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The findings of LLM are also non-specific and do not discriminate between exogenous and endogenous lipoid pneumonia. Whereas exogenous lipoid pneumonia occurs from aspirated oily substances, endogenous lipoid pneumonia does not symbolize a true illness but somewhat a histologic discovering of phagocytosed phospholipid membranes by macrophages [83]. Blount et al. reported the detection of VEA in 48/51 (94%) patients’ BAL samples submitted to CDC from 16 states [84].