Pericardial fat pad

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain


Work up for cough.

Patient Data

Age: 55 years
Gender: Male

Patchy ill defined, mostly subpleural, ground glass opacities and focal consolidations are seen at the right lower lobe suggestive of COVID19 pneumonia (correlated with positive RT-PCR test).

There are also several atelectatic bands scattered bilaterally.

Pericardial fat pad is present, particularly at the right cardiophrenic angle.

Case Discussion

The pericardial fat pad is a normal structure in the cardiophrenic angle composed of epicardial fat, which lies between the myocardium and visceral pericardium, and paracardial fat, which is adherent and external to the parietal pericardium.

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