CTICasesTHC Vaping-Associated Lung Injury (EVALI)
Imaging findings
CT chest in a young patient shows bilateral ground-glass opacities, upper lobe predominant nodules, and lower lobe organizing pneumonia, which rapidly cleared after the initiation of systemic corticosteroids. The patient has a history of vaping THC products.
Key takeaways
E-cigarette or vaping product use-associated lung injury (EVALI) can present with fever, cough, and organizing pneumonia, mimicking COVID-19. Key differences include the presence of upper lobe nodules and rapid clinical and radiographic response to steroids after cessation of vaping.
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