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Related Experiment Video

Updated: Jul 20, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

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Epipericardial fat necrosis: A case report.

Fumiaki Fukamatsu¹, Daisuke Nakamura², Kuniharu Ippongi³

¹Department of Radiology, Nagano Municipal Hospital, 1333-1 Tomitake, Nagano 381-8551, Japan.

Radiology Case Reports

|May 13, 2024

Summary

Epipericardial fat necrosis is a rare cause of chest pain. This benign condition can be diagnosed with CT scans and treated conservatively with pain relief.

Keywords:

Computed tomography Epipericardial fat necrosis Pleuritic chest pain

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Area of Science:

Cardiology
Radiology
Pathology

Background:

Epipericardial fat necrosis is a rare, benign condition causing acute pleuritic chest pain.
Distinguishing it from serious conditions like myocardial infarction or pulmonary embolism is crucial for appropriate management.

Observation:

A case report of a 25-year-old male presenting with severe left-sided pleuritic chest pain and dyspnea.
Normal ECG and labs, except for elevated C-reactive protein.
CT revealed a characteristic fatty ovoid lesion with surrounding inflammation in the pericardial fat.

Findings:

Contrast-enhanced CT findings included a fatty lesion with a thick rim, fat stranding, and mild enhancement.
Associated left pleural effusion was noted.
Diagnosis of epipericardial fat necrosis was confirmed.

Implications:

Highlights the importance of recognizing epipericardial fat necrosis in the differential diagnosis of acute chest pain.
Emphasizes the need for radiologists to be familiar with its imaging features to avoid misdiagnosis.
Supports conservative management with analgesics for this self-limiting condition.