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Interpretation of a chest x-ray of a thalassemia patient

Interpretation of a chest x-ray of a thalassemia patient

A twenty-year female who is already diagnosed case of thalassemia. She complained about shortness of breath for 1 week. We did an x-ray. Please give your valuable opinion. What it might be?

https://preview.redd.it/zdae14ix7ie61.jpg?width=3000&format=pjpg&auto=webp&s=6c6226dd9620384994343207056fbe2ca135a800

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source https://www.reddit.com/r/Radiology/comments/l8qmgp/interpretation_of_a_chest_xray_of_a_thalassemia/

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