Epipericardial Fat Necrosis in a Pediatric Patient Diagnosed Using Contrast-Enhanced MRI Findings: A Case Report and Literature Review
Epipericardial fat necrosis (EPFN) is a relatively rare cause of acute chest pain, with only five pediatric cases having been reported in the English-language medical literature to date. EPFN can be diagnosed based on the clinical symptoms of acute pleuritic chest pain and classic CT features of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2022-09-01
|
| Series: | 대한영상의학회지 |
| Subjects: |
| Summary: | Epipericardial fat necrosis (EPFN) is a relatively rare cause of acute chest pain, with only five pediatric
cases having been reported in the English-language medical literature to date. EPFN can be
diagnosed based on the clinical symptoms of acute pleuritic chest pain and classic CT features of
typically ovoid fatty lesions surrounded by a rim or capsule in the mediastinal or pericardial areas.
Previous studies have reported that contrast-enhanced MRI can detect typical fat signal changes in
adults with EPFN. We report a pediatric EPFN case diagnosed using gadolinium-enhanced MRI. Thus,
contrast-enhanced MRI may be used to confirm EPFN in the differential diagnoses of the causes of
acute chest pain. |
|---|---|
| ISSN: | 2288-2928 |