Moderators: Iain Kirkpatrick & Isabelle Zheng

This session will address CAR practice guidance on managing incidental findings of the spleen, lymph nodes, peritoneum, and gallbladder as well as pulmonary nodules. Evidence behind the recommendations will be reviewed along with the recommended algorithms for managing these incidental findings in a cost-effective manner.

At the end of this session, delegates will be able to:

• Explain the rationale behind current CAR national practice guidance for incidental imaging findings.
• Outline recommended management pathways for incidental pulmonary nodules and other unexpected findings of the spleen, nodes, peritoneum, and gallbladder.
• Formulate strategies to implement CAR incidental findings guidance into practice.

Target Audience:

• Radiologist
• Resident
• Medical Student

CanMEDS:

• Medical Expert 
• Communicator
• Collaborator
• Leader
• Health Advocate
• Scholar

Splenic Serendipity: What to Do with Incidental Splenic Lesions
Gary Brahm

This presentation will discuss the incidental findings one might encounter in the spleen and will provide guidance on the management of these incidental findings in an evidence-based, cost-effective manner.

COI: None Declared

What do I do with these Nodes? 
Isabelle Zheng

The Incidental Findings Working Group presents their latest recommendations for incidental findings of the spleen, lymph nodes, peritoneum, and mesentery. The authors include guidance for splenomegaly, focal splenic lesions, splenic artery aneurysms, lymphadenopathy, mesenteric panniculitis, and peritoneal nodules.

To Follow or Forget? Applying Gallbladder Guidelines in Daily Practice
Christopher Fung

This presentation will provide a brief and practical review of current national and international guidelines regarding the gallbladder.

COI: Dr. Fung has disclosed a financial relationship with AbbVie, having received speaker honoraria in 2025. He is also a co-investigator on a funded research grant associated with the ExactVu Imaging OPTIMUM Trial, focused on prostate micro-ultrasound.

The Nodule Frustration: Follow, Forget, or Fear?
Daria Manos

Incidental pulmonary nodules are common and, particularly in the age of widespread access to reports, a frequent cause of patient concern. Radiologists must balance strategies to limit inappropriate imaging with strategies to avoid missing opportunities for early cancer detection. Delegates will learn which nodules to follow, which to safely ignore and how to communicate the difference in a defensive but resource-aware practice.

COI: Dr. Manos has received speaking fees from AstraZeneca.