Abstract

Marked cardiac uptake of 99mTc-methyl-diphosphonate was noted on a bone scan performed in a patient with end-stage renal failure, on long-term dialysis. Amyloidosis was considered a possible explanation for clinical features that included severe left ventricular hypertrophy, low-voltage ECG, atrial and ventricular arrhythmia. Cardiac magnetic resonance (CMR) imaging demonstrated an unusual pattern of delayed contrast hyperenhancement of the entire left ventricular myocardium, suggesting diffuse myocardial fibrosis. This pattern was not typical for amyloidosis. Non-contrast CT …

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