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Picture Archiving and Communication System: Effect on Reporting of Incidental Findings¹

¹ From the Department of Radiology, Thomas Jefferson University Hospital, 3390 Gibbon Bldg, 111 S 11th St, Philadelphia, PA 19107. From the 2001 RSNA scientific assembly. Received October 23, 2001; revision requested January 14, 2002; final revision received April 29; accepted May 8. Address correspondence to S.C.W.

View larger version (16K): [in a new window]   Figure 1. Bar graph depicts the number of incidental findings at lumbar spinal MR imaging per 500 cases per year and shows the increase in incidental findings by comparing the pre-PACS with the post-PACS years. PP = pre-PACS year, PT = PACS transition year, P-1 = post-PACS year 1, P-2 = post-PACS year 2, P-3 = post-PACS year 3.

View larger version (199K): [in a new window]   Figure 2. Coronal T1-weighted fast gradient-recalled-echo MR image (150/3) from a lumbar spinal localizer series in a 67-year-old man shows a hypointense left renal mass (arrow). Follow-up US (not shown) demonstrated a simple renal cyst.

View larger version (194K): [in a new window]   Figure 3. Coronal T1-weighted fast gradient-recalled-echo MR image (150/3) from a lumbar spinal localizer series in a 62-year-old woman shows a well-circumscribed hypointense hepatic mass (arrow) in the right lobe. The mass was shown at follow-up CT (not shown) to represent a simple hepatic cyst.

View larger version (187K): [in a new window]   Figure 4. Coronal T1-weighted fast gradient-recalled-echo MR image (56/1) from the lumbar spinal localizer series in a 34-year-old pregnant woman shows a gravid uterus (solid arrow) and a right pelvic mass (open arrow) extending laterally to the right ilium. The mass was later shown at pathologic examination to represent local spread of recurrent cervical carcinoma.

View larger version (207K): [in a new window]   Figure 5. Coronal T1-weighted fast gradient-recalled-echo MR image (150/2) from a lumbar spinal localizer series in a 73-year-old man shows hypointense hepatic lesions (arrows) in the right lobe. The patient had primary bronchogenic carcinoma and was later shown at pathologic examination to have hepatic metastasis.

View larger version (15K): [in a new window]   Figure 6. Bar graph depicts the number of follow-up studies recommended per 500 cases per year and shows the increase in studies recommended by comparing the pre-PACS with the post-PACS years. PP = pre-PACS year, PT = PACS transition year, P-1 = post-PACS year 1, P-2 = post-PACS year 2, P-3 = post-PACS year 3.