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Healed Epipericardial Fat Pad Necrosis

Imaging findings

A ball of fat with linear calcification along the edge, appearing unchanged on a one-year follow-up. A small, partially calcified vessel (pedicle) is visible passing through the lesion.

Key takeaways

This is considered a healed case of epipericardial fat pad necrosis, where the calcification represents the torsed pedicle of the vessel. Similar findings might also be seen with a torsed lipoma.

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