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Managing Incidental Findings on Thoracic CT: Mediastinal and Cardiovascular Findings. A White Paper of the ACR Incidental Findings Committee
Institution:1. Department of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina;2. The University of Texas MD Anderson Cancer Center, Houston, Texas;3. Wake Forest University Health Sciences Center, Winston-Salem, North Carolina;4. The University of Chicago, Chicago, Illinois;5. Dartmouth-Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire;6. NYU Langone Health, New York, New York;7. Duke University, Durham, North Carolina;8. Centro Rossi, Buenos Aires, Argentina;9. Stanford University Medical Center, Stanford, California;10. Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida;11. Beth Israel Deaconess Medical Center, Division of Thoracic Surgery and Interventional Pulmonology, Boston, Massachusetts;12. David Geffen School of Medicine at UCLA, Los Angeles, California;13. National Jewish Health, Denver, Colorado;14. Mayo Clinic, Rochester, Minnesota;15. Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Manhasset, New York;p. NYU-Langone Medical Center, New York, New York;q. University of Michigan Medical School, Ann Arbor, Michigan;r. Professor Emeritus, University of Alabama at Birmingham, Birmingham, Alabama;s. Massachusetts General Hospital, Boston, Massachusetts
Abstract:The ACR Incidental Findings Committee presents recommendations for managing incidentally detected mediastinal and cardiovascular findings found on CT. The Chest Subcommittee was composed of thoracic radiologists who developed the provided guidance. These recommendations represent a combination of current published evidence and expert opinion and were finalized by informal iterative consensus. The recommendations address the most commonly encountered mediastinal and cardiovascular incidental findings and are not intended to be a comprehensive review of all incidental findings associated with these compartments. Our goal is to improve the quality of care by providing guidance on how to manage incidentally detected thoracic findings.
Keywords:Mediastinal lymph nodes  coronary artery calcification  incidental finding  mediastinum  cardiovascular
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