How Do You Solve a Problem Like Incidentalomas?

Leonard Berlin, MD, FACR


Appl Radiol. 2013;42(2):10-12. 

In This Article


Ultimately, radiologists must decide for themselves how to solve the problem of incidentalomas. One suggested approach would be to call attention to the finding; eg, by stating, "An incidental finding of a 5-mm nodular density in the liver is noted. The likelihood that this represents significant pathology is extremely remote." In this manner, the radiologist is expressing the opinion that there is a very low likelihood of serious disease, but leaving the decision on what, if any, follow-up diagnostic or therapeutic procedures to pursue up to the referring physician and the patient.