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Mediastinal Fat Infarction

Imaging findings

Patient with acute chest pain shows "smudgy" fat anterior to the pericardium on CT, without evidence of pulmonary embolism or cardiac enzyme elevation.

Key takeaways

Smudgy anterior mediastinal fat is a hallmark of mediastinal fat infarction. It is a benign, self-limiting condition typically managed with NSAIDs.

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