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EVALI complicated by pneumothorax and subpleural cyst

Imaging findings

CT scan shows ground-glass opacities, a small pneumomediastinum, and a subsequent pneumothorax requiring chest tube placement. Follow-up CT shows a large subpleural cyst/air space in the right middle lobe near the major fissure.

Key takeaways

EVALI can lead to alveolar rupture, presenting as pneumomediastinum or pneumothorax, and can occasionally result in the development of atypical subpleural cystic or bullous spaces.

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