CTICasesEVALI presenting with mild bilateral ground-glass opacities
Imaging findings
CT scan of a young patient shows relatively sparse, bilateral ground-glass opacities and focal consolidation. Bronchoalveolar lavage demonstrated lipid-laden macrophages on oil red O staining and 15% eosinophils.
Key takeaways
Vaping-associated lung injury (EVALI) can present as a mild, patchy ground-glass process. Lavage findings of lipid-laden macrophages and eosinophilia support the diagnosis, representing a toxic/chemical-induced organizing or eosinophilic pneumonitis.
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