Presentation
Acute left pleuritic chest pain
Patient Data
Age: 25 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107618/annotated_viewer_json?iframe=true\u0026lang=us"}
No pulmonary embolism.
Mild dependent atelectasis in the left lower lobe. The lungs are otherwise clear.
Trace left pleural fluid.
Ovoid fat density lobule at the left cardiophrenic angle surrounded by inflammatory stranding. No pericardial effusion. (The appearance is similar to epiploic appendagitis.)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107619/annotated_viewer_json?iframe=true\u0026lang=us"}
Ovoid fat density lobule with surrounding inflammation anterior to the left ventricle.
Case Discussion
Epicardial fat necrosis is a benign, self-limiting condition. The typical presentation, as in this case, is of acute pleuritic chest pain. The treatment is conservative.