When imaging tests reveal unexpected findings

Heart imaging tests sometimes reveal potentially worrisome abnormalities in or near the heart that are unrelated to the original reason for the test. These “incidentalomas” are usually harmless, but not always. Before undergoing heart imaging tests, people should understand how the results may change their treatment and if they are willing to receive that therapy. If a test reveals an incidentaloma, a second opinion from a highly experienced cardiologist or radiologist may help patients feel more confident that a concerning finding is treated appropriately.