Case presentation A 40-year-old woman met with an accident on the road and sustained: Bi-frontal cerebral contusions A right tibial plateau fracture Left-sided rib fractures A grade 2 splenic laceration Her chest, brain, and abdominal injuries are being managed non-operatively. The patient develops respiratory distress and is transferred to the ICU on the fourth day of hospitalization. Examination : BP: 130/80 mmHg PR: 110 beats/min RR: 32 breaths/min GCS: 15 Chest radiograph: Normal What is the most likely diagnosis for this woman?

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