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. E cigarette user found to have rare form of lung scarring typically found in metal workers ERS European Respiratory Society Lung Injuries Associated with Use of Vaping Products FDA E Cigarettes, Vaping & Lung Health Pulmonary & Respiratory Care Loma Linda University Health E Cigarettes and Vaping Related Lung Injury: A Rising Health Concern Breathe Clinic Guwahati The finest medical care for your family