title: Amiodarone - induced pulmonary nodules mimiking metastatic lung disease - investigation by somatostatin radio peptide scanning.
abstract: A 61 year old former paramedic presented to A&E complaining of palpitations. He was found to be in atrial fibrillation, which reverted spontaneously to sinus rhythm. A chest x-ray taken at that time showed multiple pulmonary nodules consistent with metastatic malignancy (Figure 1). In the past he had been treated with amiodarone 200mg daily for 6 years following a previous diagnosis of atrial fibrillation, which had been attributed to alcoholic cardiomyopathy. He had discontinued the drug 8 months earlier, after self diagnosing hypotension and bradycardia. A previous chest x-ray, taken before starting amiodarone, was normal.
authors.affiliation: Department of Respiratory Medicine, St Helier Hospital, Wrythe Lane, Carshalton, Surrey.
authors.forename: V A
authors.initials: VA
authors.lastname: Varney
authors.forename: M
authors.initials: M
authors.lastname: Warren
authors.forename: M
authors.initials: M
authors.lastname: Palmer