Managing Incidental Findings: A Practical and Current Approach

Online Course Package with Book

Health care reforms are having many major impacts on both the practice and the economics of medical imaging. Central to this issue is the need to transform from the pay-for-service to a value-added paradigm. Managing incidental, likely asymptomatic, imaging findings remains a relevant theme, driving metrics for efficiency and appropriateness. This Online Course identifies and addresses the wide spectrum of incidental findings that occur via contemporary, evidence-based approaches to help standardize how they should be managed. In addition to 10 modules of online lectures, you will also receive the accompanying book—shipped to you at no extra cost.

Earn credit at your own pace with unlimited access to this course through June 22, 2023 and continue to access your videos until June 23, 2027. See learning outcomes and individual lectures below.

Incidental Findings Online Course

This course package offers 30 CME and SA-CME Credits following completion of an online assessment.

ARRS Member price: $795
ARRS In-Training Member price: $399
Nonmember price: $1,045

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Or purchase the stand-alone book.

Video content for this Online Course will be available to view until June 23, 2027, which is ten years following the issuance date of this course. ARRS reserves the right to remove video content before the end of the ten year period. Video content that contradicts current science or misleads the viewer based on changes to accepted clinical practice may be removed on a case-by-case basis.

Learning Outcomes and Modules  

After attending this course, the attendee will be able to:

  • Identify and characterize relevant incidental findings
  • Provide contemporary evidence-based solutions for how incidental findings should be managed
  • Appropriately communicate recommendations for follow-up

Module 1 — Liver

  • Case-Based Approach to the Incidental Liver Lesion—Rajan T. Gupta, MD 
  • An Approach to the Incidental Lesion in the Cirrhotic Liver—Jonathan Kruskal, MD, PhD 
  • Diffuse Abnormal Hepatic Attenuation on CT or Signal Intensity on MRI—Sudhakar K. Venkatesh, MD 
  • Hepatic Perfusion and Vascular Lesions—Aarti K. Sekhar, MD 

Module 2 — Pancreaticobiliary

  • Dilated Pancreatic and Biliary Ducts—Jorge A. Soto, MD 
  • The Incidental Solitary and Multiple Pancreatic Cysts: Imaging and Management Strategies—Koenraad J. Mortele, MD 
  • Solid Pancreatic Tumors—Koenraad J. Mortele, MD 
  • Incidental Abnormal Gallbladder—Bettina Siewert, MD 

Module 3 — Abdomen

  • Why We Love to Hate the Spleen: Incidental Findings in Adults—John R. Leyendecker, MD 
  • The Misty Mesentery and Incidental Mesenteric Nodes and Masses—Myles T. Taffel, MD 
  • Incidental Findings of the Stomach, Duodenum, and Small Bowel—Meghan G. Lubner, MD 
  • Incidental Colon Findings: When to Worry, When Not to Worry—David H. Kim, MD 

Module 4 —Genitourinary

  • The Incidental Cystic Renal Mass—Nicole Maria Hindman, MD 
  • The Incidental Solid Renal Mass—Z. Jane Wang, MD 
  • The Incidental Adrenal Lesion—Khaled M. Elsayes, MD 
  • Incidental Findings at Prostate MRI—Sadhna Verma, MD 

Module 5 — Gynecology

  • Managing the Incidental Cystic Adnexal Lesion—Deborah A. Baumgarten, MD, MPH 
  • Adnexal Solid Mass at Ultrasound, CT, and MRI: Now What?—Katherine E. Maturen, MD 
  • The Endometrium is Abnormal: What Next?—Mindy M. Horrow, MD 
  • An Algorithmic Approach to the Incidental Enlarged Uterus on MDCT—Elizabeth M. Hecht, MD 

Module 6 — Lung

  • The Incidental Pulmonary Nodule: What Should We Do in 2017?—Jane P. Ko, MD
  • Fibrotic Lung Disease: A Simplified Approach—Brett M. Elicker, MD 
  • Approach to Pulmonary Calcification—Sanjeev Bhalla, MD 
  • Imaging of the Aging Lung: What is Normal and What is Not?—Sujal R. Desai, MD, MRCP, FRCR 

Module 7 — Chest

  • Unexpected Thoracic Lymph Node Enlargement: Next Steps—Brent P. Little, MD 
  • Incidental Cardiac Masses—Kristopher Cummings, MD 
  • Incidentally Detected Pericardial and Pleural Disease—Smita Patel, MD 
  • Management of Incidental Pulmonary Emboli for the Radiologist—Gregory W. Gladish, MD 

Module 8 — Musculoskeletal

  • The More Commonly Encountered Incidental Bone Lesions on Body CT and MRI—Mark J. Kransdorf, MD
  • Common Incidental Soft-Tissue Lesions on Body Imaging—Mark D. Murphey, MD 
  • MRI of Bone Marrow—Jonathan C. Baker, MD 
  • Incidental Bone Lesions on Body CT: A Location-Based Approach—Jennifer Margaret Ni Mhuircheartaigh, MB BCh BAO 

Module 9 — Pediatrics

  • Managing Incidental Findings Detected on Pediatric Chest CT—Edward Y. Lee, MD, MPH 
  • Pediatric Abdominal Incidentalomas: Pitfalls and Mimics—Gary R. Schooler, MD 
  • Infants and Children With Genitourinary Variants and Lesions: What the Radiologist Needs to Know—Rama S. Ayyala, MD 
  • Musculoskeletal Findings of Accidental and Nonaccidental Trauma in Children: How to Avoid Interpretative Errors—Victor M. Ho, MD 

Module 10 — General Radiology

  • Ultrasound Approach to Incidentally Detected Thyroid Nodules—Aya Kamaya, MD 
  • Incidental Thyroid Nodules on CT, MRI, and PET—Carol C. Wu, MD 
  • Vascular Compression in the Abdomen and Pelvis: When is it Real, and When Should We Worry?—Ramit Lamba, MD 
  • Approach to Incidental Hot Spots on PET/CT: Challenges and Solutions—Esma A. Akin, MD 


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The American Roentgen Ray Society (ARRS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education activities for physicians.

The ARRS designates this enduring material for a maximum of 30 AMA PRA Category 1 Credit(s)™  and 30 American Board of Radiology, MOC Part II, Self-Assessment CME (SA-CME) credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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