We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Epicardial Fat Sign in the Diagnosis of Pericardial Effusion

Edward W. Carsky, MD; Farhad Azimi, MD; Richard Mauceri, DO
JAMA. 1980;244(24):2762-2764. doi:10.1001/jama.1980.03310240054029.
Text Size: A A A
Published online

PERICARDIAL effusion is most often present in patients with uremia, viral pericarditis, and malignant neoplasms. It is also observed in many other conditions, including Dressler's syndrome, myxedema, collagen vascular diseases, congestive heart failure, lymphoma, sarcoidosis, and bacterial and tuberculous pericarditis.

Echocardiography is the method of choice for the diagnosis of pericardial effusion. This technique is highly accurate and reliable, but it is not used in all patients because frequently pericardial effusion is not clinically suspected. However, most patients with pericardial disease have plain chest roentgenograms, and in some of these the "water bottle" configuration of the heart leads to the proper diagnosis. The authors have found the epicardial fat sign to be useful in the diagnosis of pericardial effusion in patients in whom this condition is clinically not suspected and in whom the chest films show a normal heart configuration (Fig 1).

The epicardial fat sign as an aid in


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.