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EVALI with organizing pneumonia pattern from THC oil

Imaging findings

CT scan of a young male post-motorcycle crash shows patchy, peripheral ground-glass opacities and subpleural-sparing consolidation in an organizing pneumonia pattern, which cleared symptomatically after cessation of THC e-cigarette use.

Key takeaways

Vaping-associated lung injury (EVALI) frequently manifests as an organizing pneumonia pattern with peripheral consolidation and subpleural sparing. Direct questioning about THC and CBD oil products is essential.

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