Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee

Citations of this article
Mendeley users who have this article in their library.


The ACR Incidental Findings Committee presents recommendations for managing adrenal masses that are incidentally detected on CT or MRI. These recommendations represent an update to the adrenal component of the JACR 2010 white paper on managing incidental findings in the adrenal glands, kidneys, liver, and pancreas. The Adrenal Subcommittee, constituted by abdominal radiologists and an endocrine surgeon, developed this algorithm. The algorithm draws from published evidence coupled with expert subspecialist opinion and was finalized by a process of iterative consensus. Algorithm branches categorize incidental adrenal masses on the basis of patient characteristics and imaging features. For each specified combination, the algorithm concludes with characterization of benignity or indolence (sufficient to discontinue follow-up) and/or a subsequent management recommendation. The algorithm addresses many, but not all, possible pathologies and clinical scenarios. Our goal is to improve the quality of patient care by providing guidance on how to manage incidentally detected adrenal masses.




Mayo-Smith, W. W., Song, J. H., Boland, G. L., Francis, I. R., Israel, G. M., Mazzaglia, P. J., … Pandharipande, P. V. (2017). Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee. Journal of the American College of Radiology, 14(8), 1038–1044.

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free