A Case Series of Epicardial Lipomatosis Masquerading as Extracardiac Pathology on Echocardiography: Role of Multimodality Imaging in Clarifying Misdiagnosis

Graphical abstract
Highlights • Epicardial fat presents challenges in differentiating it from pericardial effusion. • Epicardial lipomatosis can mimic tumor or thrombus, leading to potential misdiagnosis. • Epicardial lipomatosis has been reported to present with cardiac symptoms. • Chest computed tomography and chest magnetic resonance imaging help to avoid misdiagnosis.