Teenager with fever and sickle cell disease

Chest
CXR of acute chest syndrome
CXR AP (left) shows a dense opacity in the left lower lobe which on the lateral (right) is seen to be located posteriorly, causing a spine sign. The lateral radiograph also shows the T8 and T10 vertebral bodes to be H-shaped.

The diagnosis was acute chest syndrome and musculoskeletal manifestations of sickle cell disease.

Published