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.