Oral instructions that were not further recorded in the discharge paperwork also represent a failure to fully disclose findings to patients. ). Additionally, 259 patients were recommended for additional diagnostics. It is a multidisciplinary program structured to meet the core components of a high quality screening program outlined by the American Thoracic Society and American College of Chest Physicians. Incidental findings were divided in three categories: category I (potentially severe condition, further diagnostic work-up is required), category II (diagnostic work-up dependent on patients’ symptoms) and category III (findings of minor concern, no diagnostic work-up required). Of the incidental findings, 143 were deemed indeterminate requiring urgent investigations.
We recently published a study analyzing the presence of any incidental finding on the baseline low-dose CT scan. ). This may be a reflection of the difference between being discharged from the emergency department and being discharged from the hospital as an inpatient, when there is more time to workup these incidental findings and provide appropriate followups. The aim of this study was to evaluate the number of incidental findings in adult trauma patients.

Prevalence and outcomes of incidental imaging findings: umbrella review. While many of these findings may not warrant followup, some represent potentially life-threatening conditions, such as aortic dilations and pulmonary nodules, which only had 33.3% and 25% reporting rates, repectively. These cookies do not store any personal information. This discrepancy is likely explained by the existence of clinical care paths to guide the management of coronary artery calcification and aortic aneurysms, and to the lack of evidence suggesting management changes for incidental radiographic findings related to COPD in asymptomatic patients. The highest reporting rates were for aortic dilations (33.3%), meningiomas (25%), pulmonary nodules (25%), bony changes (25%), and enlarged adnexa (21.4%).

Therefore, the findings of this study have prompted us to add an item to our electronic trauma room report that obliges residents to report whether or not incidental findings are found during trauma imaging.

The most concerning findings were grouped into Class 3. Other serious diagnoses found during the evaluation of the incidental findings included severe triple vessel coronary artery disease which resulted in coronary artery bypass grafting in one patient, and two patients with renal cell carcinomas that resulted in partial nephrectomies.

Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Results: 1155 patients had an emergency abdominal CT scan of which 700 had incidental findings detected. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Abdom Radiol (NY). In addition, CBCT scans may reveal occult pathology and incidental findings of varying clinical significance located in structures outside a dentist’s conventional area of expertise.

Risks associated with incidentalomas include patient anxiety as well as the potential for more testing and treatment.

Other possible ideas include avenues to directly inform a patient’s primary care physician of such findings for followup purposes. Our group set out to define the frequency of incidental findings found on low-dose CT for lung cancer screening and determine their clinical and financial downstream effects.

The frequency of incidental findings on attenuation-correction CT images is particularly high within the thorax (10), possibly because of the inherent contrast resolution and low attenuation of the x-ray beam through this area. The frequency of incidental findings identified by CBCT has been reported to be as high as 3.2 findings per scan …


There were 13 category I findings (7.0%), 45 category II findings (24.2%) and 128 category III incidental findings (68.8%).

In recent years, there has been a substantial rise in the use of computed tomography (CT) in the emergency medicine setting. Non-cardiac (and for the purposes of this discussion – pulmonary) incidental findings on cardiac CTs are generally grouped as either significant or non-significant. Herewith the observation of incidental findings, trauma unrelated findings, is also increased. We couldn’t do what we do without our volunteers and donors. Twenty-four occult

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