| Description | Recommendation | Notes | 
| Benign features | No further evaluation | |
| Suspicious features | ||
| Stable x 1 year | No further evaluation | |
| Not stable | Biopsy, PET, MIBG, EUS | |
| Cancer history, no priors | Biopsy, PET, MIBG, EUS | |
| No cancer history, no priors, labs c/w lymphoproliferative disorder | Biopsy, PET, MIBG, EUS | |
| No cancer history, no priors, benign clinical/lab findings
 
  | 
CT or MRI in 3 months | 
References:
Heller, M. T., et al. (2013). “Managing Incidental Findings on Abdominal and Pelvic CT and MRI, Part 3: White Paper of the ACR Incidental Findings Committee II on Splenic and Nodal Findings.” J Am Coll Radiol 10(11): 833-839.
