What is Acute Chest Syndrome in a patient with sickle cell disease?
New infiltrate on chest x-ray and fever +/- respiratory symptoms. It is associated with a high mortality and requires urgent management.
Frontal and lateral chest radiographs reveals mildly enlarged cardiac silhouette, H-shaped vertebrae, bilateral patchy humeral head sclerosis, absent splenic shadow, calcified gallstones in the RUQ abdomen, and an enlarged hepatic silhouette. No acute pulmonary pathology evident.