Guideline Current ACR 2020

ACR Incidental Mediastinal Lymph Node

ACR white paper on incidental mediastinal and hilar lymph nodes on chest CT. Uses short-axis diameter, morphology, and clinical context to guide follow-up or biopsy.

Updated Jul 5, 2026
Applies to
  • Incidentally detected mediastinal lymph nodes on CT
Classification

Exclusions

None listed

Interactive

Decision tree

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

Recommendation builder

Select the category based on short-axis diameter, morphology, and clinical context.

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.