RT Journal
A1 Six CK, Young JS, Sell HW
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2012
FD June 1
VO 147
IS 6
SP 573
OP 573
DO 10.1001/archsurg.2011.843
UL http://dx.doi.org/10.1001/archsurg.2011.843
AB 
Twelve months following surgery, the patient began to have fatigue, weight loss, recurrent sepsis, chronic pulmonary infections, and intermittent foul-smelling spu-tum. Chest radiography and computed tomography repeatedly revealed left lower lobe infiltrate (Figure 1). Alveolar lavage documented an Escherichia coli pneumonia that failed to improve following multiple courses of antibiotics. Findings on positron emission tomography were normal other than increased uptake in the left lower lobe. Colonoscopy results were unremarkable. Subsequently, a barium enema was completed (Figure 2).