Incidental Imaging Finding

Incidentaloma
1. Advanced imaging incidental finding that has unclear significance

Probably normal
1. See Incidental findings as above
2. Provide written and oral precautions to discuss findings with primary provider
Uncertain significance
1. Additional imaging and evaluation will be needed
2. Recommend follow-up to discuss findings and further evaluation
Highly suspicious finding
1. Arrange immediate follow-up with either primary provider or specialist
2. Contact the provider (phone, EMR message)
3. Involve a family member if available and patient agrees

Best prevention of Incidentalomas is to limit advanced imaging to only when specifically indicated
Incidental findings are common (4.5% to 33% of imaging reports), but <10-50% are notified in their discharge paperwork