Weekly Chest CasesArchive of Old Cases

Case No : 1500 Date 2026-07-20

  • Courtesy of Seung Min Yoo / CHA university Bundang medical center
  • Age/Sex 50 / F
  • Chief ComplaintChest pain
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Diagnosis
Epicardial fat necrosis
Radiologic Findings
Figs 1 and 2. Chest CT shows ovoid shape encapsulated fatty lewion at the left epicardial fat pad.
Brief Review
Main CT findings of pericardial fat necrosis are as follows:
• ovoid encapsulated fatty lesion external to the pericardium with a soft tissue rim and surrounding inflammatory stranding
• thickened adjacent pericardium
• trace of pericardial fluid
References
1. Lee HH, Ryu DS, Jung SS, Jung SM, Choi SJ, Shin DH. MRI Findings of Pericardial Fat Necrosis: Case Report. Korean J Radiol. 2011 May-Jun;12(3):390-394. https://doi.org/10.3348/kjr.2011.12.3.390
Keywords

No. of Applicants : 83

▶ Correct Answer : 73/83,  88.0%
  • - Kyoto University , Japan AKIHIKO SAKATA
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - Seoul Medical Center , Korea (South) HANSEUL CHO
  • - university of montreal , Canada Andrei Bogdan Gorgos I
  • - Fukuoka university , Japan KEISUKE SATO
  • - Other , Korea (South) CHAWOONG JEON
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - , Korea (South) HEONSEOK LEE
  • - Matsunami General Hospital , Japan TARO TAKEDA
  • - Kyoto University Hospital , Japan YUSUKE UTSUNOMIYA
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - Nara Medical University , Japan AYA YAMADA
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - Kyoto University , Japan SHO KOYASU
  • - The Catholic University of Korea Seoul St. Mary , Korea (South) JIHO PARK
  • - Inje University Ilsan Paik Hospital , Korea (South) MINSEOK CHOI
  • - QATIF CENTRAL HOSPITAL , Saudi Arabia HANI M ALSALAM
  • - Other , Korea (South) SEONGSU KANG
  • - Osaka metropolitan university Hospital , Japan TATSUSHI OURA
  • - Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - Teikyo University Hospital, Mizonokuchi , Japan TOSHIHIRO FURUTA
  • - Soonchunhyang University Hospital Bucheon , Korea (South) YUNJI LEE
  • - Affilitated Hospital of Jining Medical college , China JIANG SHENG HUA
  • - , Sweden MOHAMAD TLASS
  • - Shiga General Hospital , Japan YUSAKU MORIBATA
  • - Chonnam National University Hospital , Korea (South) HYUNJIN KIM
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - Other , Korea (South) KI-NAM LEE
  • - Dae Jin Medical Center , Korea (South) LEE HYE IN
  • - , China FANG YING GEN
  • - , Korea (South) HYOUNG YEOB KIM
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - , Japan TOMOHIRO KAWAJI
  • - , Japan HIROKI SHIMOYAMA
  • - Chonnam National University Hospital , Korea (South) JUNYEOL YANG
  • - Otsu Red Cross Hospital , Japan JUN YOSHIDA
  • - Ehime University , Japan KOTARO MATSUMOTO
  • - Dokkyo Medical University , Japan HIROAKI ARAKAWA
  • - Kantou Rousai Hospital , Japan KAORU SUMIDA
  • - medical scanning , Japan HIROAKI ARAKAWA
  • - , Japan YUJI OHIZUMI
  • - , Japan SHUNJIRO NOGUCHI
  • - , Korea (South) DONG HEE LEE
  • - Chonbuk National University Hospital , Korea (South) HUISU LEE
  • - Chonbuk National University Hospital , Korea (South) HYEONG RYUN CHO
  • - , Korea (South) JIYUN KIM
  • - The Catholic University of Korea Yoeuido St. Mary , Korea (South) OHMIN KWON
  • - TB centre kasaragod. , India rikhy krishnan
  • - Chonbuk National University Hospital , Korea (South) JUNGHOON OH
  • - , Korea (South) SEONGJUN JANG
  • - University of Yamanashi , Japan HIROYUKI MORISAKA
  • - Jiangsu province hospital , China WANGJIAN ZHA
  • - Chonbuk National University Hospital , Korea (South) YONG HWAN JO
  • - Chonbuk National University Hospital , Korea (South) EUNCHONG LEE
  • - University of Yamanashi , Japan KOJIRO ONOHARA
  • - Chiba University Hospital , Japan HIROKI MIYAZAKI
  • - Chonbuk National University Hospital , Korea (South) SEUNG HO LEE
  • - Seoul National University Bundang Hospital , Korea (South) YOONAH DO
  • - , Japan HIROKI SAKURADA
  • - Ehime University , Japan TOMOHISA OKADA
  • - Kyung Hee University Medical Hospital , Korea (South) JEONG TAEK YOON
  • - Secomedic Hospital , Japan FUMINORI MIYOSHI
  • - IRSA/SIMAGO LA ROCHELLE , France JEAN LUC BIGOT
  • - Kobe Children , Japan SHUHEI NORIMOTO
  • - Teikyo University Hospital , Japan ISSEI FUKUDA
  • - Jichi Medical University, School of Medicine , Japan MITSURU MATSUKI
  • - Nara Medical University , Japan KATSUTOSHI HORIUCHI
  • - Oita university , Japan AYUMI KAMEI
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - Chonnam National University Hospital , Korea (South) JAEBONG YANG
  • - University of Yamanashi , Japan HIROAKI WATANABE
▶ Correct Answer as Differential Diagnosis : 1/83,  1.2%
  • - Korea University Anam Hospital , Korea (South) KYU-CHONG LEE
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