Presentation
Microscopic hematuria in a cardiac patient on long-term amiodarone. Incidental finding on the CT urogram.
Patient Data
Age: 80 years
Gender: Female
From the case:
Amiodarone hepatotoxicity
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Diffuse increased hepatic attenuation.
Simple hepatic cysts with gallstones.
Left cortical renal cysts.
Normal collecting systems, ureters, and bladder with no urolithiasis.
Case Discussion
Diffuse increased hepatic attenuation is a non-specific finding; however, the clinical history of long-term amiodarone administration suggests amiodarone hepatotoxicity. It is often an incidental finding (as in this case) with no symptoms or signs of liver disease.
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