Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MRI Findings of Pericardial Fat Necrosis: Case Report

  • Lee, Hyo-Hyeok (Department of Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Ryu, Dae-Shick (Department of Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Jung, Sang-Sig (Department of Cardiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Jung, Seung-Mun (Department of Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Choi, Soo-Jung (Department of Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Shin, Dae-Hee (Department of Cardiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan)
  • Published : 2011.06.01
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Abstract

Pericardial fat necrosis is an infrequent cause of acute chest pain and this can mimic acute myocardial infarction and acute pericarditis. We describe here a patient with the magnetic resonance imaging (MRI) findings of pericardial fat necrosis and this was correlated with the computed tomography (CT) findings. The MRI findings may be helpful for distinguishing pericardial fat necrosis from other causes of acute chest pain and from the fat-containing tumors in the cardiophrenic space of the anterior mediastinum.

Keywords

References

  1. Pineda V, Caceres J, Andreu J, Vilar J, Domingo ML. Epipericardial fat necrosis: radiologic diagnosis and follow-up. AJR Am J Roentgenol 2005;185:1234-1236 https://doi.org/10.2214/AJR.04.1310
  2. Chan LP, Gee R, Keogh C, Munk PL. Imaging features of fat necrosis. AJR Am J Roentgenol 2003;181:955-959 https://doi.org/10.2214/ajr.181.4.1810955
  3. Sirvanci M, Balci NC, Karaman K, Duran C, Karakas E. Primary epiploic appendagitis: MRI findings. Magn Reson Imaging 2002;20:137-139 https://doi.org/10.1016/S0730-725X(02)00478-2
  4. Inoue S, Fujino S, Tezuka N, Sawai S, Kontani K, Hanaoka J, et al. Encapsulated pericardial fat necrosis treated by video-assisted thoracic surgery: report of a case. Surg Today 2000;30:739-743 https://doi.org/10.1007/s005950070088
  5. Webster MW Jr, Bahnson HT. Pericardial fat necrosis. Case report and review. J Thorac Cardiovasc Surg 1974;67:430-433
  6. Sirvanci M, Tekelioglu MH, Duran C, Yardimci H, Onat L, Ozer K. Primary epiploic appendagitis: CT manifestations. Clin Imaging 2000;24:357-361 https://doi.org/10.1016/S0899-7071(00)00236-9
  7. Lee BY, Song KS. Calcified chronic pericardial fat necrosis in localized lipomatosis of pericardium. AJR Am J Roentgenol 2007;188:W21-W24 https://doi.org/10.2214/AJR.04.1989
  8. Pineda V, Andreu J, Caceres J, Merino X, Varona D, Dominguez-Oronoz R. Lesions of the cardiophrenic space: findings at cross-sectional imaging. Radiographics 2007;27:19-32 https://doi.org/10.1148/rg.271065089

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  2. Epipericardial fat necrosis: an underdiagnosed condition. vol.87, pp.1038, 2011, https://doi.org/10.1259/bjr.20140118
  3. Epipericardial Fat Necrosis as a Cause of Acute Chest Pain vol.29, pp.4, 2016, https://doi.org/10.1080/08998280.2016.11929502
  4. Ultrasonographic Findings of Epipericardial Fat Necrosis: A Case Report vol.74, pp.4, 2011, https://doi.org/10.3348/jksr.2016.74.4.222
  5. Necrosis grasa epicárdica: una causa infrecuente de dolor torácico vol.81, pp.3, 2011, https://doi.org/10.1016/j.rard.2017.03.007
  6. Mediastinal (Epipericardial) Fat Necrosis: An Overlooked and Little Known Cause of Acute Chest Pain Mimicking Acute Coronary Syndrome vol.38, pp.6, 2011, https://doi.org/10.1053/j.sult.2017.08.003
  7. The imaging appearances of various pericardial disorders vol.10, pp.None, 2011, https://doi.org/10.1186/s13244-019-0728-4