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EVALI presenting as diffuse bronchocentric ground-glass nodules

Imaging findings

CT scan of a 41-year-old male with acute dyspnea and hypoxia shows widespread, diffuse, bronchocentric centrilobular ground-glass nodules throughout all lobes. The patient had a history of vaping CBD oil for back pain, consistent with acute vaping-associated lung injury (EVALI).

Key takeaways

Vaping-associated lung injury (EVALI) can present as a hypersensitivity pneumonitis-like pattern characterized by diffuse, bronchocentric centrilobular ground-glass nodules. Inquiries into vaping habits are essential in patients presenting with acute atypical interstitial patterns.

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