Incomplete metalloptysis linger pneumonia after a wedge resection of the lung for organizing pneumonia

A 40-year-old man had considered himself to be robust, with the exception of an earlier diagnosis of hepatitis C. He underwent a wedge resection of the lung, at the left upper lobe (LUL), mimicking an anterior mediastinal tumor. A pathology report showed a 5 x 5 x 2.5 cm grey-brown and yellowish lesion in a resected 9 x 6 x 3 cm of the lung, with a subsequent diagnosis of organizing pneumonia. The patient recovered uneventfully and was discharged while in a stable condition. One month later, he was admitted and given empiric antibiotic treatment for a lung abscess due to a compound symptom for three weeks after discharge. Although his symptom improved readily, a computed tomography (CT) of the chest disclosed a steady consolidation over the LUL. The fluctuation with haemoptysis and a productive cough spanned 11 months, until a bout of aggravated symptoms including foul and blood-tinged sputum which mingled with an intermittent high fever became evident. The patient then underwent a bronchoscopy, which surprisingly revealed a metal material impacted over the orifice of the LUL bronchus, requiring biopsy forceps removal. The patient readily recovered with his symptoms thoroughly subsiding thereafter.