Epipericardial fat necrosis

Case contributed by Dr Salem Bauones


Left-sided chest pain.

Patient Data

Age: 60
Gender: Male

Axial CT images demostrate an left juxtacardiac encapsulated fatty lesion with soft tissue rim and intrinsic and surrounding soft tissue stranding. 

Note the focal thickening of the adjacent pericardium.


Coronal reformatting image shows the encapsulated fatty lesion with intrinsique and surrounding tissue strands adjacent to the left epicardiac fat pad.

Case Discussion

Findings are compatible with epipericardial fat necrosis.

The other considerations include:

  • pericardial/epicardial lipoma or liposarcoma

This case is courtesy of Dr Mohamed Alshaikh, MBBS, who generously shared with me.


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Case information

rID: 26371
Published: 17th Dec 2013
Last edited: 16th Jul 2018
System: Chest, Cardiac
Inclusion in quiz mode: Included

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