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Amiodarone Liver, increased attenuation (density) on CT

Smirniotopoulos, M.D. JGSM - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Amiodarone Liver, increased attenuation (density) on CT

History: 54 y.o. woman with a long history of cardiac problems. Currently an inpatient after an elective cardiac procedure. CT scan ordered because of decreasing hemoglobin and hematocrit after cardiac procedure.

Findings: • No evidence of large intra-abdominal or thoracic hemorrhage. • Postsurgical changes in the left chest wall compatible with recent placement of AICD (implanted cardiac defibrillator). • Unchanged cardiomegaly. • and, … a hyperdense liver!

Ddx: • Iron deposition » Multiple blood transfusions, increased iron oral intake, ineffective erythropoiesis, primary hemochromatosis (congenital hemochromatosis) • Glycogen storage diseases (Types I and IV) • Gold therapy • Wilson’s disease • Thoratrast (contrast agent 1920s-1950s) • Amiodarone therapy

Dxhow: CT and history

No MeSH data available.


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Amiodarone Liver, increased attenuation (density) on CT

Smirniotopoulos, M.D. JGSM - MedPix (2011)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1625&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Amiodarone Liver, increased attenuation (density) on CT

History: 54 y.o. woman with a long history of cardiac problems. Currently an inpatient after an elective cardiac procedure. CT scan ordered because of decreasing hemoglobin and hematocrit after cardiac procedure.

Findings: • No evidence of large intra-abdominal or thoracic hemorrhage. • Postsurgical changes in the left chest wall compatible with recent placement of AICD (implanted cardiac defibrillator). • Unchanged cardiomegaly. • and, … a hyperdense liver!

Ddx: • Iron deposition » Multiple blood transfusions, increased iron oral intake, ineffective erythropoiesis, primary hemochromatosis (congenital hemochromatosis) • Glycogen storage diseases (Types I and IV) • Gold therapy • Wilson’s disease • Thoratrast (contrast agent 1920s-1950s) • Amiodarone therapy

Dxhow: CT and history

No MeSH data available.