A 27 year old female with metastatic ovarian cancer for whom curative options have been exhausted arrives in the emergency department in extremis. Her history is of rapid onset (over a few hours) of shortness of breath, high fevers and rigors. Her vital signs on arrival in the emergency department are as follows HR of 190, BP 80/30, RR of 65, temperature of 39 and saturations of 90% on 10L via face mask.
Attached herewith is her chest X-ray after intubation (Image 1). What is the diagnosis and what treatment plan would you suggest? *This case is by Docplexus Editorial Team for educative purpose only.