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Figure 8b. Pericardial fat necrosis in a 58-year-old woman. (a) Posteroanterior chest radiograph shows an area of increased opacity in the left paracardiac region (arrow). (b) Axial CT scan shows an encapsulated fatty lesion with mild stranding in the left cardiophrenic space (arrow). Arrowhead = associated local pericardial thickening. (c) On a chest radiograph obtained 3 months later, the paracardiac area of increased opacity has disappeared. (d) Follow-up axial CT scan shows a marked decrease in the size of the lesion (arrow).
