Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy
Epipericardial fat necrosis (EFN) is a rare benign cause of chest pain, that is frequently overlooked. EFN involves the necrosis of fat tissue in the mediastinum, and presents on computed tomography (CT) as an ovoid lesion of fat attenuation surrounded by a rim of soft tissue attenuation. This case...
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324000803 |
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| author | Miyuko Fujita, MD Kakuya Kitagawa, MD, PhD Kensuke Domae, MD Shintaro Yamaguchi, MD Takanori Kokawa, MD Masafumi Takafuji, MD, PhD Yasutaka Ichikawa, MD, PhD Hajime Sakuma, MD, PhD |
| author_facet | Miyuko Fujita, MD Kakuya Kitagawa, MD, PhD Kensuke Domae, MD Shintaro Yamaguchi, MD Takanori Kokawa, MD Masafumi Takafuji, MD, PhD Yasutaka Ichikawa, MD, PhD Hajime Sakuma, MD, PhD |
| author_sort | Miyuko Fujita, MD |
| collection | DOAJ |
| description | Epipericardial fat necrosis (EFN) is a rare benign cause of chest pain, that is frequently overlooked. EFN involves the necrosis of fat tissue in the mediastinum, and presents on computed tomography (CT) as an ovoid lesion of fat attenuation surrounded by a rim of soft tissue attenuation. This case report describes a case of a 50-year-old man diagnosed with EFN on cardiac CT, which was incidentally associated with apical hypertrophic myocardiopathy. Notably, the detection of EFN proved difficult on arterial phase images during coronary CT angiography, whereas it was much easier to detect on delayed phase images. EFN should be considered in the differential diagnosis of chest pain, and careful examination of mediastinal fat is crucial for accurate diagnosis. |
| first_indexed | 2024-03-08T00:50:27Z |
| format | Article |
| id | doaj.art-dde62ee4001d4321bf8ed760f2c91cb5 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:13:03Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-dde62ee4001d4321bf8ed760f2c91cb52024-03-10T05:11:49ZengElsevierRadiology Case Reports1930-04332024-05-0119517081711Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathyMiyuko Fujita, MD0Kakuya Kitagawa, MD, PhD1Kensuke Domae, MD2Shintaro Yamaguchi, MD3Takanori Kokawa, MD4Masafumi Takafuji, MD, PhD5Yasutaka Ichikawa, MD, PhD6Hajime Sakuma, MD, PhD7Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanCorresponding author.; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanDepartment of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, JapanEpipericardial fat necrosis (EFN) is a rare benign cause of chest pain, that is frequently overlooked. EFN involves the necrosis of fat tissue in the mediastinum, and presents on computed tomography (CT) as an ovoid lesion of fat attenuation surrounded by a rim of soft tissue attenuation. This case report describes a case of a 50-year-old man diagnosed with EFN on cardiac CT, which was incidentally associated with apical hypertrophic myocardiopathy. Notably, the detection of EFN proved difficult on arterial phase images during coronary CT angiography, whereas it was much easier to detect on delayed phase images. EFN should be considered in the differential diagnosis of chest pain, and careful examination of mediastinal fat is crucial for accurate diagnosis.http://www.sciencedirect.com/science/article/pii/S1930043324000803Epipericardial fat necrosisHypertrophic cardiomyopathyCardiac computed tomography |
| spellingShingle | Miyuko Fujita, MD Kakuya Kitagawa, MD, PhD Kensuke Domae, MD Shintaro Yamaguchi, MD Takanori Kokawa, MD Masafumi Takafuji, MD, PhD Yasutaka Ichikawa, MD, PhD Hajime Sakuma, MD, PhD Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy Radiology Case Reports Epipericardial fat necrosis Hypertrophic cardiomyopathy Cardiac computed tomography |
| title | Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy |
| title_full | Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy |
| title_fullStr | Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy |
| title_full_unstemmed | Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy |
| title_short | Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy |
| title_sort | epipericardial fat necrosis diagnosed by cardiac ct in a patient with apical hypertrophic cardiomyopathy |
| topic | Epipericardial fat necrosis Hypertrophic cardiomyopathy Cardiac computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324000803 |
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