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Severe EVALI requiring VV-ECMO

Imaging findings

Initial CT shows diffuse ground-glass consolidation, septal lines, and pleural effusions. Lavage showed lipid-laden macrophages. Follow-up radiograph shows rapid clearance after steroid treatment.

Key takeaways

EVALI can cause severe, life-threatening acute lung injury requiring VV-ECMO. Rapid clinical and radiographic improvement after initiating corticosteroids is a hallmark of this condition.

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