February 2020 imaging case of the month: an emerging cause for infiltrative lung abnormalities

Abstract

No abstract available. Article truncated after 150 words. Clinical History: A 25-year-old man with no previous medical history presented to the Emergency Room with complaints of worsening non-productive cough and fever to 102°F over the previous 7 days. The patient also complained of some nausea, vomiting, and generalized muscle aches. The patient denies rhinorrhea, sore throat, congestion, and diarrhea. The patient also illicit drug use, and drinks alcohol only occasionally. He said he previously smoked 1-2 packs-per day, having quit 6 months earlier. The patient’s physical examination showed normal vital signs, although his respiration rate was approximately 18/minute. The physical examination showed some mild basilar crackles bilaterally, but was otherwise entirely within normal limits. Basic laboratory data showed a white blood cell count near the upper of normal= 10.3 x 109 / L (normal, 4–10.8 x 109/L) with a normal platelet count and no evidence of anemia, normal serum chemistries and renal function parameters, and normal liver …

Keywords

• vaping
• e cigarette
• chest x-ray
• ct scan
• bronchoalveolar lavage
• ground glass opacity
• lobular low attenuation
• hypersensitivity pneumonitis
• tetrahydrocannabinol
• lung biopsy