2 Days Of Severe in Pediatrics — 19yo Man | Pediatric Heme/Onc | SMLE Q#6914
SMLE Question #6914
Pediatrics
Pediatric Heme/Onc
Objective: OBJ-153
Last updated: February 2026
A 19-year-old man with homozygous sickle cell disease presents with 2 days of severe bilateral knee pain, cough, pleuritic right-sided chest pain, and mild dyspnea. Examination shows crackles and reduced breath sounds at the right lung base. Chest radiograph demonstrates a new right lower-lobe infiltrate. What is the most likely diagnosis?
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