{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:00:14Z","timestamp":1791874814832,"version":"4.3.4"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,16]],"date-time":"2023-07-16T00:00:00Z","timestamp":1689465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Epipericardial fat necrosis (EFN) is a rare and benign condition. The three cardinal features of EFN are acute pleuritic chest pain, radiological features of an encapsulated fatty lesion within the epipericardial fat and the presence of inflammation within the surrounding pericardium. The exact aetiology is still unknown, and there are no known risk factors. The condition appears to be a transient process with no associated long\u2010term complications. In this case study, we demonstrate the multitude of radiological features associated with this condition. A 29\u2010year\u2010old Caucasian female presented with acute pleuritic chest pain. There were no acute changes on her blood work, electrocardiogram (ECG) or echocardiogram. The chest radiograph showed an opacity projected within the anterior mediastinum. Further imaging, with computed tomography (CT) chest with contrast, was performed to define the characteristics of the opacity. This confirmed an encapsulated, mixed fat, soft tissue density in the left pericardiac region deemed to represent EFN. Follow\u2010up magnetic resonance (MR) cardiac imaging at 1, 4 and 12\u2009months demonstrated the self\u2010resolving characteristics of this condition. EFN is a rare differential diagnosis to consider in patients presenting with acute pleuritic chest pain when laboratory tests are normal and there are no acute ECG findings. EFN should be excluded by imaging with CT or MRI of the heart. We have demonstrated through follow\u2010up MR imaging the progression and resolution of EFN over 12\u2009months.<\/jats:p>","DOI":"10.1111\/1754-9485.13562","type":"journal-article","created":{"date-parts":[[2023,7,16]],"date-time":"2023-07-16T18:09:05Z","timestamp":1689530945000},"page":"509-513","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Case report on the radiographic features of epipericardial fat necrosis in a patient presenting with acute chest pain"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8388-2007","authenticated-orcid":false,"given":"Sarrinder K","family":"Kenyon","sequence":"first","affiliation":[{"name":"Department of Medical Imaging The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishva A","family":"Wijesekera","sequence":"additional","affiliation":[{"name":"University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Cardiology The Prince Charles Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan J","family":"Wesley","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,16]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.04.1310"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20140118"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10090786"},{"key":"e_1_2_3_5_1","first-page":"237","article-title":"Pericardial fat necrosis","volume":"86","author":"Chipman CD","year":"1962","journal-title":"Can Med Assoc J"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.2012.0076"},{"key":"e_1_2_3_7_1","article-title":"Epipericardial fat necrosis: a concise review of literature","volume":"2","author":"Zafar MR","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_3_8_1","article-title":"Pericardial effusion due to infliximab therapy for ulcerative colitis","volume":"2018","author":"Mirza M","year":"2018","journal-title":"Case Rep Gastrointest Med"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20931"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T03:33:01Z","timestamp":1692761581000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,16]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/1754-9485.13562"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13562","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,16]]},"assertion":[{"value":"2023-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}