Amiodarone deposition in the liver
Complain of bilateral chest pain & backache for 1 week after a history of fall down in the bathroom.
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- Multiple recent bilateral rib fractures (non-displaced fractures of the right posterolateral 6th, 7th, 8th, & 9th ribs and fractured left 9th & 11th ribs close to the costovertebral junction) and old/healed fracture of the left 2nd rib anteriorly.
- Fractured right transverse processes of the 6th, 7th, 8th, & 9th vertebrae.
- Diffuse osteopenia, dorsal spondylosis, and a superior endplate compression fracture of the 11th dorsal vertebra without any retropulsion.
- Mild cardiomegaly. Evidence of previous sternotomy/cardiac surgery/valve replacement is noted.
- Mild bilateral pleural effusions with changes of collapse/atelectasis in the underlying lungs.
- Small hyperdense focus measuring 7 x 9 mm (average density=950 HU) at the gastroesophageal junction (patient took some tablets just before the CT scan).
- Incidental finding of increased hepatic attenuation (average density=84 HU).
- Detailed history: Hypertension, rheumatic heart disease, atrial fibrillation & ventricular tachycardia.
- Multiple cardiac surgeries (CABG, mitral valve replacement, tricuspid valve repair, and PFO closure).
- Drugs (atenolol, amiodarone, digoxin, and warfarin).
- Increased hepatic attenuation, was an incidental finding, in this case, which was likely one of the complications/side effects related to the amiodarone therapy (Amiodarone deposition in the liver).