Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: past medical history: the patient denied previous hospitalizations or surgeries. he has not seen a doctor in many years. allergies: the patient has no known drug allergies. family history: noncontributory. social history: denied tobacco. he says that he drinks about one pint of cognac per day as well as six beers. he denied any iv drug use or other drugs. the patient is married. the patient works in a hospital. physical examination on admission: vital signs on admission will be added later. general: sitting up, slightly tachypneic, speaking in full sentences. heent: clear conjunctivae, anicteric sclerae. the pupils were equal, round, and reactive to light. the extraocular movements were intact. the oropharynx was clear. tympanic membranes were pearly white bilaterally. neck: no lad, no jvd, supple, nontender. lungs: with decreased breath sounds on the right lower half of the lung with positive egophony, decreased tactile fremitus and dullness to percussion over the same area. the left lung was clear to auscultation with no wheezes, crackles, or rubs. cardiovascular: there were no heaves. there was a rapid irregular rhythm, normal s1, s2, no murmurs, rubs, or gallops. abdomen: positive bowel sounds, soft, nontender, nondistended, no masses. back: no cva tenderness. extremities: there was no clubbing, cyanosis or edema. dorsalis pedis pulses were +2 bilaterally. skin: warm and moist. laboratory data on admission: white count 12.6, 83 polys, 30 bands, 3 lymphs, 2 monos, hematocrit 38.2, platelets 130,000. sodium 138, potassium 3.9, chloride 100, bicarbonate 23, bun 17, creatinine 1.3, glucose 149. the initial chest x-ray showed a right lower lobe opacity, atelectasis versus consolidation. a lateral decubitus film showed free flowing right-sided effusion. hospital course: the patient was admitted to medicine. after arriving on the floor, the patient became increasingly tachypneic and his oxygen saturations were gradually decreasing. the patient looked to be working harder to breathe. the patient was also complaining of increasing chest pain over the right anterior and lateral chest wall, worse with inspiration. the patient continued to deny headache, dizziness, nausea, or vomiting. an ekg was taken at that time which did not show acute changes. arterial blood gas showed a ph of 7.34, pc02 39, p02 61 while on 50% 02 face mask. the patient was given morphine iv for chest pain which was believed to be secondary to pneumonia and effusion. the patient was evaluated by the micu and transferred to the micu for closer observation given his worsening respiratory status and for thoracentesis of the right effusion. thoracentesis was attempted by the micu without yielding a significant amount of fluid. a small amount of fluid was sent for culture and has been no growth to date. a second attempt at tapping the effusion was performed by radiology with ultrasound-guidance but no fluid was identified by ultrasound and no tap was attempted. the patient had a ct scan on which showed a moderate loculated right pleural effusion which had increased in size from the chest x-ray from . there was a tiny left effusion. there was a multifocal consolidation bilaterally, most severe in the right lower and middle lobes. there was slightly prominent mediastinal nodes. there was also enlargement of multiple nodes in the right hilar region. the main pulmonary artery measured 33 mm in diameter suggesting pulmonary hypertension. several images showed a suggestion of excessive collapsibility of the lower trachea which could indicated malacia. the patient was transferred from the micu to the floor on . the patient's tachypnea had much improved as had his hypoxia and oxygen requirements. the patient continued to have significant pleuritic right-sided chest pain which has gradually improved. on the night of , under recommendation of the pulmonary consult service, cardiothoracic surgery was asked to place a right chest tube to drain the loculated pleural effusion noted on ct. the patient tolerated this procedure well. the chest tube yielded serosanguinous fluid. the fluid had 3,350 white cells, 22,725 red cells, 25% polys, 56% lymphs, 8% monos, 1% eos, 10 atypical cells. total protein of the pleural fluid was 3.8 and ldh was 3,377, indicated exudative fluid. gram's stain showed 1+ polys, no micro-organisms. no acid-fast bacilli were seen. other cultures are pending at this time. also, a urine legionella test was negative. blood cultures drawn on remained no growth to date. the remainder of the hospital course and dictation is to follow. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage thoracentesis other pleural biopsy other incision of pleura transpleural thoracoscopy diagnoses: unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia alcohol abuse, unspecified pneumonitis due to inhalation of food or vomitus empyema without mention of fistula disorders of magnesium metabolism pneumonia due to streptococcus, group a 

Answer: The patient is high likely exposed to