The Teaching Point

Epipericardial fat necrosis (EPFN) is a self-limited benign entity that presents in both adults and pediatric population with acute pleuritic chest pain. This condition can be diagnosed with either CT or US but CT is regarded as the modality of choice with typical features include an encapsulated fat-containing lesion, fat stranding, pericardial thickening, and an ipsilateral pleural effusion; However, when there is diagnostic uncertainty, MRI can confirm the diagnosis.






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From the manuscript

Diagnosis of Epipericardial Fat Necrosis on multimodality imaging in a pediatric patient: a case report and review of the literature

Free full text article: Diagnosis of Epipericardial Fat Necrosis on multimodality imaging in a pediatric patient:  a case report and review of the literature

Abstract
This is a case report of a 13-year-old male, presented to the Emergency Department complaining of a sudden onset left-sided pleuritic chest pain for 1 day. He was found to have a mass in the left Epipericardial fat with fat stranding and pleural effusion supporting the diagnosis of Epipericardial Fat Necrosis. The findings were established by Computed tomography and Ultrasound, and the final diagnosis was confirmed by Magnetic resonance imaging. Subsequently, the patient was discharged on analgesia; re-assessment one-month later showed clinical improvement with no symptom recurrence. Repeated Ultrasound demonstrated a marked decrease in size and echogenicity of the mass. In this paper we review the clinical and radiological manifestations of Epipericardial fat necrosis and the different management approaches taken over the years.






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1. Epipericardial fat necrosis

2. pericardium

3. pleuritic chest pain

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7. pediatrics


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