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Amiodarone pulmonary and hepatic toxicity

Imaging findings

CT shows focal, dense, high-attenuation consolidations in the peripheral lungs in an organizing pneumonia pattern, along with a hyperdense liver.

Key takeaways

Amiodarone is an iodine-rich drug that accumulates in tissue macrophages. Amiodarone toxicity presents as high-density (hyperattenuating) consolidations on CT, often accompanied by a hyperdense liver (>70 HU) due to drug accumulation.

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