Epicardial fat pads

Dr Daniel J Bell and Dr Henry Knipe et al.

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

They can be affected by fat necrosis, see: epipericardial fat necrosis

  • mass or hazy opacity in the costodiaphragmatic angle
  • cardiac and diaphragmatic silhouettes usually visible
  • 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:

Anatomy: Thoracic
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Article information

rID: 38494
System: Chest, Cardiac
Section: 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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