Electronic Cigarette or Vaping-associated Lung Injury (EVALI): The Tip of the Iceberg

The Centers for Disease Control and Prevention, the U.S. Food and Drug Administration, and state and local health departments have begun an investigation into the lung injury attributed to the use of electronic cigarette (e-cigarette) or vaping products. A clinical case of a 24-year-old man who used e-cigarette products regularly and presented with shortness of breath, productive cough, chest pain, and fever for 1 week was discussed. Radiographic and CT findings in that patient were reviewed. Recent cases of e-cigarette-associated lung injury from the literature were summarized to continue the dialogue and encourage radiologists to research this relatively new and specific type of lung injury.