Table 2: Frequency of incidental non-cardiovascular, non-pulmonary findings at baseline CT

Category 1
Category 2
Category 3
Little or no clinical significance
Variable clinical significance
Clinically significant
Hepatic cyst 46 (34%) Cholelithiasis without cholecystitis 20 (45%) Mediastinal lymphadenopathy/mass 5 (56%)
Simple renal cyst 40 (30%) Nonobstructive nephrolithiasis 10 (22%) Thyroid nodule > 1 cm 3 (33%)
Uncomplicated small hiatal hernia 19 (14%) Thyroid hypodensity < 1 cm 6 (14%) Solid renal mass 1 (11%)
Adrenal adenoma 17 (13%) Cystic breast nodule 2 (5%)
Goiter 4 (3%) Mildly complex renal cyst 2 (5%)
Pericardial cyst 2 (>1%) Pancreatic calcifications 2 (5%)
Splenosis 2 (>1%) Breast fibroadenoma 1 (2%)
Sebaceous cyst 2 (>1%) Small thymic mass (< 3 cm) 1 (2%)
Simple splenic cyst 1 (<1%)
Uncomplicated small ventral hernia 1 (<1%)
Total 134 44 9
Recommendation
No further work up is necessary Further work up generally recommended for larger complex cysts, adrenal, thyroid and mediastinal masses depending on specific clinical scenario Pursue further work up as per accepted practice guidelines


Note: Percentages of findings per category are provided in parenthesis.