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Managing Incidental Findings on Thoracic CT: Lung Findings. A White Paper of the ACR Incidental Findings Committee
Institution:1. Professor, Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina;2. Chair, Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina;3. Professor of Radiology, Emeritus, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire;4. Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire;5. Professor of Radiology, Mayo Clinic, Rochester, Minnesota;6. Professor of Radiology, Section of Thoracic Imaging, Department of Radiology, The University of Chicago, Chicago, Illinois;7. Professor of Radiology, Department of Radiology, NYU Langone Health, New York, New York;8. Fellowship Director, Cardiothoracic Imaging, Department of Radiology, NYU Langone Health, New York, New York;9. Professor, Department of Radiology, National Jewish Health, Denver, Colorado;10. Chair, Department of Radiology, National Jewish Health, Denver, Colorado;11. Professor, Emeritus, NYU-Langone Health, New York, New York;12. Department of Radiology, NYU Grossman School of Medicine, New York, New York;13. Chairman, Centro Rossi, Buenos Aires, Argentina;14. Chest Section Head, Hospital Cetrángolo, Buenos Aires, Argentina;15. Professor of Radiology, Duke University Health System, Durham, North Carolina;p. Assistant Professor, Department of Radiology, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York;q. Associate Program Director, Diagnostic Radiology, Department of Radiology, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York;r. Professor, Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California;s. Section Chief, Thoracic Imaging, Department of Radiology, David Geffen School of Medicine at UCLA, Los Angeles, California;t. Assistant Dean, Equity and Diversity Inclusion, David Geffen School of Medicine at UCLA, Los Angeles, California;u. Associate Professor of Surgery, Harvard Medical School, Boston, Massachusetts;v. Director, Minimally Invasive Thoracic Surgery, Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Boston, Massachusetts;w. Associate Professor, Department of Thoracic Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas;x. Director of Clinical Operations, University of Texas MD Anderson Cancer Center, Houston, Texas;y. Chief Patient Safety and Quality Officer, Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas;z. Professor, Department of Radiology, Wake Forest Baptist Health, Winston Salem, North Carolina;11. Professor, Clinical Affairs, Stanford University Medical Center, Stanford, California;22. Associate Chair, Clinical Affairs, Stanford University Medical Center, Stanford, California;33. Department of Radiology, Stanford University Medical Center, Stanford, California;44. Professor, Quinnipiac’s Frank H. Netter MD School of Medicine, North Haven, Connecticut;55. Dean, Quinnipiac’s Frank H. Netter MD School of Medicine, William and Barbara Weldon Dean’s Chair of Medicine, North Haven, Connecticut;66. Professor of Radiology, Division of Cardiothoracic Radiology and Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Michigan Medical School, Ann Arbor, Michigan;77. Professor Emeritus, University of Alabama at Birmingham, Birmingham, Alabama;88. Director, MGH Institute for Technology Assessment, Massachusetts General Hospital, Boston, Massachusetts;99. Associate Chair, Integrated Imaging & Imaging Sciences, MGH Radiology, Massachusetts General Hospital, Boston, Massachusetts;1010. Executive Director, Clinical Enterprise Integration, Mass General Brigham (MGB) Radiology, Massachusetts General Hospital, Boston, Massachusetts;1111. Associate Professor of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;1. Fellowship Director of Cardiothoracic Radiology, Research Director, Duke Lung Cancer Screening Program, Department of Radiology, Duke University Medical Center, Durham, North Carolina;2. Department of Radiology, Wake Forest Baptist Medical Center, Wake Forest, North Carolina;3. Department of Cardiology, Wake Forest Baptist Medical Center, Wake Forest, North Carolina;4. Medical Director, Pulmonary Function Test and Bronchoscopy Services; Service Chief, Pulmonary Inpatient Service, Department of Medicine, Division of Pulmonary Disease and Critical Care Medicine; Director, Lung Cancer Screening Program, University of North Carolina School of Medicine., Chapel Hill, North Carolina;5. Department of Surgery, Duke University Medical Center, Durham, North Carolina;6. Clinical Director, Lung Cancer Screening Program, Duke University Health System, Duke Cancer Institute, Duke University, Durham, North Carolina;7. Department of Radiology, Duke University Medical Center, Durham, North Carolina;8. Department of Radiology, University of North Carolina School of Medicine., Chapel Hill, North Carolina;9. Duke Cancer Institute, Duke University, Durham, North Carolina;10. Manager, Duke Cancer Institute (DCI) Biostatistics Shared Resource and Internship Director, Biostatistics Core Training and Internship Program, Department of Biostatistics & Bioinformatics, Duke University, Durham, North Carolina;11. Director Epidemiology Research Team, Director Carolina Mammography Registry; Co-Lead, Cancer Epidemiology Program at Lineberger Comprehensive Cancer Center; Department of Radiology, University of North Carolina School of Medicine., Chapel Hill, North Carolina;1. Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, Florida;2. Division of Endocrinology, Metabolism, and Lipid Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;3. Division of Neuroradiology, Department of Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, Maryland;4. Division of Endocrinology, Department of Medicine, Mayo Clinic, Rochester, Minnesota;1. Department of Radiology, Ohio State University Wexner Medical Center, Columbus, Ohio;2. Northwest Radiology, St Vincent Health, Indianapolis, Indiana;3. Harvey L. Neiman Health Policy Institute, Reston, Virginia;4. Executive Director, Harvey L. Neiman Health Policy Institute, Reston, Virginia;5. Director of Scholarly Activity/Research, Department of Radiology, Ohio State University, Wexner Medical Center, Columbus, Ohio;1. Department of Medicine, Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, Boston, Massachusetts;2. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts;3. Department of Surgery, Boston Medical Center, Boston, Massachusetts;4. Department of Surgery, Boston University School of Medicine, Boston, Massachusetts;5. Department of Medicine, Section of Infectious Diseases, Boston University School of Medicine, Boston, Massachusetts;6. Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital, Bedford, Massachusetts;7. Department of Medicine, The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts;8. Department of Medicine, Section of Computational Biomedicine, Boston University School of Medicine, Boston, Massachusetts;1. Time, Inc, New York City, New York;2. Professor, The Russell H. Morgan Department of Radiology and Radiological Science. He serves as Director of Diagnostic Imaging and Body CT at Johns Hopkins University School of Medicine, Baltimore, Maryland;3. Associate Professor, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland;4. Associate Professor, The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland;1. Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas;2. Chief, Division of Body MRI; Associate Chief, Division of Abdominal Imaging, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas;3. Department of Internal Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas;4. Director of Quality, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas;5. Clinical Chief, Division of Digestive and Liver Diseases; Director of Endoscopy, Clements University Hospital, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas;6. Vice Chair of Quality, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas;7. AR Curreri Professor and Chair, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;8. APP Program Manager, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas;9. Primary PA provider, Pancreatic Cancer Prevention Multidisciplinary Program, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas;10. Vice Chair of Research, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas;11. Vice Chair of Academic Affairs, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
Abstract:The ACR Incidental Findings Committee presents recommendations for managing incidentally detected lung findings on thoracic CT. The Chest Subcommittee is composed of thoracic radiologists who endorsed and 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 commonly encountered incidental findings in the lungs and are not intended to be a comprehensive review of all pulmonary incidental findings. The goal is to improve the quality of care by providing guidance on management of incidentally detected thoracic findings.
Keywords:Incidental  interstitial lung abnormalities  lung cysts  pulmonary nodule
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