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: allergies: penicillins attending: chief complaint: respiratory distress major surgical or invasive procedure: cervical lymph node biopsy in or history of present illness: . mr is a 74yo morbidly obese male with hx significant for htn, stroke, cor pulmonale copd, dm, and stroke, transfered from osh with lle dvt, pe, and lympadenopathy on ct. . course at osh: in brief, patient was admitted to on , with productive cough, sob, increased o2 requirement(2->4l) and treated for a copd flare with levaquin, solumedrol iv, and advair. he showed improvement in his leukocytosis and respiratory status. after a few days, however, there was a gradual rise in wbc up to 19, and he began to deteriorate again. his cxr was negative for new infiltrates and his ucx was clear, but his blood grew mrsa and he was placed on iv vancomycin. he showed an elevated d-dimer, and was subsequently found to have r popliteal dvt on le dopplers. his respiratory status continued to worsen, but his vq scan showed low probability for pulmonary embolism. given patient's obesity and immobility, he was placed on lovenox and warfarin. his chest ct at the time demonstrated extensive lad in his cervical and supraclavicular nodes bilaterally with extension down into the anterior mediastium and to the level of the ap window. previous ct on , had in fact commented on chest mass/infiltrate. significant lad was not noted in the abdomen, and the liver and spleen to be uninvolved. because of the rapid progression of the lad, patient was transferred to for further evaluation, tissue biopsy, and treatment. . on presentation to the medicine service at , patient complains of having pain and discomfort in his shoulder and neck for many months. he describes feeling so weak at one point that he was unable to remain standing long enough to take a shower. he believes that his respiratory status has declined and that he has had trouble breathing for the last few weeks. it became worse around the time he was diagnosed with a dvt at the osh hospital. he denies chest pain with inspiration or pain in his legs. . he denies any recent travel, chills, or sick contacts. denies cp and palpitations. patient admits to sob on lying down. he admits to abdomenal discomfort, bloating and diarrhea for the last few weeks, perhaps for months. denies blood per rectum or melena. no dysuria, hematuria. he also denies denies pain in his leg. he admits to sweats and weight loss >10lbs in last 6 mo but no fevers. past exposures include when he was stationed in . his brother died of an aucte leukemea at age 74. . past medical history: copd-requires supplemental o2: pulmonologist dr. . sleep apnea? stroke-lacunar infarct meniere's disease: right ear deafness. +vertigo gerd sick sinus syndrome s/p permanent pacemaker diabetes hypertension morbid obesity chronic renal insufficiency with baseline creatinine of 1.6-1.8 cor pulmonale: ef50%, per cardiologist social history: no history of smoking family history: brother died at age 74 of leukemia physical exam: . t96.9 bp140/72 hr72 rr28 o2sat94%on2l gen: obese male. nad, uncomfortable. unable to finish full sentences. heent:perrl, eomi, tongue/buccal mucosa/pharyx with ulcers. neck: bilateral supracalvicular and cervical lad- nontender, mobile pulm: distant breath sounds, inspiratory wheeze, no crackles cor: regular, nls1s2 no gallops, no murmurs appreciated abdomen: +bs, distended, mildly tender diffusely, most tender in epigastric area, skin: large ecchymoses on left thigh (~20cmx8cm), lower back(~15cmx6cm). nontender, nonpulsating. ext: mild tenderness to palpation of popliteal fossa. no edema in extremity. assymetry in le not notable neuro: axox3, cnii-xii intact. sensation intact in ue to light touch. pertinent results: osh: cxr : no acute infilatrates or effusions. no cardiomegaly. . ct : infiltrate/mass on chest ct, recommended follow-up . u/s : dvt r le . vq: low probablity for pe . ua:yellow, clear, glucose negative, bili negative, ketone negative, sg1.015, blood moderat, ph 5.0, proetin, negative, urobili neg, nitrite neg, leuko esterase neg. . bld cx : mrsa . stool : neg for c-diff stool toxin a, wbc, salmonella, shigella, campylobacter and ecoli 0157:h7. . 141 106 77 / 92 agap=13 3.5 26 1.9 \ ca: 8.3 mg: 3.0 p: 4.4 alt: 51 ap: 100 tbili: 0.6 alb: 3.4 ast: 44 ldh: 644 dbili: tprot: : lip: urica:12.5 . 85 15.9 \ 12.3 / 159 / 35.3 \ n:90 band:2 l:2 m:3 e:1 bas:0 metas: 2 anisocy: 1+ microcy: 1+ plt-est: normal . pt: 30.0 ptt: 31.1 inr: 3.2 brief hospital course: assessment and plan: . mr is a 74yo morbidly obese male with hx significant for htn, stroke, cor pulmonale copd, cri, dm, and stroke, transfered from osh with lle dvt, pe, and lympadenopathy on ct. . #enlarged lymph nodes on ct: patients clinical presentation was most concerning for lymphoma, especially given his family history of leukemia and exposure to . the nontender superficial, lad located in the cervical, supraclavicular, and mediastinal areas is typical of hodgkin's disease. this orderly, anatomic spread to adjacent nodes, is most c/w the contigous spread of hd. however, sensation of abdominal fullness and bone pain, reported as pain in his back and neck, may be indicative of the nontender diffuse lad of nhl. patient has remained febrile, even during infection with mrsa per records; however, he has had the other constitutional or b symptoms of weight loss and sweats. the rapid progression of his lad may suggest an aggressive lymphoma such as mantle cell. however, it appears a past ct in commented on the mediastinal infiltrate/mass, which could be referring to the earlier stage of this condition. if this is hd lymphoma, this patient clearly has greater than a single ln region affected, making this stage ii or higher. we need abdomenal and pelvic imaging for further staging. hd limited disease has 80% long-term survival, whereas advanced disease has a considerably less survial time. if this is hd, it is most beneficial to treat it early. patient's recent respiratory decline may be mediastinal mass obstructing the airway. svc syndrome is another complication. it is also important to rule out infectious causes of enlarged lymph nodes: cmv, ebv, tuberculosis. -surgery was consulted to identify best surgical procedure for excisional lymph node biopsy . cri: patient has a history of chronic renal insufficiency. he currently has a bun77 and cr1.9, which is in the range he has remained in the last week. it is important to realize that renal involvement with lymphoma is seen in 2 to 14 percent of all patients, and an elevated serum creatinine is reported in 26 to 56 percent. patient is euvolemic on exam. -determine baseline bun/creatinine levels from pcp to hold lasix -no contrast during imaging . cor pulmonale/copd: -supplemental oxygen -nebs -advair -spiriva -continue steroid taper . gerd: denies any current symptoms -protonix . htn: appears to be well-controlled -beta blocker . cad: -cont plavix, aspirin -d/c nitropatch . diabetes -insulin sliding scale . micu course: -patient was transferred to the micu for desaturations. he was fiberoptically intubated and stabilized on pressors. biopsy was performed in the or after inr correction with ffp. preliminary pathology results showed poorly-differentiated large cell carcinoma with focal glandular and focal clear cell features. after diagnosis was made, it was discussed with the family the few options for therapy and the generally poor prognosis. he was made comfort measures only and expired subsequently after extubation. medications on admission: zopinex and atrovent, 1.25/0.5 nebulizers every 6 hours while awake glyburide 2.5 mg po qday vyvox 600mg po q12h guaifenisin 1200mg po bid vitamin b complex, t tablet qday toprol xl 25mg po qday protonix 40mg po qday nitropatch 0.2mg po qday diltiazem xt 120mg po qdaily aspirin 325mg po qday advair 250/50 one puff spiriva 18micrograms, one puff daily plavix 75mg po daily mvi one tablet po qday prednisone 20mg po daily for 2 days, then prednisone 10mg po qday for 2 days, then d/c requip one tablet po daily accu-cheks with regular insulin coverage as per sliding scale coumadin allergy: penicillin discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy fiber-optic bronchoscopy injection of antibiotic biopsy of lymphatic structure transfusion of other serum excision of deep cervical lymph node injection of anticoagulant diagnoses: other primary cardiomyopathies obstructive sleep apnea (adult)(pediatric) esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure bacteremia morbid obesity long-term (current) use of anticoagulants malignant neoplasm of other parts of bronchus or lung cardiac pacemaker in situ unspecified late effects of cerebrovascular disease secondary and unspecified malignant neoplasm of intrathoracic lymph nodes secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck acute venous embolism and thrombosis of unspecified deep vessels of lower extremity secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb other dyschromia family history of leukemia other specified personal history presenting hazards to health 

Answer: The patient is high likely exposed to