Background: Incidental findings on abdominal CT scans are unexpected discoveries unrelated to the original diagnostic intent. Their prevalence has clinical significance for patient management and healthcare policy. Objective: To assess the prevalence and characteristics of incidental findings in abdominal CT scans in a cross-sectional analysis. Methods: This cross-sectional study analyzed 200 abdominal CT scans performed for various indications. Incidental findings were identified and categorized based on organ system and clinical relevance. Results: Incidental findings were present in a significant proportion of the scans, with the majority being of minor clinical significance. However, a subset required further clinical follow-up. Conclusion: The prevalence of incidental findings underscores the importance of a systematic approach in the review of CT scans to ensure appropriate follow-up of potentially significant incidental findings.