{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T09:24:25Z","timestamp":1787217865274,"version":"build-2736575974"},"reference-count":24,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Deanship of Scientific Research Ongoing Research Funding, Research Chairs","award":["ORF-RC-2026-25-07"],"award-info":[{"award-number":["ORF-RC-2026-25-07"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: Incidental findings (IFs) on emergency computed tomography (CT) are increasingly common as cross-sectional imaging utilization expands. Data from the Middle East are limited. We aimed to determine the report-documented frequency, anatomical distribution, and proportion of clinically actionable IFs on emergency abdominopelvic CT examinations at a tertiary-care center in southwestern Saudi Arabia. Methods: This retrospective cross-sectional study reviewed 705 consecutive emergency abdominopelvic CT examinations performed at King Fahd Central Hospital, Jazan, between 1 January 2023 and 31 December 2025. Two senior radiology residents (R3 and R4) extracted findings unrelated to the presenting indication from consultant-approved reports, applying a predefined terminology-standardization framework. Clinical actionability was defined a priori as a documented recommendation for further evaluation or follow-up. Descriptive statistics with 95% Wilson confidence intervals (CI) were calculated using R Software. Results: At least one IF was identified in 138 of 705 examinations, yielding a patient-level report-documented rate of 19.6% (95% CI 16.8% to 22.7%). A total of 255 IFs were recorded, averaging 1.85 findings per affected patient. The mean age was 42.3 \u00b1 18.2 years; 78 patients (56.5%) were male and 116 (84.1%) were Saudi nationals. Findings were most often within the abdominopelvic cavity (159; 62.4%), followed by miscellaneous (64; 25.1%) and thoracic-vascular (32; 12.5%). At the secondary-category level, the most prevalent groups were spine (38; 14.9%), hepatobiliary (37; 14.5%), and genitourinary (31; 12.2%). Documented further work-up was recommended in 48 of 138 patients with IFs (34.8%; 95% CI 27.3% to 43.0%). Conclusions: Approximately one in five emergency abdominopelvic CT examinations contained incidental findings, with one-third requiring further evaluation. Spine, hepatobiliary, and genitourinary findings were most common. Variability in reported rates likely reflects differences in study methods and definitions. Future multicenter studies should evaluate standardized reporting approaches and follow-up strategies, together with their impact on reporting consistency, downstream investigations, and patient outcomes.<\/jats:p>","DOI":"10.3390\/diagnostics16162649","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:10:20Z","timestamp":1787213420000},"page":"2649","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Report-Documented Frequency and Spectrum of Incidental Findings on Emergency Abdominopelvic Computed Tomography: A Retrospective Clinical Data Study from Saudi Arabia"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4280-6814","authenticated-orcid":false,"given":"Turki M.","family":"Dhayihi","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7960-9354","authenticated-orcid":false,"given":"Yazeed B.","family":"Abutaleb","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4525-1191","authenticated-orcid":false,"given":"Mohammad A.","family":"Jareebi","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanoud E.","family":"Dalak","sequence":"additional","affiliation":[{"name":"Radiology Department, King Fahd Central Hospital, Jazan 45911, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mousa Y.","family":"Wafi","sequence":"additional","affiliation":[{"name":"Radiology Department, King Fahd Central Hospital, Jazan 45911, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mada M.","family":"Jarad","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Fahd Central Hospital, Jazan 45911, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dekra Y.","family":"Arishi","sequence":"additional","affiliation":[{"name":"Radiology Department, King Fahd Central Hospital, Jazan 45911, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz H.","family":"Alnadhari","sequence":"additional","affiliation":[{"name":"Radiology Department, Armed Forces Hospital Southern Region, Khamis Mushait 62413, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7987-4015","authenticated-orcid":false,"given":"Ebtisam A.","family":"Madkhali","sequence":"additional","affiliation":[{"name":"Radiology Department, King Fahd Central Hospital, Jazan 45911, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadim I.","family":"Areshy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8297-2633","authenticated-orcid":false,"given":"Mohammed K.","family":"Zughlul","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0841-6724","authenticated-orcid":false,"given":"Abdulwahab A.","family":"Aqeeli","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6552-6260","authenticated-orcid":false,"given":"Farjah H.","family":"Algahtani","sequence":"additional","affiliation":[{"name":"Oncology Center, Chair of Epidemiology and Public Health Research, Faculty of Medicine, King Saud University\/King Saud Medical City, Riyadh 12373, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghazi I.","family":"Al Jowf","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Applied Medical Sciences, University Medical Clinics Complex, King Faisal University, Al Hofuf 37912, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jalal","family":"Abu Halimah","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Lee, K., Jung, K.U., Lee, C., and Lee, D. 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