Agent Gibbs has excessive foul smelling bronchial secretions…
Agent Gibbs has excessive foul smelling bronchial secretions, bilateral wheeze, increased HR and RR. He is cyanotic and has digital clubbing. CXR shows increased alveolar-capillary membrane thickness and flattened diaphragm. Sputum culture is positive for Pseudomonas aeruginosa. Which of the following is the most likely diagnosis?