Pericardial fat pads
Incidental finding on chest X-rays.
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No consolidation. Faintly dense opacity in the right and left heart borders, better appreciated anteriorly on the lateral radiograph.
Epicardial or pericardial fat pads are normal structures that lie in the cardiophrenic, more so on the right. They can cause confusion when only a frontal X-ray is assessed.
This diagnosis was based on the radiograph appearance and comparison with old previous images showing stability.