We read with great interest the article by Coneul and Chieng.1 The authors demonstrated an interesting association between computed tomography (CT) patterns and cannabinoid oil-associated vaping lung injury.1 However, an interesting topic that the authors did not mention was the association between lipoid pneumonia and lipid-laden macrophages. Lipoid pneumonia is an inflammatory response to the presence of lipids within the alveolar space, and the typical CT finding would be fat attenuation in the lung.