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Epipericardial Fat Necrosis: Radiologic Diagnosis and Follow-Up

Victor Pineda1, Jose Cáceres1, Jordi Andreu1, Jose Vilar2 and Maria Luisa Domingo2

1 Department of Radiology, Hospital Vall d'Hebron, Universitat Autonoma Pg. Vall d'Hebron 119-129, Barcelona 08035, Spain.
2 Department of Radiology, Hospital Universitario Dr. Peset, Valencia, Spain.



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  		Fig. 1A —54-year-old woman with sudden onset of pleuritic chest pain. Chest radiograph shows left paracardiac opacity (arrow).

 


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  		Fig. 1B —54-year-old woman with sudden onset of pleuritic chest pain. Enhanced CT scan shows that paracardiac opacity corresponds to epipericardial fat surrounded by thick rim (arrow). Note associated pericardial thickening (arrowhead).

 


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  		Fig. 1C —54-year-old woman with sudden onset of pleuritic chest pain. Follow-up chest radiograph obtained 2 months after A and B shows paracardiac opacity has disappeared.

 


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  		Fig. 1D —54-year-old woman with sudden onset of pleuritic chest pain. Follow-up CT scan obtained 2 months after A and B shows marked decrease in size of epipericardial lesion (arrow). Thickening of adjacent pericardium has disappeared.

 


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  		Fig. 2A —50-year-old man with epipericardial fat necrosis, which was surgically proven. Chest radiograph shows left paracardiac opacity (arrow).

 


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  		Fig. 2B —50-year-old man with epipericardial fat necrosis, which was surgically proven. Unenhanced CT scan shows encapsulated fatty lesion with strands inside (arrow).

 

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