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EVALI (vaping-associated lipid pneumonia)

Imaging findings

CT scan shows diffuse, bilateral, geographic ground-glass opacities. Bronchoalveolar lavage demonstrated lipid-laden macrophages positive for oil red O stain in a patient who vaped THC.

Key takeaways

EVALI can manifest as a lipid pneumonia characterized by geographic ground-glass opacities. The presence of lipid-laden macrophages on lavage is diagnostic in the appropriate clinical context.

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