Epipericardial fat necrosis

Case contributed by Mina Sameh Rizk
Diagnosis almost certain

Presentation

Acute pleuritic chest pain

Patient Data

Age: 35 years
Gender: Male
ct

Discrete, elongated 2cm fatty lesion within the epipericardial fat with a soft-tissue attenuation rim and surrounded by fat-stranding.

Few smaller soft tissue nodules are located just inferior to this, likely reactive lymph nodes.

Small right pleural effusion with compressive partial atelectasis of the right lung lower lobe.

Left lung lower lobe subsegmental atelectasis is also noted.

Annotated image

Arrow pointing at the lesion in the right epicardial fat.

Case Discussion

A case of epipericardial fat necrosis in middle age male patient presented with acute pleuritic chest pain.

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