Pericardial fatpad Pericardial fat depositions are common. Sometimes a large fat pad can be seen (figure). Necrosis of the fat pad has pathologic features similar to fat necrosis in epiploic appendagitis. It is an uncommon benign condition, that manifests as acute pleuritic chest pain in previously healthy persons (10). #Clinical #Radiology #CXR #CTChest #PericardialFat #FatPad #RadiologyAssistant