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Case of the Week 503



What is the most likely diagnosis?

  • 51 year-old with chest pain



Frontal and Lateral Chest Radiographs

  1. Ingested Foreign Body
  2. Right Lower Lobe Pneumonia
  3. Epicardial Fat Pad
  4. Asbestosis
  5. Pericardial Effusion

Additional Image-Axial CT of Lower Thorax

 

Additional Images

 

Axial CT of Lower Thorax


Answer:

 

3. Epicardial Fat Pad

 

More (Click Discussion Tab)

 

 

Epicardial Fat Pad

General Considerations

  • An accumulation of fat between the parietal pericardium and the parietal pleura, usually found incidentally on chest radiography
  • Most common in either the right cardiophrenic angle or adherent to the left ventricle at the apex of the heart
    • On the left side, it blunts the normal rounded apex of the heart
  • Can be mistaken for pneumonia or a mass
     

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.