RT Journal Article SR Electronic T1 Management of Thyroid Incidentalomas Encountered by Anesthesiologists and Pain Physicians JF Regional Anesthesia & Pain Medicine JO Reg Anesth Pain Med FD BMJ Publishing Group Ltd SP 431 OP 435 DO 10.1097/AAP.0b013e31829f890a VO 38 IS 5 A1 Samer Narouze A1 Dmitri Souzdalnitski YR 2013 UL http://rapm.bmj.com/content/38/5/431.abstract AB Abstract Unexpected, asymptomatic thyroid lesions incidentally discovered during unrelated diagnostic or therapeutic interventions are called thyroid incidentalomas (TIs). These lesions are extremely common, creating a clinical problem that most anesthesiologists and pain specialists are unfamiliar with. Ultrasonography (US), which allows high-quality real-time visualization of tissues during brachial plexus block, stellate ganglion block, central vascular access, and other interventions, is the imaging modality of choice of many anesthesiologists and pain medicine specialists for therapeutic interventions on the neck. The increasing number of US procedures performed on the neck will eventually result in an upsurge of anesthesiologists and pain specialists encountering a TI. Interventionalists are responsible for acquiring optimal images, accurate needle positioning during interventions, and storage and appropriate labeling of the obtained images. Ignoring the TI or disclosing the presence of a “tumor” can substantially affect the patient’s well-being. In this literature review, we discuss 2 clinical cases of incidentalomas, summarize the current evidence-based strategies, and provide readers with practical guidelines—possibly applicable to other abnormal findings—for the management of incidentally found thyroid lesions.