Presentation
Severe dilated cardiomyopathy on amiodarone for the last 3 years. Now abdominal pain and nausea.
Patient Data
Age: 70 years
Gender: Male
From the case:
Amiodarone hepatotoxicity
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Liver has become hyperdense, i.e. mean HU = 74 (note blood vessels are low density in relation to the parenchyma). Previously in 2009 mean HU = 39. The patient has been on amiodarone for the last 3 years. During that period the patient has developed CT signs of portal hypertension, i.e. splenomegaly and enlargement of the portal vein.
Additionally, the CT scout view demonstrates gross globular cardiomegaly consistent with dilated cardiomyopathy.
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The previous study showing the attenuation in HU of a very slightly fatty liver.
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