Surprise, your patient has a case of 'incidentaloma'

Little is known about the phenomenon despite a surge in prevalence in recent years

GPs should consider routinely warning patients that imaging could lead to unexpected findings, say the authors of a new study. Clare Pain reports


A few years ago, an elderly family member’s life was changed forever by a chance finding on an ultrasound scan.

He’d gone for scans relating to benign enlargement of the prostate, but the sonographer, who happened to be a ­family friend, noticed a suspicious lesion on his liver. It turned out to be a metastasis from primary pancreatic cancer.