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Amiodarone hepatotoxicity

Case contributed by Bruno Di Muzio
Diagnosis probable

Presentation

Cardiac patient on long term amiodarone presents with elevated liver enzymes. Otherwise asymptomatic.

Patient Data

Age: 65 years
Gender: Female

CT Abdomen (selected images)

ct

There is a diffuse increased hepatic attenuation, a non-specific finding. 

Case Discussion

While being non-specific, increased hepatic attenuation has been described as one of the effects of amiodarone on the liver.

In clinical discussion, the finding of increased hepatic attenuation on CT, was felt to be secondary to amiodarone hepatotoxicity.

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