What is the most likely diagnosis? 
              
                - 26 year-old with fever, shortness of breath

                
                Frontal Chest Radiograph
              
                - Pulmonary Edema
- Acute Chest Syndrome
- Goodpasture Syndrome
- Free Air
- Scoliosis
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                  Answer:
               
              
                2. Acute Chest Syndrome
                 
              
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              Acute Chest Syndrome
                
              
              General Considerations
              
                - Leading       cause of death in patients with sickle cell disease
- Syndrome       is characterized by
                
                  - New  airspace disease on chest x-ray, and one or more of the following:
- Fever  (variable)
- Cough
- Sputum  production
- Shortness  of breath
- Hypoxia