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Epicardial Fat Necrosis

Epicardial Fat Necrosis▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

A fatty lesion in the anterior mediastinum, initially called a lipoma, later develops a rim of soft tissue density and local inflammation.

Key takeaways

While typically an incidental finding, fat necrosis can present with focal pleuritic chest pain; the diagnosis is suggested by local inflammation around a fatty lesion.

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