History: chest pain, shortness of breath,productive cough. Anything special about this presumed “pneumonia”?
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This is a little bit of a “read my mind” case
Answer: Acute chest syndrome in a sickle cell patient (note the vertebral bodies and shoulders)
Acute Chest Syndrome: new clinical symptoms (fever, SOB, chest pain,etc) with new pulmonary opacity. Varying causes such as pneumonia, pulmonary infarct, etc.