Pavan Henrique, Garcia Tiago Severo, Torres Felipe Soares, Gazzoni Fernando Ferreira, Folador Luciano, Ghezzi Caroline Lorenzoni Almeida
Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Cardiothoracic Division, Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Radiol Bras. 2022 May-Jun;55(3):173-180. doi: 10.1590/0100-3984.2021.0106.
Chest scans usually include the upper abdomen, leading radiologists to evaluate the upper abdominal structures. The aim of this article is to summarize the most common incidental upper abdominal findings that do not require further imaging or management in patients undergoing unenhanced computed tomography of the chest for the investigation of thoracic symptoms or diseases. We review common incidental findings of the liver, gallbladder, spleen, adrenal glands, kidney, and retroperitoneum, as well as findings that mimic other lesions. Thoracic radiologists should be aware of such typical findings and report when no further investigation is needed, thus avoiding unnecessary imaging examinations, protecting patients from additional medical interventions, and allaying patient concerns.
胸部扫描通常包括上腹部，这使得放射科主任医师会对上腹部结构进行评估。本文旨在总结在因胸部症状或疾病接受胸部非增强计算机断层扫描的患者中，最常见的无需进一步影像学检查或处理的上腹部偶然发现。我们回顾肝脏、胆囊、脾脏、肾上腺、肾脏和腹膜后的常见偶然发现，以及类似其他病变的发现。胸部放射科医师应了解此类典型发现，并在无需进一步检查时进行报告，从而避免不必要的影像学检查，使患者免受额外医疗干预，并减轻患者的担忧。
