A 27 year old man with e cigarette use presented with a 5 day history of fever, vomiting, diarrhea, dyspnea, and hemoptysis. A radiograph and CT scan of the chest showed patchy consolidations in both lungs. EVALI a new entity in interstitial lung disease SUDDEN LUNG ILLNESS? MUST BE YOUR VAPING HABIT According to the American Lung Association, E Cigarette or Vape Use Associated Lung Injury or EVALI is an acute respiratory illness or sudden lung injury that E cigarette or Vaping Use Associated Lung Injury (EVALI)