A core principle of quality improvement for better outcomes is consistency. With the increased use of medical imaging, incidental findings are more commonly being discovered. There is significant variability in the reporting and follow-up regarding incidental findings. This can lead to confusion for the referring physician unless specific guidance is offered by the radiologist. Other guidelines have also been developed for specific conditions and to help guide the management of the patient. The development, implementation, and use of guidelines can help foster consistency and lead to quality improvement.