Abdominal imaging may often detect incidental liver lesions in asymptomatic individuals. . The guidance includes assessing the patient's risk for liver malignancy and performing multiphasic, contrast-enhanced, cross-sectional imaging in patients with risk factors or when initial imaging does not determine the lesion's etiology. If advanced imaging does not establish a diagnosis, subsequent evaluation is informed by the suspected diagnosis and includes imaging surveillance or histologic evaluation. Our approach is generally consistent with this guidance.