Fact-sheet: Pericardial fat necrosis
Updated on 06/23/2020 at 9:43 AM
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Definition
A phenomenon of adipose tissue necrosis, causing local inflammation and pain.
Pericardial fat necrosis is a benign cause of chest pain, the incidence of which is probably underestimated.
Clinical features
Lateralized chest pain, which may worsen on inspiration
Normal ECG
No cough or dyspnea
CT
Oval, well-defined, hypodense mediastinal mass with peripheral enhancement
Possible small-volume pleural effusion.
Management
Symptomatic treatment with analgesics (step I) and NSAIDs
Rapidly favorable course