CTICasesPericardial Fat Pad Torsion / Spontaneous Necrosis of Mediastinal Fat
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Imaging findings
At the LD apex, there is stranding and some fluid, the pericardium is indistinct, and little globules of fat are outlined within the stranding and focal thickening at the pericardium.
Key takeaways
This is a self-limited condition, usually treated with NSAIDs. It is important to distinguish this from pericarditis and myocardial infarction. CT is crucial for diagnosis, especially for identifying the focal inflammatory changes around the fat pad.
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