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. 2023 Feb;7(1):49-50.
doi: 10.5811/cpcem.2022.10.57915.

Man with Pleuritic Chest Pain

Tanner George Greiving  1 , Sumeru G Mehta  2
Affiliations

Man with Pleuritic Chest Pain

Tanner George Greiving et al. Clin Pract Cases Emerg Med. 2023 Feb.

Abstract

Case presentation: We describe a case of epipericardial fat necrosis.

Discussion: Epipericardial fat necrosis is an inflammatory condition in which the pericardial fat pad necrotizes resulting in surrounding inflammation. This condition mimics more ominous pathology in clinical presentation and radiographic findings. Management is supportive with oral analgesics.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. This review does not reflect the views or opinions of the U.S. government, Department of Defense, Defense Health Agency, U.S. Army, U.S. Air Force, or SAUSHEC EM Residency Program. The authors disclosed none.

Figures

Image 1
Image 1
Chest radiograph. Arrow pointing at right-sided pleural effusion.
Image 2
Image 2
Non-contrast enhanced computed tomography of the chest. Arrow pointing at multilobular atelectasis and pleural effusion.
Image 3
Image 3
Computed tomography angiogram of the chest. Arrow pointing at an encapsulated mediastinal fatty lesion with soft tissue stranding. Other notable findings include sympathetic right pleural effusion with right lung atelectasis.
See this image and copyright information in PMC

References

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