The Prevalence of Incidental Findings on Abdominal Computed Tomography Scans of Trauma Patients

169: Incidental Findings on CT Scans In the Emergency Department

“…Our finding of a rate of incidental findings of 33.4% is similar to that found in previous studies [4,5]. However, the rate we observed in abdominal CT scans (56.3%) was higher even than the highest rate previously reported (45%) [8].…”

“…What is needed is a convenient method of informing patients of common incidental findings and their proper followup. Ekeh et al, have proposed the use of a form letter to inform patients when incidental findings are reported after discharge [5]. Other possible ideas include avenues to directly inform a patient's primary care physician of such findings for followup purposes.…”

“…While some of these incidental findings are benign and require no followup, others require serial imaging and close supervision of the patient by their primary care physician [3]. Prior studies have examined rates of incidental findings in trauma patients, a group that receives large amounts of CT scans in their workup [4][5][6][7], and renal colic patients [8]. Rates of incidental findings varied from 34% to 43% on abdominal CT scans in trauma patients [4][5][6], and up to 45% in renal colic ED patients [8].…”

“…Prior studies have examined rates of incidental findings in trauma patients, a group that receives large amounts of CT scans in their workup [4][5][6][7], and renal colic patients [8]. Rates of incidental findings varied from 34% to 43% on abdominal CT scans in trauma patients [4][5][6], and up to 45% in renal colic ED patients [8]. Rates of proper documentation and referral for followup of incidental findings in these groups has varied from 21% to 27% [7,8].…”

Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten

“…Zufallsbefunde der Milz sind in 1-2 % der Fälle zu finden und großteils als unspezifische hypodense Läsionen im CT erkennbar [9]. Die häufigsten asympto- Hier steht eine Anzeige.…”