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EVALI presenting as acute organizing pneumonia

Imaging findings

CT scan of a 19-year-old male who vaped cannabis oils shows diffuse bilateral ground-glass opacities and peripheral consolidation in a pattern resembling organizing pneumonia, which cleared rapidly with corticosteroid therapy.

Key takeaways

EVALI often manifests as an acute lung injury with organizing pneumonia or DAD patterns on CT. In young patients presenting with atypical respiratory symptoms and diffuse opacities, direct history regarding e-cigarette and cannabis oil use is essential.

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