The pericardial lipomas are rare benign cardiac tumors. The clinical presentation of these cardiac neoplasms varies according to the site of growth. We describe here a case of massive intrapericardial lipoma leading to severe dyspnea. its diagnostic work up and briefly review the existing literature of this uncommon disorder. https://www.alarecre.com/American-Flag-Color-Block-iPhone-14-Waterproof-Case-p12619/