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Pericardial lipomas are very rare and mostly asymptomatic tumors,which usually are detected incidentally during physical examination.We report a case of a giant pericardia1 lipoma proved by surgical pathology and describe its ultrasonography,X-ray and CT imaging findings.In summary,although primary cardiac lipoma is very rare and seldom encounteded,it’s not difficult toget a correct diagnosis if we could keep in mind it’s typical imaging findings.