Case Report

Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy

Figure 1

Portable chest radiography. (a) Defibrillator pad over the right chest wall. The lung is clear with sharp costophrenic angles bilaterally. Mild subsegmental atelectasis at the lung bases is seen. There are no airspace infiltrates, focal consolidation, pleural effusion, or pneumothorax. (b) Enlarged cardiomediastinal silhouette. Interval development of small bilateral pleural effusions and pulmonary congestion occurs.