Runaway

A man in his 30s is dropped off unconscious with multiple gunshot wounds. He is taken to the operating room where he has an exploratory laparotomy, total splenectomy, bowel resection, diaphragmatic repair, and bladder repair. Post-operatively, he leaves against medical advice and is lost to follow-up. He never gets any vaccinations.

Years later, he signs up for a research study for some money. A thoracic CT scan is performed which shows some lung nodules. He is a lifetime nonsmoker.

He decides to go to a physician and gets a heat-damaged RBC scintogram, shown below.

The rest of his review of systems is negative. Other than the gunshot wounds, he's never been sick a day in his life.

Challenge: What's going on?

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