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KMID : 1103720220830051160
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Journal of the Korean Society of Radiology
2022 Volume.83 No. 5 p.1160 ~ p.1167
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Epipericardial Fat Necrosis in a Pediatric Patient Diagnosed Using Contrast-Enhanced MRI Findings: A Case Report and Literature Review
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Kim Seong-Ju
Han Byoung-Hee
Cho Young-Jong
Ryu Dae-Sick
Yoon Ga-Young
Paik Woo-Yul
Kim Young-Rae
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Abstract
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Epipericardial fat necrosis (EPFN) is a relatively rare cause of acute chest pain, with only five pediatric cases having been reported in the English-language medical literature to date. EPFN can be diagnosed based on the clinical symptoms of acute pleuritic chest pain and classic CT features of typically ovoid fatty lesions surrounded by a rim or capsule in the mediastinal or pericardial areas. Previous studies have reported that contrast-enhanced MRI can detect typical fat signal changes in adults with EPFN. We report a pediatric EPFN case diagnosed using gadolinium-enhanced MRI. Thus, contrast-enhanced MRI may be used to confirm EPFN in the differential diagnoses of the causes of acute chest pain.
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KEYWORD
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Fat Necrosis, Pericardium, Magnetic Resonance Imaging
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