Lung-RADS v2022 Category (Lung Cancer Screening)

ACR Lung-RADS v2022 lung-cancer-screening (LDCT) assessment categories.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Lung-RADS assessment category
4A — suspicious

Result: Lung-RADS 4A: suspicious; 3-month LDCT, and PET or CT may be considered if a solid component is at least 8 mm.

The tool opens with these values already filled in. Replace them with your own.

What the result means

0
Incomplete: comparison or additional imaging needed; 1-3 month LDCT if infectious or inflammatory.
1 / 2
Negative / benign: continue annual screening with a 12-month LDCT.
3
Probably benign: 6-month LDCT.
4A / 4B / 4X
Suspicious to very suspicious: 3-month LDCT (4A) or diagnostic CT, PET or CT, and tissue sampling (4B); 4X is a category 3/4 nodule with additional suspicious features, managed as 4B.

What you enter

  • Lung-RADS assessment category
How this is calculated

American College of Radiology. Lung CT Screening Reporting & Data System (Lung-RADS) v2022. Reston, VA: ACR; November 2022. (Christensen J, et al. J Am Coll Radiol. 2024.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.