Evidence map›Paper›PMID 40236355›Full record

ArticleCureus2025

Another Chest Pain Ruled Out: A Typical Story With an Atypical Finding on a Chest X-ray (CXR) Leading to an Uncommon Diagnosis.

Daniel Spector, Kevin Parsons, Megan Stobart-Gallagher

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Daniel SpectorEmergency Medicine, Jefferson Einstein Montgomery Hospital, East Norriton, USA.
Kevin ParsonsRadiology, Jefferson Einstein Philadelphia Hospital, Philadelphia, USA.
Megan Stobart-GallagherEmergency Medicine, Jefferson Einstein Montgomery Hospital, East Norriton, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epicardial fat necrosis is an uncommon cause of chest pain that mimics pericarditis, pulmonary embolism, and/or coronary syndrome. This is a case of a 55-year-old female patient presenting with left-sided pleuritic chest pain. She had a normal exam and vital signs. Diagnostics showed a non-ischemic electrocardiogram with a negative troponin, an elevated D-dimer, and a chest radiograph showed an opacity along the left cardiac border. Computed tomography-pulmonary angiography (CT-PA) was performed and showed a 4.2 x 1.8 x 3.0 cm lesion, surrounded by a hyperdense ring of high attenuation with fat stranding, which diagnosed epicardial fat necrosis.

Indexed as

abnormal xrayatypical chest painemergency medicinepleuriticpulmonary embolism mimic

Identifiers

PMID40236355
PMCPMC11998620

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.