(5):1163-8.


          12.  Boland GW et al: Incidental adrenal lesions: principles, techniques, and algorithms for imaging characterization. Radiology 2008 Dec;249(3):756-75.


          13.  Israel GM et al: Evaluation of cystic renal masses: comparison of CT and MR imaging by using the Bosniak classification system. Radiology 2004 May;231(2):365-71.


          14.  Iyer VR & Lee SI: MRI, CT, and PET/CT for ovarian cancer detection and adnexal lesion characterization. AJR Am J Roentgenol 2010 Feb;194(2):311-21.


          15.  Koh DM et al: Cross-sectional imaging of nodal metastases in the abdomen and pelvis. Abdom Imaging 2006 Nov-Dec;31(6):632-43.


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