Managing incidental findings on abdominal and pelvic CT and MRI, Part 1: White paper of the ACR incidental findings committee II on adnexal findings

Maitray D. Patel, Susan M. Ascher, Raj Mohan Paspulati, Alampady K. Shanbhogue, Evan S. Siegelman, Marjorie W. Stein, Lincoln L. Berland

Research output: Contribution to journalArticle

63 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)675-681
Number of pages7
JournalJournal of the American College of Radiology
Issue number9
StatePublished - Sep 2013



  • ACR
  • CT
  • Incidental findings
  • MRI
  • consensus
  • incidentaloma
  • ovarian cyst

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this