PMC7305409_01
Imaging findings in EVALI. A. Chest CT Pulmonary angiogram, coronal view: bilateral diffuse ground glass opacities. B. Portable CXR: bilateral patchy reticulonodular opacities.
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Initial chest X-ray (CXR) showed bilateral airspace opacities (Fig. 1). Given unexplained tachycardia, a computed tomography (CT) pulmonary angiogram was done and was significant for diffuse bilateral ground-glass opacity (DB GGO) (Fig. 1).
Lung specimen obtained by Video-Assisted Thoracoscopic Surgery. Hematoxylin and eosin stain x200 showing fibromyxoid plugs (Masson bodies) consisting of exudative materials including connective tissue components, fibrin and fibroblast within alveolar spaces and ducts consistent with organized pneumonia.
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Due to unimproved clinical status, lack of clear diagnosis and persistent infiltrates on CXR, a video-assisted thoracoscopic surgery was performed with tissue biopsies done showing organizing pneumonia (OP) (Fig. 2).