Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group. Issue 4 (November 2020)

• Record Type: Journal Article
• Authors: Bird, Jeffery R.; Brahm, Gary L.; Fung, Christopher; Sebastian, Sunit; Kirkpatrick, Iain D. C.
• Is Part Of: Canadian Association of Radiologists journal. Volume 71:Issue 4(2020)
• Page Start: 437
• Page End: 447
• Publication Date: 2020-11
• Subjects: incidental findings -- hepatic -- biliary -- hepatobiliary -- management; Radiology, Medical -- Periodicals; Radiology, Medical -- Canada -- Periodicals; 616.0757
• DOI: 10.1177/0846537120928349
• Languages: English
• ISSNs: 0846-5371

Abstract

The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation.