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Incidentalomas in Spine and Spinal Cord Imaging

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Abstract

Incidentalomas are common in magnetic resonance imaging (MRI) of the spine. These incidental findings (IFs) can be seen involving the spinal cord, nerve root, vertebral body, posterior arch and the extraspinal region. This review article describes the imaging findings, stratifies the IFs similar to the computed tomography (CT) colonography reporting and data system and briefly mentions the current recommendations for further evaluation and management of IFs. Radiologists are the first to detect these lesions, suggest further evaluation and management of IFs. It is therefore mandatory for them to be aware of recommendations in clinical practice in order to avoid increased patient anxiety, excessive healthcare expenditure and inadvertent therapeutic procedures.

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References

  1. Incidental findings. American College of Radiology. 2018. https://www.acr.org/Clinical-Resources/Incidental-Findings. Accessed 19 Nov 2018.

  2. Wagner SC, Morrison WB, Carrino JA, Schweitzer ME, Nothnagel H. Picture archiving and communication system: Effect on reporting of incidental findings. Radiology. 2002;225:500–5.

    Article  PubMed  Google Scholar 

  3. Ramadorai UE, Hire JM, DeVine JG. Magnetic resonance imaging of the cervical, thoracic, and lumbar spine in children: Spinal incidental findings in pediatric patients. Global Spine J. 2014;4:223–8.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Quattrocchi CC, Giona A, Di Martino AC, Errante Y, Scarciolla L, Mallio CA, Denaro V, Zobel BB. Extra-spinal incidental findings at lumbar spine MRI in the general population: A large cohort study. Insights Imaging. 2013;4:301–8.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Tuncel SA, Çaglı B, Tekataş A, Kırıcı MY, Ünlü E, Gençhellaç H. Extraspinal incidental findings on routine MRI of lumbar spine: Prevalence and reporting rates in 1278 patients. Korean J Radiol. 2015;16:866–73.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Dilli A, Ayaz UY, Turanlı S, Saltas H, Karabacak OR, Damar C, Hekimoglu B. Incidental extraspinal findings on magnetic resonance imaging of intervertebral discs. Arch Med Sci. 2014;10:757–63.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kızılgöz V, Aydın H, Sivrioğlu AK, Özcan ÜC, Menderes U, Karayol SS, Erdem A. Incidences and reporting rates of incidental findings on lumbar, thoracic, and cervical spinal magnetic resonance images and extra-neuronal findings on brain magnetic resonance images. Eur Res J. 2018; https://doi.org/10.18621/eurj.379704.

    Article  Google Scholar 

  8. Pooler BD, Kim DH, Lam VP, Burnside ES, Pickhardt PJ. CT Colonography reporting and data system (C-RADS): Benchmark values from a clinical screening program. AJR Am J Roentgenol. 2014;202:1232–7.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Milhorat TH. Classification of syringomyelia. Neurosurg Focus. 2000;8:E1.

    Article  CAS  PubMed  Google Scholar 

  10. Vandertop WP. Syringomyelia. Neuropediatrics. 2014;45:3–9.

    PubMed  Google Scholar 

  11. Jones BV. Cord cystic cavities: Syringomyelia and prominent central canal. Semin Ultrasound Ct Mr. 2017;38:98–104.

    Article  PubMed  Google Scholar 

  12. Strahle J, Muraszko KM, Garton HJ, Smith BW, Starr J, Kapurch JR 2nd, Maher CO. Syrinx location and size according to etiology: Identification of Chiari-associated syrinx. J Neurosurg Pediatr. 2015;16:21–9.

    Article  PubMed  Google Scholar 

  13. Rodriguez A, Kuhn EN, Somasundaram A, Couture DE. Management of idiopathic pediatric syringohydromyelia. J Neurosurg Pediatr. 2015;16:452–7.

    Article  PubMed  Google Scholar 

  14. Timpone VM, Patel SH. MRI of a syrinx: Is contrast material always necessary? AJR Am J Roentgenol. 2015;204:1082–5.

    Article  PubMed  Google Scholar 

  15. Sen A. “Flow comp off”: An easy technique to confirm CSF flow within syrinx and aqueduct. Indian J Radiol Imaging. 2013;23:97.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Roy AK, Slimack NP, Ganju A. Idiopathic syringomyelia: Retrospective case series, comprehensive review, and update on management. Neurosurg Focus. 2011;31:E15.

    Article  PubMed  Google Scholar 

  17. Nakamura M, Ishii K, Watanabe K, Tsuji T, Matsumoto M, Toyama Y, Chiba K. Clinical significance and prognosis of idiopathic syringomyelia. J Spinal Disord Tech. 2009;22:372–5.

    Article  PubMed  Google Scholar 

  18. Kernohan JW. The ventriculus terminalis: Its growth and development. J Comp Neurol. 1924;38:107–25.

    Article  Google Scholar 

  19. Coleman LT, Zimmerman RA, Rorke LB. Ventriculus terminalis of the conus medullaris: MR findings in children. AJNR Am J Neuroradiol. 1995;16:1421–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Nassar SI, Correll JW, Housepian EM. Intramedullary cystic lesions of the conus medullaris. J Neurol Neurosurg Psychiatry. 1968;31:106–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Sigal R, Denys A, Halimi P, Shapeero L, Doyon D, Boudghène F. Ventriculus terminalis of the conus medullaris: MR imaging in four patients with congenital dilatation. AJNR Am J Neuroradiol. 1991;12:733–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Byrd SE, Harvey C, Darling CF. MR of terminal myelocystoceles. Eur J Radiol. 1995;20:215–20.

    Article  CAS  PubMed  Google Scholar 

  23. Erkan K, Unal F, Kiris T. Terminal syringomyelia in association with the tethered cord syndrome. Neurosurgery. 1999;45:1351–9. Discussion 1359–60.

    Article  CAS  PubMed  Google Scholar 

  24. Suh SH, Chung TS, Lee SK, Cho YE, Kim KS. Ventriculus terminalis in adults: Unusual magnetic resonance imaging features and review of the literature. Korean J Radiol. 2012;13:557–63.

    Article  PubMed  PubMed Central  Google Scholar 

  25. de Moura Batista L, Acioly MA, Carvalho CH, Ebner FH, Tatagiba M. Cystic lesion of the ventriculus terminalis: Proposal for a new clinical classification. J Neurosurg Spine. 2008;8:163–8.

    Article  PubMed  Google Scholar 

  26. Ganau M, Talacchi A, Cecchi PC, Ghimenton C, Gerosa M, Faccioli F. Cystic dilation of the ventriculus terminalis. J Neurosurg Spine. 2012;17:86–92.

    Article  PubMed  Google Scholar 

  27. Finn MA, Walker ML. Spinal lipomas: Clinical spectrum, embryology, and treatment. Neurosurg Focus. 2007;23:E10.

    Article  PubMed  Google Scholar 

  28. Uchino A, Mori T, Ohno M. Thickened fatty filum terminale: MR imaging. Neuroradiology. 1991;33:331–3.

    Article  CAS  PubMed  Google Scholar 

  29. Brown E, Matthes JC, Bazan C, Jinkins JR. Prevalence of incidental intraspinal lipoma of the lumbosacral spine as determined by MRI. Spine. 1994;19:833–6.

    Article  CAS  PubMed  Google Scholar 

  30. Cools MJ, Al-Holou WN, Stetler WR Jr, Wilson TJ, Muraszko KM, Ibrahim M, La Marca F, Garton HJ, Maher CO. Filum terminale lipomas: Imaging prevalence, natural history, and conus position. J Neurosurg Pediatr. 2014;13:559–67.

    Article  PubMed  Google Scholar 

  31. Enzmann DR, Rubin JB, DeLaPaz R, Wright A. Cerebrospinal fluid pulsation: Benefits and pitfalls in MR imaging. Radiology. 1986;161:773–8.

    Article  CAS  PubMed  Google Scholar 

  32. Bradley WG, Kortman KE, Burgoyne B. Flowing cerebrospinal fluid in normal and hydrocephalic states: Appearance on MR images. Radiology. 1986;159:611–6.

    Article  PubMed  Google Scholar 

  33. Lisanti C, Carlin C, Banks KP, Wang D. Normal MRI appearance and motion-related phenomena of CSF. AJR Am J Roentgenol. 2007;188:716–25.

    Article  PubMed  Google Scholar 

  34. Dietemann JL, Bogorin A, Abu Eid M, Sanda R, Mourao Soares I, Draghici S, Rotaru N, Koob M. Tips and traps in neurological imaging: Imaging the perimedullary spaces. Diagn Interv Imaging. 2012;93:985–92.

    Article  PubMed  Google Scholar 

  35. Vargas MI, Delavelle J, Kohler R, Becker CD, Lovblad K. Brain and spine MRI artifacts at 3Tesla. J Neuroradiol. 2009;36:74–81.

    Article  CAS  PubMed  Google Scholar 

  36. Moes P, Maillot C. Superficial veins of the human spinal cord. An attempt at classification. Arch Anat Histol Embryol Norm Exp. 1981;64:5–110.

    CAS  Google Scholar 

  37. Lane JI, Koeller KK, Atkinson JL. Enhanced lumbar nerve roots in the spine without prior surgery: Radiculitis or radicular veins? AJNR Am J Neuroradiol. 1994;15:1317–25.

    CAS  PubMed  PubMed Central  Google Scholar 

  38. Tarlov IM. Spinal perineurial and meningeal cysts. J Neurol Neurosurg Psychiatry. 1970;33:833–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Nabors MW, Pait TG, Byrd EB, Karim NO, Davis DO, Kobrine AI, Rizzoli HV. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg. 1988;68:366–77.

    Article  CAS  PubMed  Google Scholar 

  40. Guo D, Shu K, Chen R, Ke C, Zhu Y, Lei T. Microsurgical treatment of symptomatic sacral perineurial cysts. Neurosurgery. 2007;60:1059–65. Discussion 1065–6.

    Article  PubMed  Google Scholar 

  41. Lucantoni C, Than KD, Wang AC, Valdivia-Valdivia JM, Maher CO, La Marca F, Park P. Tarlov cysts: A controversial lesion of the sacral spine. Neurosurg Focus. 2011;31:E14.

    Article  PubMed  Google Scholar 

  42. Clarke G, Kapoor V, Baxter J. Are Tarlov cysts being identified and reported on lumbar spine MRI scan in patients with sciatica. Global Spine J. 2016;6(1_suppl) https://doi.org/10.1055/s-0036-1582706.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Murphy K, Oaklander AL, Elias G, Kathuria S, Long DM. Treatment of 213 patients with symptomatic Tarlov cysts by CT-guided Percutaneous injection of fibrin sealant. Ajnr Am J Neuroradiol. 2016;37:373–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Langdown AJ, Grundy JRB, Birch NC. The clinical relevance of Tarlov cysts. J Spinal Disord Tech. 2005;18:29–33.

    Article  PubMed  Google Scholar 

  45. Attiah MA, Syre PP, Pierce J, Belyaeva E, Welch WC. Giant cystic sacral schwannoma mimicking tarlov cyst: A case report. Eur Spine J. 2016;25:84–8.

    Article  PubMed  Google Scholar 

  46. Boukobza M, Roussel A, Fernandez-Rodriguez P, Laissy JP. Giant multiple and bilateral presacral Tarlov cysts mimicking adnexal mass—imaging features. Int Med Case Rep J. 2018;11:181–4.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Klimo P, Rao G, Brockmeyer D. Congenital anomalies of the cervical spine. Neurosurg Clin N Am. 2007;18:463–78.

    Article  PubMed  Google Scholar 

  48. Naguib M, Farag H, Abd El Wahab I. Anaesthetic considerations in Klippel-Feil syndrome. Can Anaesth Soc J. 1986;33:66–70.

    Article  CAS  PubMed  Google Scholar 

  49. Satpathy A, Sloan R, Bhoora IG. Compression fracture or butterfly vertebra: Diagnostic importance in a trauma setting. Ann R Coll Surg Engl. 2004;86:W41–W3.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Park JS, Eun JP, Lee HO. Anteroposterior spondyloschisis of atlas with bilateral cleft defect of posterior arch: A case report. Spine (Phila Pa 1976). 2011;36:E144-7.

    Article  PubMed  Google Scholar 

  51. Allam E, Zhou Y. Bipartite Atlas or jefferson fracture? A case series and literature review. Spine (Phila Pa 1976). 2015;40:E661-4.

    Article  PubMed  Google Scholar 

  52. Currarino G, Rollins N, Diehl JT. Congenital defects of the posterior arch of the atlas: A report of seven cases including an affected mother and son. AJNR Am J Neuroradiol. 1994;15:249–54.

    CAS  PubMed  PubMed Central  Google Scholar 

  53. Hyun G, Allam E, Sander P, Hasiak C, Zhou Y. The prevalence of congenital C1 arch anomalies. Eur Spine J. 2018;27:1266–71.

    Article  PubMed  Google Scholar 

  54. Kwon JK, Kim MS, Lee GJ. The incidence and clinical implications of congenital defects of Atlantal arch. J Korean Neurosurg Soc. 2009;46:522–7.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Elmalky MM, Elsayed S, Arealis G, Mehdian H. Congenital C1 arch deficiency: Grand Round presentation. Eur Spine J. 2013;22:1223–6.

    Article  PubMed  PubMed Central  Google Scholar 

  56. O’Brien WT, Shen P, Lee P. The dens: Normal development, developmental variants and anomalies, and traumatic injuries. J Clin Imaging Sci. 2015;5:38.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Hughes RJ, Saifuddin A. Imaging of lumbosacral transitional vertebrae. Clin Radiol. 2004;59:984–91.

    Article  CAS  PubMed  Google Scholar 

  58. Rodallec MH, Feydy A, Larousserie F, Anract P, Campagna R, Babinet A, Zins M, Drapé JL. Diagnostic imaging of solitary tumors of the spine: What to do and say. Radiographics. 2008;28:1019–41.

    Article  PubMed  Google Scholar 

  59. Gaudino S, Martucci M, Colantonio R, Lozupone E, Visconti E, Leone A, Colosimo C. A systematic approach to vertebral hemangioma. Skeletal Radiol. 2015;44:25–36.

    Article  PubMed  Google Scholar 

  60. Morales KA, Arevalo-Perez J, Peck KK, Holodny AI, Lis E, Karimi S. Differentiating atypical Hemangiomas and metastatic vertebral lesions: The role of T1-weighted dynamic contrast-enhanced MRI. AJNR Am J Neuroradiol. 2018;39:968–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Shi YJ, Li XT, Zhang XY, Liu YL, Tang L, Sun YS. Differential diagnosis of hemangiomas from spinal osteolytic metastases using 3.0 T MRI: Comparison of T1-weighted imaging, chemical-shift imaging, diffusion-weighted and contrast-enhanced imaging. Oncotarget. 2017;8:71095–104.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Dang L, Liu C, Yang SM, Jiang L, Liu ZJ, Liu XG, Yuan HS, Wei F, Yu M. Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance. Eur Spine J. 2012;21:1994–9.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Onitsuka H. Roentgenologic aspects of bone islands. Radiology. 1977;123:607–12.

    Article  CAS  PubMed  Google Scholar 

  64. Resnick D, Nemcek AA, Haghighi P. Spinal enostoses (bone islands). Radiology. 1983;147:373–6.

    Article  CAS  PubMed  Google Scholar 

  65. Greenspan A. Bone island (enostosis): Current concept—a review. Skeletal Radiol. 1995;24:111–5.

    Article  CAS  PubMed  Google Scholar 

  66. Ulano A, Bredella MA, Burke P, Chebib I, Simeone FJ, Huang AJ, Torriani M, Chang CY. Distinguishing untreated Osteoblastic metastases from Enostoses using CT attenuation measurements. AJR Am J Roentgenol. 2016;207:362–8.

    Article  PubMed  Google Scholar 

  67. Yamaguchi T, Suzuki S, Ishiiwa H, Ueda Y. Intraosseous benign notochordal cell tumours: Overlooked precursors of classic chordomas? Histopathology. 2004;44:597–602.

    Article  CAS  PubMed  Google Scholar 

  68. Yamaguchi T, Iwata J, Sugihara S, McCarthy EF Jr, Karita M, Murakami H, Kawahara N, Tsuchiya H, Tomita K. Distinguishing benign notochordal cell tumors from vertebral chordoma. Skeletal Radiol. 2008;37:291–9.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Nishiguchi T, Mochizuki K, Ohsawa M, Inoue T, Kageyama K, Suzuki A, Takami T, Miki Y. Differentiating benign notochordal cell tumors from Chordomas: Radiographic features on MRI, CT, and Tomography. AJR Am J Roentgenol. 2011;196:644–50.

    Article  PubMed  Google Scholar 

  70. Amer HZM, Hameed M. Intraosseous benign notochordal cell tumor. Arch Pathol Lab Med. 2010;134:283–8.

    PubMed  Google Scholar 

  71. Lee SY, Landis MS, Ross IG, Goela A, Leung AE. Extraspinal findings at lumbar spine CT examinations: Prevalence and clinical importance. Radiology. 2012;263:502–9.

    Article  PubMed  Google Scholar 

  72. Miyakoshi A, Dalley RW, Anzai Y. Magnetic resonance imaging of thyroid cancer. Top Magn Reson Imaging. 2007;18:293–302.

    Article  PubMed  Google Scholar 

  73. Hoang JK, Langer JE, Middleton WD, Wu CC, Hammers LW, Cronan JJ, Tessler FN, Grant EG, Berland LL. Managing incidental thyroid nodules detected on imaging: White paper of the ACR incidental thyroid findings committee. J Am Coll Radiol. 2015;12:143–50.

    Article  PubMed  Google Scholar 

  74. Biederer J, Hintze C, Fabel M. MRI of pulmonary nodules: Technique and diagnostic value. Cancer Imaging. 2008;8:125–30.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Gravina M, Stoppino LP, Casavecchia G, Moffa AP, Vinci R, Brunetti ND, Di Biase M, Macarini L. Incidental Extracardiac findings and their characterization on cardiac MRI. Biomed Res Int. 2017;2017:2423546.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Cieszanowski A, Lisowska A, Dabrowska M, Korczynski P, Zukowska M, Grudzinski IP, Pacho R, Rowinski O, Krenke R. MR imaging of pulmonary nodules: Detection rate and accuracy of size estimation in comparison to computed Tomography. PLoS ONE. 2016;11:e0156272.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, Mehta AC, Ohno Y, Powell CA, Prokop M, Rubin GD, Schaefer-Prokop CM, Travis WD, Van Schil PE, Bankier AA. Guidelines for management of incidental pulmonary nodules detected on CT images: From the Fleischner society 2017. Radiology. 2017;284:228–43.

    Article  PubMed  Google Scholar 

  78. Balogh J, Victor D 3rd, Asham EH, Burroughs SG, Boktour M, Saharia A, Li X, Ghobrial RM, Monsour HP Jr. Hepatocellular carcinoma: A review. J Hepatocell Carc. 2016;3:41–53.

    Article  Google Scholar 

  79. Fateen W, Ryder SD. Screening for hepatocellular carcinoma: Patient selection and perspectives. J Hepatocell Carc. 2017;4:71–9.

    Article  Google Scholar 

  80. Gore RM, Pickhardt PJ, Mortele KJ, Fishman EK, Horowitz JM, Fimmel CJ, Talamonti MS, Berland LL, Pandharipande PV. Management of incidental liver lesions on CT: A white paper of the ACR incidental findings committee. J Am Coll Radiol. 2017;14:1429–37.

    Article  PubMed  Google Scholar 

  81. Boland GW, Goldberg MA, Lee MJ, Mayo-Smith WW, Dixon J, McNicholas MM, Mueller PR. Indeterminate adrenal mass in patients with cancer: Evaluation at PET with 2‑[F-18]-fluoro-2-deoxy-D-glucose. Radiology. 1995;194:131–4.

    Article  CAS  PubMed  Google Scholar 

  82. Mansmann G, Lau J, Balk E, Rothberg M, Miyachi Y, Bornstein SR. The clinically inapparent adrenal mass: Update in diagnosis and management. Endocr Rev. 2004;25:309–40.

    Article  PubMed  Google Scholar 

  83. Mayo-Smith WW, Song JH, Boland GL, Francis IR, Israel GM, Mazzaglia PJ, Berland LL, Pandharipande PV. Management of incidental adrenal masses: A white paper of the ACR incidental findings committee. J Am Coll Radiol. 2017;14:1038–44.

    Article  PubMed  Google Scholar 

  84. Wood CG 3rd, Stromberg LJ 3rd, Harmath CB, Horowitz JM, Feng C, Hammond NA, Casalino DD, Goodhartz LA, Miller FH, Nikolaidis P. CT and MR imaging for evaluation of cystic renal lesions and diseases. Radiographics. 2015;35:125–41.

    Article  PubMed  Google Scholar 

  85. Israel GM, Bosniak MA. Calcification in cystic renal masses: Is it important in diagnosis? Radiology. 2003;226:47–52.

    Article  PubMed  Google Scholar 

  86. Herts BR, Silverman SG, Hindman NM, Uzzo RG, Hartman RP, Israel GM, Baumgarten DA, Berland LL, Pandharipande PV. Management of the incidental renal mass on CT: A white paper of the ACR incidental findings committee. J Am Coll Radiol. 2018;15:264–73.

    Article  PubMed  Google Scholar 

  87. Levine D, Brown DL, Andreotti RF, Benacerraf B, Benson CB, Brewster WR, Coleman B, Depriest P, Doubilet PM, Goldstein SR, Hamper UM, Hecht JL, Horrow M, Hur HC, Marnach M, Patel MD, Platt LD, Puscheck E, Smith-Bindman R. Management of asymptomatic ovarian and other Adnexal cysts imaged at US: Society of radiologists in ultrasound consensus conference statement. Radiology. 2010;256:943–54.

    Article  PubMed  Google Scholar 

  88. Kobayashi H, Sumimoto K, Moniwa N, Imai M, Takakura K, Kuromaki T, Morioka E, Arisawa K, Terao T. Risk of developing ovarian cancer among women with ovarian endometrioma: A cohort study in Shizuoka, Japan. Int J Gynecol Cancer. 2007;17:37–43.

    Article  CAS  PubMed  Google Scholar 

  89. Patel MD, Ascher SM, Paspulati RM, Shanbhogue AK, Siegelman ES, Stein MW, Berland LL. Managing incidental findings on abdominal and pelvic CT and MRI, part 1: White paper of the ACR incidental findings committee II on adnexal findings. J Am Coll Radiol. 2013;10:675–81.

    Article  PubMed  Google Scholar 

  90. Jia JB, Houshyar R, Verma S, Uchio E, Lall C. Prostate cancer on computed tomography: A direct comparison with multi-parametric magnetic resonance imaging and tissue pathology. Eur J Radiol. 2016;85:261–7.

    Article  PubMed  Google Scholar 

  91. Weinreb JC, Barentsz JO, Choyke PL, Cornud F, Haider MA, Macura KJ, Margolis D, Schnall MD, Shtern F, Tempany CM, Thoeny HC, Verma S. PI-RADS prostate imaging—reporting and data system: 2015, version 2. Eur Urol. 2016;69:16–40.

    Article  PubMed  Google Scholar 

  92. Khosa F, Krinsky G, Macari M, Yucel EK, Berland LL. Managing incidental findings on abdominal and pelvic CT and MRI, part 2: White paper of the ACR incidental findings committee II on vascular findings. J Am Coll Radiol. 2013;10:789–94.

    Article  PubMed  Google Scholar 

  93. Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). Eur J Cancer. 1990;45:228–47.

    Article  Google Scholar 

  94. Schwartz LH, Litière S, de Vries E, Ford R, Gwyther S, Mandrekar S, Shankar L, Bogaerts J, Chen A, Dancey J, Hayes W, Hodi FS, Hoekstra OS, Huang EP, Lin N, Liu Y, Therasse P, Wolchok JD, Seymour L. RECIST 1.1—update and clarification: From the RECIST committee. Eur J Cancer. 2016;62:132–7.

    Article  PubMed  PubMed Central  Google Scholar 

  95. Heller MT, Harisinghani M, Neitlich JD, Yeghiayan P, Berland LL. Managing incidental findings on abdominal and pelvic CT and MRI, part 3: White paper of the ACR incidental findings committee II on splenic and nodal findings. J Am Coll Radiol. 2013;10:833–9.

    Article  PubMed  Google Scholar 

  96. Sabaté JM, Torrubia S, Maideu J, Franquet T, Monill JM, Pérez C. Sclerosing mesenteritis: Imaging findings in 17 patients. AJR Am J Roentgenol. 1999;172:625–9.

    Article  PubMed  Google Scholar 

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  1. Division of Diagnostic and Interventional Neuroradiology, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 14, Switzerland

    Shivaprakash B. Hiremath, José Boto, Alice Regnaud, Léonard Etienne, Aikaterini Fitsiori & Maria Isabel Vargas

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  1. Shivaprakash B. Hiremath
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Correspondence to Maria Isabel Vargas.

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S.B. Hiremath, J. Boto, A. Regnaud, L. Etienne, A. Fitsiori and M.I. Vargas declare that they have no competing interests.

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Hiremath, S.B., Boto, J., Regnaud, A. et al. Incidentalomas in Spine and Spinal Cord Imaging. Clin Neuroradiol 29, 191–213 (2019). https://doi.org/10.1007/s00062-019-00773-5

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