Epipericardial fat necrosis diagnosed by cardiac CT in a patient with apical hypertrophic cardiomyopathy.

Autor:	Fujita M; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Kitagawa K; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Domae K; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Yamaguchi S; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Kokawa T; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Takafuji M; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Ichikawa Y; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan., Sakuma H; Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie Prefecture 514-8507, Japan.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Feb 13; Vol. 19 (5), pp. 1708-1711. Date of Electronic Publication: 2024 Feb 13 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.01.083
Abstrakt:	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. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu