Hematology MCQ for NEET PG & FMGE

A 35-year-old male with cirrhosis and esophageal variceal bleeding undergoes blood transfusion. Approximately 5 minutes after starting the transfusion, he suddenly develops restlessness, chills, chest tightness, severe back pain, cyanosis, and dyspnea, prompting immediate cessation of the transfusion. The most likely transfusion reaction is:

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