Full article: https://www.ajronline.org/doi/abs/10.2214/AJR.22.27901 

Adrenal adenomas are common due in part to increased utilization of cross-sectional imaging, there is a growing need to evaluate the utility of CT washout for small homogenous adrenal nodules (10 and without history of cancer given the prevalence of malignancy in true incidentalomas is low.  Mohanned Alnammi, MD discusses an article that found evaluating true incidentalomas with HU >10 with CT washout and showed suboptimal diagnostic performance and that the 60% washout threshold may be of limited utility in those without a history of cancer.