CTICasesEpicardial Fat Necrosis
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Imaging findings
CT revealed a focal area of fat around the cardiac apex with surrounding inflammatory changes, correlating with the patient's point tenderness and retrosternal chest pain. Chest radiographs were normal.
Key takeaways
Epicardial fat necrosis is a benign cause of acute, episodic retrosternal chest pain. It appears as a focal fatty lesion with inflammatory stranding on CT and can be diagnosed by correlation with point tenderness.
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