Mediastinal (Epipericardial) Fat Necrosis – an Overlooked and Little Known Cause of Acute Chest Pain Mimicking Acute Coronary Syndrome

Necrosis of the fat adjacent to the heart, referred to as pericardial fat necrosis, epipericardial fat necrosis, and mediastinal fat necrosis, is a rare, self-limited condition. It presents as the sudden onset of severe chest pain that mimics symptoms of pulmonary embolism and acute coronary syndrome. CT findings are quite typical and consist of a round or oval shaped mass-like lesion containing soft tissue and fat density components in the cardiophrenic space.Lack of familiarity with this condition has led in the past to surgical interventions in order to remove the mass-like mediastinal fat necrosis.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2xubtgv