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EVALI presenting as upper-lobe predominant ground-glass opacities

Imaging findings

CT scan of a 30-something female shows patchy, upper-lobe predominant ground-glass opacities. The patient had recently switched her vaping products to a THC-containing concentrate, and the chest radiograph showed complete clearing 10 days later.

Key takeaways

EVALI can present with patchy, upper-lobe predominant ground-glass opacities. Rapid clinical and radiographic resolution is typical following vaping cessation and steroid therapy.

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