Page 35 - Delaware Medical Journal - July/August 2020

CASE STUDY
Figure 4 One month after discharge, axial and coronal CT chest demonstrate normal lungs without sequelae of lung injury.
predominant consolidation, ground glass opacity, often with subpleural sparing.1
Although this case presented with a strong clinical history and radiographic findings for EVALI, it is still considered a diagnosis of exclusion,
as there is significant overlap of findings with other diagnoses, such
as eosinophilic pneumonia, diffuse alveolar damage, diffuse interstitial pneumonia, and organizing pneumonia, to name a few. There are no absolute clinical, radiologic, or histologic findings to establish criteria for a diagnosis. Until more data becomes available, the entire clinical picture must be taken into context for an accurate diagnosis and it may be prudent to treat with both antibiotics and steroids.
CONTRIBUTORS
■ MITCHELL BARNES, DO is a PGY-2 Diagnostic Radiology resident at ChristianaCare. He graduated from Lake Erie College of Osteopathic Medicine – Bradenton in 2018.
■ KRIS CONDE, MD is a Diagnostic Radiologist at ChristianaCare with over 29 years of experience. She graduated from Hahnemann University College of Medicine and completed residency at Christiana Care Health System. She is currently a staff radiologist at ChristianaCare.
REFERENCES
1. “Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 25 Feb., 2020, www.cdc.gov/tobacco/basic_information/e-cigarettes/ severe-lung-disease.html.
2. Henry, Travis S., et al. “Imaging of Vaping-Associated Lung Disease.” New England Journal of Medicine, vol. 381, no. 15, 2019, pp. 1486–1487., doi:10.1056/ nejmc1911995.
3. Butt, Yasmeen M., et al. “Pathology of Vaping-Associated Lung Injury.” New England Journal of Medicine, vol. 381, no. 18, 2019, pp. 1780–1781., doi:10.1056/ nejmc1913069.
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