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The heart is enlarged with a cardiothoracic ratio of 0.57. The lungs and pleural spaces are clear. No pneumothorax or free subdiaphragmatic gas.
The bowel gas in the left subdiaphragmatic area is laterally located, without a convincing evidence of splenic shadow.
Bilateral humeral head bone infarcts, and mildly H-shaped vertebral bodies is consistent with a history of sickle cell anaemia.