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'Incidentalomas' are likely to increase in frequency with increasing sensitivities of modalities but so too will be the management dilemmas to be encountered when a patient presents with a clinical problem totally unrelated to the incidental finding and questions are raised whether alerting the patient to the finding serves a negative or positive purpose in the overall context of management.
A solitary chest nodule no matter its pathological status in a 90 yr old patient for instance presenting with a urinary tract infection unrelated to the nodule may serve no useful 'talk point' in therapeutic context and may possibly harm by creating undue anxiety in the patient were it to become known to the patient.
In some of these incidentalomas, the dilemma of
" Is cure necessary even when it is possible or possible even when it is necessary " remains relevant.
Nevertheless the larger point in this paper of a systematic approach to image reading to minimize framing bias/fixation error/search satisfaction error, etc, is noteworthy.