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EVALI presenting as acute eosinophilic pneumonia

Imaging findings

CT scan shows diffuse ground-glass opacities and septal thickening. Lavage showed 3% eosinophils and lipid-laden macrophages, in a patient with a history of vaping.

Key takeaways

EVALI can manifest as an acute eosinophilic pneumonia. Identifying lipid-laden macrophages and eosinophilia on lavage supports the diagnosis in the context of e-cigarette use.

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