Imaging plays an important role in clinical decision making for patients. The exponential rise in the use of cross-sectional imaging over recent years has resulted in an increase in the prevalence of asymptomatic incidental findings, reported to be as high as 23.6% of CT studies with incidental ovarian lesions occurring in up to 6.6% of CTs. Differentiating between clinically significant findings and those that do not require follow-up is imperative, not only to avoid unnecessary patient anxiety, radiation exposure and cost, but also in order to detect significant pathology early so that appropriate management can be initiated.

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