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Guideline Current ACR 2017

ACR Incidental Adrenal Mass

ACR white paper on management of incidental adrenal masses. Recommendations are stratified by size, imaging features (benign vs indeterminate), and oncologic history.

Updated Jul 5, 2026
Applies to
  • Incidentally detected adrenal masses on CT or MRI
Classification
  • Feature group Benign features
  • Feature group Indeterminate
  • Feature group Suspicious
Exclusions
  • Known adrenal malignancy
  • Staging of known primary tumor
Interactive

Decision tree

Enter a finding to compute a recommendation without leaving the page.

Recommendation builder

Select the imaging/clinical category that best describes the adrenal nodule.

FAQ

Frequently asked

Does this guideline apply to oncology patients?

No — patients with known malignancy fall outside the scope unless the guideline states otherwise. Follow oncologic surveillance protocols instead.