Epicardial fat pads

Dr Henry Knipe et al.

Epicardial (pericardial) fat pads are normal structures that lie in the cardiophrenic, more so on the right. Unsurprisingly, they are more prominent in obese patients.

They can be affected by fat necrosis (see: epipericardial fat necrosis). 

Plain radiograph
  • mass or hazy opacity in the costodiaphragmatic angle
  • cardiac and diaphragmatic silhouettes usually visible
CT
  • easily differentiates epicardial fat pad from pathology other than a lipoma

At times they are large enough to simulate pathology and can be mistaken for:

Thoracic anatomy
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Article Information

rID: 38494
Systems: Chest, Cardiac
Sections: Gamuts, Anatomy
Tag: cases
Synonyms or Alternate Spellings:
  • Pericardial fat pad
  • Pericardial fat pads

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Cases and Figures

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    Case 1: bilateral
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    Case 2: at cardiac apex
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