title: Managing incidental findings on abdominal and pelvic CT and MRI, part 1: white paper of the ACR Incidental Findings Committee II on adnexal findings.
abstract: This white paper describes adnexal (ovarian and paraovarian) incidental findings found on CT and MRI in nonpregnant postmenarchal patients in whom no adnexal disorder is clinically known or suspected. This represents the first of 4 such papers from the ACR Incidental Findings Committee II, which used a consensus method based on repeated reviews and revisions and a collective review and interpretation of relevant literature. Recommendations for the management of incidental adnexal findings are organized into 4 main categories: benign-appearing cysts, probably benign cysts, adnexal masses with characteristic features, and all other adnexal masses, with pathways on the basis of patient menstrual status or age (when last menstrual period is unknown). A table and flowchart are provided for reference.
authors.affiliation: Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ, USA.
authors.forename: Maitray D
authors.initials: MD
authors.lastname: Patel
authors.forename: Susan M
authors.initials: SM
authors.lastname: Ascher
authors.forename: Raj Mohan
authors.initials: RM
authors.lastname: Paspulati
authors.forename: Alampady K
authors.initials: AK
authors.lastname: Shanbhogue
authors.forename: Evan S
authors.initials: ES
authors.lastname: Siegelman
authors.forename: Marjorie W
authors.initials: MW
authors.lastname: Stein
authors.forename: Lincoln L
authors.initials: LL
authors.lastname: Berland
mesh_terms: D003952:Diagnostic Imaging / Q000592:standards*; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging / Q000592:standards*; D010388:Pelvis / Q000000981:diagnostic imaging / Q000473:pathology; D017410:Practice Guidelines as Topic; D011860:Radiography, Abdominal / Q000592:standards*; D011871:Radiology / Q000592:standards*; D014057:Tomography, X-Ray Computed / Q000592:standards*; D014481:United States
keywords: ACR; CT; Incidental findings; MRI; consensus; incidentaloma; ovarian cyst