Review the most common incidental extra-cardiac findings (ECF) on cardiac CT Understand the importance the incidental findings and according to their clinical significance report and alert to manage impact patient on patient’s care. Provide an easily accessible atlas organized by organs/structures of the most common IECF.

Cardiac computed tomography (CT) has emerged as a useful non-invasive imaging modality. There is established relevance in the evaluation of coronary artery disease in low and intermediate pre-test risk patients and pre-procedural planning for transcatheter interventions. Cardiac CT evaluation entails special reconstruction settings and a dedicated cardiac FOV. For many imaging readers, this may mean that the remaining chest organs are excluded from the field of view which is not correct. A systematic review found a median ECF occurrence of 45% in cardiac CT and...

For this educational poster, a review of the Cardiac CT scans performed between 2016 and 2018, in our tertiary cardiac hospital, were included, with a total number of 5973 exams. Across all studies, lung nodulesand masses were the most common findings, followed by lungparenchymal changes (includingemphysema), lymphadenopathy, focal liver lesions, aortic dilatation or aneurysm,pleural effusions or plaques, and hiatus hernia. This education review is anaccessible pocket atlas of extra-cardiac findings organized by organ/structure surrounding the heart such as: Lung (parenchyma, airways, pleura, lymph nodes), Mediastinum...

ECF are commonly encountered on cardiac CT. If an incidental finding is encountered, physicians interpreting cardiac CT scans need to understand its importance and the criteria for further action and alertto prevent missing life-threatening conditions.

E. Pinto; Liverpool/UK - nothing to disclose S. Srivastava; Liverpool/UK - nothing to disclose D. Penha; Liverpool/UK - nothing to disclose M. Ntouskou; Liverpool/UK - nothing to disclose C. Monaghan; Liverpool/UK - nothing to disclose M. D. McCreacy; Liverpool/UK - nothing to disclose L. Taborda; Covilhã/PT - nothing to disclose K. L. Irion; Manchester/UK - nothing to disclose

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