Incidental liver lesions

Incidentalomas are common and often overinvestigated. Here’s how GPs can navigate the management process.

It is a common occurrence that a patient with abdominal pain (often non-specific) undergoes an ultrasound or CT examination that shows an incidental lesion in the liver.

These ‘incidentalomas' are defined as liver lesions that do not account for the patient's symptoms, in a patient with no known risk factors for liver disease.

Unless the lesion is an obvious simple cyst (and therefore, almost certainly of no significance), the reporting radiologist will frequently