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: history of present illness: 69-year-old male with past medical history of transient ischemic attacks, hyperlipidemia, lower gastrointestinal bleed from polypectomy (hyperplastic polyp plus adenoma) in negative for cancer admitted last week with history of anorexia and abdominal distention now returns with worsening abdominal pain and distention with dyspnea. workup during last admission found mesenteric peritoneal implants with evidence of peritoneal carcinomatosis on ct abdomen. ct chest found diffuse necrotic mediastinal lymphadenopathy with two right lobe nodules (one spiculated right upper lobe nodule at 1.1 cm in its greatest dimension and one non-calcified nodule in the right lower lobe with right paratracheal precarinal and a subcarinal mass). white blood count was elevated on discharge at 19.1, which was up from prior; however, no fevers or chills or lethargy. at prior admission patient presented after working out at gym with the complaint of feeling lethargic more than usual for four days. he then lost his appetite and noticed a three- pound weight gain over four days. patient denies melena, hematochezia, abdominal pain, chest pain, shortness of breath, nausea, vomiting, constipation. diarrhea times one. also states a 20-pound weight gain over the past year that was intentional. bronchoscopy of the subcarinal lymph nodes (subcarinal mass) was postponed secondary to plavix taken five days prior. at , 3300 cc of ascites fluid was drained via paracentesis. afterwards an outpatient scheduled visit with gi performed in-house which revealed no suspicious lesions. patient's current complaint of abdominal pain and distention with shortness of breath began acutely the day after discharge and progressively worsened in severity. his symptoms rapidly increased over saturday and sunday without notable exacerbating or alleviating factors. he attempted running on a treadmill sunday without incident. patient also mentions decreased urine output since last discharge despite continuous fluid intake. however, his food intake has decreased compared to baseline. patient has a complaint of night sweats. patient denies chest pain, shortness of breath, nausea, vomiting, fevers, constipation, diarrhea, dysuria, cough, hemoptysis, hematemesis, hematochezia, or melena. dr. from pathology only received 25 ml of the prior 2400 cc of ascites fluid drained last week. however, stains will be ready later this day. cytology has received the fluid from the paracentesis today done in the ed. past medical history: 1. hyperlipidemia. 2. osteoarthritis. 3. retinal hemorrhage. 4. small pfo. 5. status post colonoscopy with polypectomy in ; three sessile non-bleeding polyps (positive for adenoma) were removed, negative for cancer; diverticulosis noted throughout colon. 6. prostate needle biopsy in , negative for cancer. 7. status post asd repair with trace ai and mr in ; normal chamber size and function. 8. status post left inguinal herniorrhaphy; repair of left inguinal hernia with marlex mesh. outpatient medications: 1. plavix 75 mg. 2. lipitor 20 mg. 3. celebrex p.r.n. 4. zyrtec p.r.n. allergies: aspirin gives rash. family history: father died of questionable prostate cancer. one son and one daughter both healthy. mother: known medical problems. social history: tobacco: unknown number pack years. one alcoholic beverage per day. lives with wife in . traveled to south america and eastern europe 20 to 30 years ago. he has had no known exposure to asbestos in his lifetime. no known exposure to tuberculosis. physical examination: in general, in no acute distress. appears stated age. is concerned about prognosis. vital signs: t-max 96.7, t current 96.7, blood pressure 120/70, heart rate 76, respiratory rate 20, 97% on two liters oxygen via nasal cannula. head and neck: normocephalic, atraumatic. pupils equal, round, and reactive to light. extraocular movements intact. dry mucous membranes. oropharynx: clear, no lymphadenopathy. jugular venous distention flat. cardiac exam: s1 and s2 normal, regular rate and rhythm, i/vi holosystolic ejection murmur, no rubs or gallops. pulmonary exam: clear to auscultation bilaterally, no rales, no wheeze. abdomen exam: slightly distended, nontender, negative shifting dullness, negative fluid wave, negative peritoneal signs, no inguinal lymphadenopathy, normoactive bowel sounds, liver edge palpable on inspiration. extremities: distal pulses +2 bilaterally. no cyanosis, clubbing, or edema. neuro exam: alert and oriented times three, cranial nerves ii-xii intact, upper and lower extremity strength bilaterally. rectal exam: guaiac negative, no masses, prostate is enlarged, smooth, and without nodules. laboratory data: white count was 33.5, hematocrit 37.4, platelets 450, mcv 94. differential: neutrophils 68%, bands 8%, lymphs 2%, monos 5%, eos 17%, elevated, basos 0%. there is 1+ oncocytosis, 1+ poikilocytosis, and 1+ ovalocytosis. pt 14.0, ptt 29.7. chem-7 at 9 a.m. was 131, sodium and potassium 17.4, chloride 95, bicarbonate 23, bun of 43, creatinine 1.3, glucose 119 with an anion gap of 20. the elevated potassium was thought to be due to hemolysis ............. chem-7 was done at 10 a.m. sodium 134, potassium 5.8, chloride 97, bicarbonate 25, bun of 46, creatinine of 2.0, glucose 130, anion gap of 18. ua was done; yellow, clear, specific gravity of 1.015, trace protein, negative for urinary tract infection. ascites fluid from at 4:30 a.m. was drawn and demonstrated white blood cells at , red blood cells , polys at 6%, lymphs at 14%, monos at 64%, eos at 13%, basophils at 1%, and mesothelial cells at 2% not consistent with svp. total protein is 4.1, glucose was 113 mg/dl. ldh was 381 units per liter, amylase 20 units per liter, albumin 2.1 g/dl. cultures were negative for growth. chest x-ray was done in the emergency department and demonstrated bilateral filler lymphadenopathy but otherwise unremarkable. summary of hospital course: patient was admitted for malignant ascites and hyperkalemia of 5.8. hyperkalemia was corrected via 10 units of insulin plus 50% of 50 cc of glucose solution with a resulting potassium of 4.6 at 2 a.m. the following morning. ekg done in the ed and repeat ekg done on the floor demonstrated poor r-wave progression without prior for comparison. further analysis of the ascites drained on demonstrated gram stain with 2+ , no micro organisms. cultures were negative for growth, and cytokeratin stain was positive with negative staining with tif/1. a fena was performed and the patient was found to be pre-renal. patient was rehydrated with d5 normal saline at 100 cc per hour and reassessed clinically. on the patient's serum ldh was found to be elevated at 452. his albumin was found to be decreased at 2.2 on a full dermatological exam was performed and found to be negative for melanoma. a tsh was found to be elevated at 11. cea was normal at 1.2. serum ii ascites albumin gradient was found to be 0.1, indicating no portal hypertension. on interventional radiology was again consulted, and under ultrasound, found ascites accumulation for the third time for this admission. placement of - type abdominal drain was then ordered via interventional radiology. patient then developed severe constipation and was treated with dulcolax times one, senna times one, lactulose times two without effect. a bisacodyl suppository times one was then tried without effect. fleet p.o. was tried times one without effect. fleet enema was then tried times one with good effect. patient remained off plavix now for nine days. as of pathology indicates a preliminary diagnosis of adenocarcinoma likely of lung or pancreatic source. interventional radiology did place - style abdominal pain and peripherally inserted central catheter line without complication. hyperkalemia was noted to be corrected at 5.0. secondary to poor p.o. intake from abdominal distention, the renal failure began to present again with a bun of 48 and a creatinine of 2.1. intravenous fluids were then again ordered with d5 normal saline at 100 cc per hour times one liter. patient was then transferred to the oncology medicine service on the for initiation of chemotherapy for the diagnosis of adenocarcinoma with unknown primary source. discharge status: fair. disposition: to oncology medicine service on #50. discharge diagnoses: 1. malignant metastatic ascites. 2. adenocarcinoma of unknown origin. discharge medications to oncology medicine service at : 1. acetaminophen 325 to 650 mg p.o. q. four to six hours p.r.n. 2. zolpidem tartrate 5 mg p.o. h.s. 3. heparin 5000 units subq. q. 12 hours. 4. atorvastatin 10 mg p.o. q.d. 5. senna one tab p.o. b.i.d. p.r.n. 6. lactulose 30 ml p.o. q. eight hours p.r.n. 7. lorazepam 0.5 mg iv q. four hours p.r.n. dr., 12-766 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage percutaneous abdominal drainage diagnoses: acidosis hyperpotassemia acute kidney failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia severe sepsis ostium secundum type atrial septal defect other malignant neoplasm without specification of site secondary malignant neoplasm of retroperitoneum and peritoneum 

Answer: The patient is high likely exposed to