**8. CAL suspicion**

The signs of CAL presence and the speed of installation are variable. The CAL manifestations range from exuberant to subtle. In situations not evident, the suspicion frequently is based on the presence of many factors already mentioned of CAL risk, associated with several clinical, analytical, and imaging CAL manifestations. Therefore, nomograms of CAL risk quantifications and scores of CAL presence probability can be utilized to make decisions on CAL diagnosis and treatment.
