Epipericardic fat necrosis: CT diagnosis

Abstract

In a recent large pictorial review we have revisited the spectrum of intraperitoneal focal fat infarction - IFFI - a term including various acute abdominal conditions in which focal fatty tissue necrosis represents the common pathologic denominator (1). The option of conservative treatment after a very specific imaging diagnosis - today mostly obtained through ultrasound but merely through CT evaluation - now represents the other common denominator of IFFI. IFFI is a benign disease and informed radiologists can avoid surgery for most of their patients.