Noncontrast CT Contrast-enhanced CT Cystic mass Solid mass or too small to characterize Fat containing

Nodule on CT or MR Nodule on PET or NM Nodule on non-thyroid US

Incidental Findings Quick Guide

Fast access to evidence-based guidelines and recmmendations for radiology incidental findings. Copy the wording you need and drop it into your report.

How to Use

Choose a tab: Click the topic (e.g., Liver Mass, Pulmonary Nodule). Some tabs have subtabs—hover and pick the right one.
Find the matching box: Use size, imaging features, and risk category to locate the correct recommendation.
Click the box: The text is copied to your computer's clipboard automatically.
Paste into your dictation/report: Use Ctrl/Cmd + V (or your system’s paste) in PowerScribe, Fluency, Epic SmartText, etc.

Tips & Notes

Direct links: You can load a pathway by URL (e.g., /#liverMass).
Double-check context: These are guideline excerpts—ensure they match your patient and clinical scenario.
Guidelines evolve: For complex cases, review the full documents or latest literature.
Too bright: Toggle dark mode in the top right!
Feedback: Spot an error or missing branch? Let Dr. McBee know so that it can be fixed.

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

Note.—These recommendations do not apply to lung cancer screening, patients with immunosuppression, or patients with known primary cancer.

*Dimensions are average of long and short axes, rounded to the nearest millimeter.

†Consider all relevant risk factors (see Risk Factors).

MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, Mehta AC, Ohno Y, Powell CA, Prokop M, Rubin GD, Schaefer-Prokop CM, Travis WD, Van Schil PE, Bankier AA. Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017. Radiology. 2017 Jul;284(1):228-243. doi: 10.1148/radiol.2017161659. Epub 2017 Feb 23. PMID: 28240562.

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

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

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

Herts BR, Silverman SG, Hindman NM, et al. Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(2):264-273. doi:10.1016/j.jacr.2017.04.028

Herts BR, Silverman SG, Hindman NM, et al. Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(2):264-273. doi:10.1016/j.jacr.2017.04.028

Herts BR, Silverman SG, Hindman NM, et al. Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(2):264-273. doi:10.1016/j.jacr.2017.04.028

Herts BR, Silverman SG, Hindman NM, et al. Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(2):264-273. doi:10.1016/j.jacr.2017.04.028

Herts BR, Silverman SG, Hindman NM, et al. Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2018;15(2):264-273. doi:10.1016/j.jacr.2017.04.028

Gore RM, Pickhardt PJ, Mortele KJ, et al. Management of Incidental Liver Lesions on CT: A White Paper of the ACR Incidental Findings Committee. J Am Coll Radiol. 2017;14(11):1429-1437. doi:10.1016/j.jacr.2017.07.018

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

Hoang JK, Langer JE, Middleton WD, et al. Managing incidental thyroid nodules detected on imaging: white paper of the ACR Incidental Thyroid Findings Committee. J Am Coll Radiol. 2015;12(2):143-150. doi:10.1016/j.jacr.2014.09.038

Hoang JK, Langer JE, Middleton WD, et al. Managing incidental thyroid nodules detected on imaging: white paper of the ACR Incidental Thyroid Findings Committee. J Am Coll Radiol. 2015;12(2):143-150. doi:10.1016/j.jacr.2014.09.038

Hoang JK, Langer JE, Middleton WD, et al. Managing incidental thyroid nodules detected on imaging: white paper of the ACR Incidental Thyroid Findings Committee. J Am Coll Radiol. 2015;12(2):143-150. doi:10.1016/j.jacr.2014.09.038

Kamaya A, Fung C, Szpakowski JL, et al. Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations. Radiology. 2022;305(2):277-289. doi:10.1148/radiol.213079

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