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Epipericardial fat necrosis

Epipericardial fat necrosis▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Abnormality at the heart apex with inflammatory stranding and thickening within the epipericardial fat. This mimic of pericarditis often shows self-limiting reactive changes.

Key takeaways

Epipericardial fat necrosis is a benign, self-limiting cause of chest pain that presents with characteristic inflammatory changes within the epicardial/pericardial fat.

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