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: patient recorded as having no known allergies to drugs attending: chief complaint: hemoptysis major surgical or invasive procedure: rigid bronchoscopy with biopsy history of present illness: 63yo with hiv, no hx oi, recent cd4# 780, vl not detectable with dx of small cell lung cancer this year s/p chemo with disease in remission presented to osh yesterday his gross hemoptysis x 7. pt reports coughing large quantity of blood on to hands and soaked one towl at 3pm yesterday. he was unable to quantify volume. he denies cp, sob, hx fevers, nose bleed. he did have hemoptysis with his malignancy presentation early this year but not this degree. ros: + hunger, - abd pain, -n/v/d, - le edema, -st. pt notes ongoing mild cough mainly at night in the past week. pt had nl cxr reportedly at osh. he was transferred to the next day for further intervention by ip. as he had poor access, a right sc line was placed at osh. his hct was 41 on presentation and he remained hemodynamically stable without reported hct drop. he was put on cough suppressants and was started on cefuroxime for ? bronchitis past medical history: hiv , cd4 #780, vl not detectable (dr. at bu) ppd negative -small cell lung cancer dx , s/p chemo , currently in remission , followed by dr. at hospital -depression, mdd with recent psych admit at to - htn anemia - hx osteomyelitis l3/l4 -hepatitis b/c -hx mrsa psh: l3/l4 laminectomy for epidural abscess/ osteomyelitis social history: + hx ivda, been sober for >1.5 years -etoh quit smoking 2 months ago, 40 pack year hx lives in alone contact: family history: mother died of lymphoma at 52 father died of unknown malignancy physical exam: pe: chronically ill appearing, cachectic male, no distress vs: 97.6 100 119/79 21 98% ra nc wt 145lbs, 5"10, heent: anicteric, eomi, dry mm with crusted blood on lips neck: supple, jvp not elevated lungs: cta bilat right sc line c/d/i heart: rrr -murmurs abd: soft nt nd -organomeglay appreciated ext: no edema, neuro: cn grossly intact, a&ox3 pertinent results: admission labs: 05:55pm pt-12.4 ptt-26.1 inr(pt)-1.0 05:55pm plt count-157 05:55pm wbc-6.4 rbc-4.02* hgb-13.3*# hct-38.4* mcv-96# mch-33.1*# mchc-34.7# rdw-14.0 05:55pm calcium-9.9 phosphate-4.3 magnesium-1.8 05:55pm glucose-129* urea n-32* creat-1.0 sodium-138 potassium-4.3 chloride-104 total co2-23 anion gap-15 09:22pm pt-12.6 ptt-26.3 inr(pt)-1.1 09:22pm plt count-150 09:22pm wbc-4.8 rbc-4.02* hgb-13.3* hct-38.2* mcv-95 mch-33.1* mchc-34.9 rdw-14.0 09:22pm calcium-9.9 phosphate-5.2* magnesium-1.8 09:22pm glucose-120* urea n-30* creat-0.9 sodium-137 potassium-4.5 chloride-103 total co2-24 anion gap-15 . cxr : chest, a single ap upright view at 11:30 p.m. is interpreted without prior films available for comparison. there is a right subclavian central venous catheter with the tip in proximal svc. there is no evidence of pneumothorax. the lungs are clear with linear atelectasis in left lung base. no pleural effusion is seen, however the right costophrenic sulcus is not entirely included on the film. the cardiomediastinal silhouette appears normal. . ct chest , post-bronch: findings: there is extensive central adenopathy, most pronounced at the left hilus and widespread in the mediastinum. the left lower lobe bronchus is occluded by the hilar mass at the level of the superior segment producing severe volume loss in the lower lobe and heterogeneous consolidation distally, either atelectasis or postobstruction pneumonia. adenopathy extends centrally posterior to the left main bronchus to a 31x16 mm subcarinal mass. enlarged lymph nodes are present throughout the right and left upper and lower paratracheal stations including a 15-mm wide node posterior to and inseparable from the right subclavian artery, image 2:9. . severe narrowing of the left brachiocephalic vein and milder generalized narrowing of the superior vena cava are not due to mass and probably represent strictures from long-term catheterization. small pericardial effusion is present with no indication of tamponade. study is not designed for subdiaphragmatic evaluation except to note the absence of adrenal mass or obvious hepatic metastasis. there are no lung nodules, consolidation or interstitial abnormality except for subpleural findings in the right lung base probably due to dependent atelectasis. . there is heavy calcification in the aortic valve which could be hemodynamically significant. . impression: 1. obstructing left hilar mass producing severe left lower lobe atelectasis and/or obstructive pneumonia. extensive bilateral mediastinal adenopathy and small pericardial effusion suggest widely metastatic carcinoma. 2. possible calcific aortic stenosis. 3. no evidence of opportunistic infection. 4. strictures, left brachiocephalic vein and superior vena cava. . brief hospital course: pt. was admitted to the micu and taken by interventional pulmonology to bronch overnight. there there found an extensive submucosal irregularity in lll bronchus c/w sclc recurrence. they took a sample for biopsy (pathology pending at tiem of transfer) and used argon laser tx to cauterize the lesion. pt. was monitored in the micu overnight with no further episodoes of hemoptysis. a ct of the chest was obtained to eval for sclc recurrence, and prelim radiology read showed lll consolidation and that lll bronchus was not patent, along with l paratracheal and hilar (final radiology read pending at time of transfer). his hct was stable over admission (38 -> 40 -> 39), and he was transferred to the floor after a night of icu monitoring for further management. . on the floor radiation oncology was contact. they recommended urgent radiation of lll lesion to prevent further hemoptysis. as pt's oncologist, dr. , is at hospital and he has received his chemo and radiation there in the past, a decision was made to transfer him back there for evaluation for radiation tx. arrangements were made for the pathology from the biopsy and for a copy of the ct scans to be sent to hospital. . psychiatry saw the pt. on the floor and felt that he was stable from a psychiatry standpoint for discharge, as he had no further si and was less depressed than he had been on admission to hospital. medications on admission: cefuroxime 500mg viracept 1250mg epivir 150mg po bid zerit 30mg po bid abilify 15mg hs megace 1200mg po qd heparin sc bid cymbalta 60mg po hs nictotine patch robitussin with codeine 15 cc po q4hr atarax prn benadryl hs prn percocet 2 tabs q$ prn pain protonix 40mg qd discharge medications: 1. nelfinavir 625 mg tablet sig: two (2) tablet po bid (2 times a day). 2. lamivudine 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. aripiprazole 15 mg tablet sig: one (1) tablet po hs (at bedtime). 4. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po hs (at bedtime). 5. stavudine 15 mg capsule sig: two (2) capsule po q12h (every 12 hours). 6. megestrol 40 mg/ml suspension sig: thirty (30) ml po daily (daily). 7. hydromorphone 2 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 8. diazepam 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. 9. nicotine 7 mg/24 hr patch 24hr sig: one (1) transdermal once a day as needed. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: home discharge diagnosis: primary: small cell lung cancer secondary: hiv discharge condition: pt. had not further episodes of hemoptysis discharge instructions: please call your doctor or go to the er if you have any further episodes of coughing up blood, dizziness or lightheadedness, shortness of breath or fatigue, chest pain, or any other symptoms that concern you. followup instructions: oncology: please call dr. office tomorrow at to set up a follow up appointment for early next week. primary care: please call dr. office at to set up a follow up appointment for next week. procedure: closed [endoscopic] biopsy of bronchus endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: unspecified viral hepatitis c without hepatic coma depressive disorder, not elsewhere classified cocaine abuse, unspecified malignant neoplasm of lower lobe, bronchus or lung asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to