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Vaping-Associated Lung Injury

Imaging findings

CT chest in a young vaping patient shows pneumomediastinum, pneumothorax, and bilateral ground-glass opacities/consolidations. Widespread subpleural and peribronchovascular sparing is present, typical of organizing DAD.

Key takeaways

E-cigarette or vaping product use-associated lung injury (EVALI) classically presents as an acute lung injury or diffuse alveolar damage (DAD). As the injury organizes, it demonstrates a characteristic distribution with subpleural and peribronchovascular sparing on CT.

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