A Road Map for Addressing Incidental Findings in Pediatric Radiology.

Creator(s)

• Marla B K Sammer
• Aparna Joshi
• Angela J. Beavers
• Michael J. Callahan
• Sarah M. Desoky
• Jonathan R. Dillman
• Richard Jones
• Viet T. Le, Children's Mercy Kansas CityFollow
• Ezekiel Maloney
• Cara Morin
• Narendra S. Shet
• Jeffrey J. Tutman
• Steve J. Stephen
• Stella K. Kang

Document Type

Article

Publication Date

10-2026

Identifier

DOI: 10.1016/j.jacr.2026.06.019

Abstract

Incidental findings on pediatric imaging studies can adversely impact patients and their families when inappropriately managed. However, there is limited literature on management of these findings in the pediatric population, and guidelines for similar findings in adult patients may not be suitable. Here, examples of incidental findings in children are illustrated to give readers a practical understanding of how pediatric incidental findings may differ from those in adults. The ACR's planned approach to developing pediatric-specific guidance for incidental findings is outlined, and a strategy for managing pediatric incidental findings in the absence of specific pediatric guidance is also provided.

Journal Title

J Am Coll Radiol

Volume

23

Issue

10

First Page

1895

Last Page

1903

MeSH Keywords

Child; Child, Preschool; Female; Humans; Diagnostic Imaging; Incidental Findings; Pediatrics; Practice Guidelines as Topic; Radiology; United States

PubMed ID

42678316

Keywords

American College of Radiology; Incidental findings; guidelines; pediatric.

Recommended Citation

Sammer MBK, Joshi A, Beavers AJ, et al. A Road Map for Addressing Incidental Findings in Pediatric Radiology. J Am Coll Radiol. 2026;23(10):1895-1903. doi:10.1016/j.jacr.2026.06.019