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A 47-year-old female with 5-day right pleuritic chest pain. (a) The axial chest CT scan displays a round soft-tissue attenuation lesion with fatty centre and peripheral strands inside the right epipericardial fat (arrow), which is strongly suggestive of epipericardial fat necrosis (EFN). (b) Coronal reformation of the round soft-tissue attenuation lesion suggestive of EFN (straight arrow). There is notable pericardial thickening (curved arrow).
