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: no known allergies / adverse drug reactions attending: chief complaint: hypoxia major surgical or invasive procedure: radiation treatments history of present illness: 88yo m with history of sc lung cancer s/p rll lobectomy , recent hospitalization with low back pain found to have new lesions in spine and hip, delerium, improved with ivf, mssa bacteremia/pna discharged on nafcillin to be completed , presents with sudden onset hypoxia this morning, with o2 sat dropping to 81% at rehab and associated shortness of breath. he was placed on 4l nc at that time. notably patient also had some urinary retention yesterday when at the hospital to have radiation tattooing done, had a foley placed yesterday, and he has had gross hematuria since. he was taken to today where he was found to be anemic as well as to have a uti, and an elevated troponin to .4 in the setting of atrial flutter/sinus tachycardia. hct was also noted to drop from 27-24. h receved asa 162 mg, oxycodone 5mg, zofran 4mg and dilaudid 0.5 mg iv there. . baseline sats at rehab have been 95-08 on 2l intermittently per patient. today sat to 79-80 on 2l. notes show right leg swelling u/s two days ago negative. . initial vitals/trigger: 97.6 114 179/95 19 97%6l. he denies chest pain or abdominal pain, however he does endorse shortness of breath which has somewhat resolved since he's been placed on a nasal cannula at 4 l. . ekg showed atrial flutter. he was guiaic negative. ceftriaxone was given at 1245. potassium was also give 1230 as well as oxycodone. cta showed b/l subsegmental pes. ct head with old lesions. . vs on transfer: afebrile 94 121/94 24 94% 2l. . on the floor, he denies ever having any shortness of breath, and attributes his recent symptoms to anxiety which has resolved. he denies any chest pain, and endorses a chronic cough which is unchanged with occasional sputum production. his hematuria began 2 days ago, prior to that, he did not have dysuria. he denies any f/c/n/v/diarrhea. also has bilateral le edema which is new. denies any new problems since transfer. past medical history: -squamous cell lung cancer: in remission for 10yrs. s/p rll resection, no chemo, radiation. -head and neck cancer: remote hx. details unknown. -htn -mild copd -mild carotid stenosis -recent echo shows mild-moderate mitral valve stenosis/aortic stenosis with preserved ef -hx of cardiac myxoma s/p resection with cva social history: lives with daughter in . also has common law wife who is a former nurse's aide. retired boat captain. former 50pack year smoker, quit 10 years ago. denies etoh, drug use. family history: daughter with breast cancer. denies history of other cancers or heart disease. physical exam: on admission: vitals: 98.9, 97, 111/59, 65-90s, 18, 94/4l general: alert, oriented, no acute distress, comfortable appearing heent: sclera anicteric, mmm, oropharynx dry neck: supple, jvp elevated to earlobe lungs: b/l diffuse end expiratory high pitched wheeze loudest in upper lobes cv: tachycardic rate and reg rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, b/l le edema pitting in r leg, greater than left neuro: cns in tact, sensation and strength in tact upper and lower extremities, strength in left leg limited by left hip pain. . on discharge: vitals: 96.5-97.6, 150-168/60-72, 76-83, 18-22, 94-97% 2l nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, op clear neck: supple, jvp elevated to earlobe lungs: b/l diffuse wheezing cv: tachycardic rate and reg rhythm, normal s1 + s2, 3/6 sem abdomen: soft, non-tender, non-distended, bowel sounds (+) no rebound or guarding, no hsm gu: foley ext: warm, well perfused, 2+ pulses, b/l le edema pitting in r leg, greater than left neuro: cns in tact, sensation and strength in tact upper and lower extremities, strength in left leg limited by left hip pain. pertinent results: admission labs: 11:48am blood wbc-15.4* rbc-3.19* hgb-9.4* hct-27.1* mcv-85 mch-29.6 mchc-34.8 rdw-15.1 plt ct-527* 11:48am blood neuts-80.7* lymphs-11.4* monos-6.1 eos-1.1 baso-0.7 12:00pm blood pt-16.3* ptt-25.0 inr(pt)-1.4* 11:48am blood urean-22* creat-1.5* na-138 k-3.3 cl-95* hco3-31 angap-15 11:48am blood alt-14 ast-21 alkphos-97 totbili-0.4 11:48am blood totprot-6.9 albumin-3.2* globuln-3.7 calcium-8.9 11:48am blood cea-200* discharge labs: 07:05am blood wbc-8.8 rbc-3.31* hgb-9.9* hct-29.3* mcv-89 mch-29.8 mchc-33.6 rdw-15.8* plt ct-399 07:05am blood glucose-147* urean-11 creat-1.1 na-135 k-4.2 cl-96 hco3-33* angap-10 07:05am blood alt-19 ast-28 ld(ldh)-265* alkphos-80 totbili-0.6 07:05am blood albumin-3.0* calcium-8.6 phos-3.3 mg-1.7 imaging: ct chest: impression: 1. pulmonary emboli in the subsegmental branches of the left lower lobe and anterior left upper lobe with no evidence of right heart strain or pulmonary infarction. 2. new patchy consolidation in the dependent portion of the right upper lobe likely represents pneumonia or aspiration. ground glass opacities in a bronchovascular distribution in the left upper lobe may represent multifocal pneumonia or significant aspiration event. . ct head: impression: 1. no brain metastases identified. 2. there is no evidence of intra- or extra-axial hemorrhage; however, subtle subarachnoid hemorrhage cannot be excluded on this study due to circulating intravenous contrast. . cxr: findings: as compared to the previous radiograph, the right picc line was removed. status post right lower lobe resection with subsequent volume loss of the right lung. presence of a minimal right pleural effusion cannot be excluded. no newly appeared parenchymal opacities. no pulmonary edema. no pneumonia. unchanged asymmetry of the tracheal course through the mediastinum. . leni: impression: peroneal calf veins not visualized in either lower extremities. otherwise, no dvt present . cxr: cardiomegaly and widened mediastinum are unchanged. patient is status post right lower lobectomy. the lungs are grossly clear with the surgical clips projecting in the right medial upper hemithorax. unchanged right apical pleural thickening and blunting of the right cp angle are likely postoperative changes. aeration of the right lung has improved. brief hospital course: 88yo m with history of sc lung cancer s/p rll lobectomy , recent hospitalization with low back pain found to have new lesions in spine and hip, delerium, improved with ivf, mssa bacteremia/pna discharged on nafcillin to be completed , presented with sudden onset hypoxia found to have bilateral subsegmental pes, pna and fluid overlead. . active issues: # hypoxia: initial deterioration was likely pe and aspiration pna. patient was initially started heparin gtt then bridged to lovenox and was initially placed on vanco/zosyn. as patient became afebrile, he was placed on augmentin and remained afebrile. ***last day of antibiotics will be on .*** hypoxic continued despite adequate pe and pna coverage; exam revealed hypervolemic state. patient was diursed with iv lasix 20mg. serum bicarbonate started raising patient and diuresis terminated. patient was briefly off oxygen however then restarted o2 at 2 liters. this remaining hypoxia was attributed to pe. patient will remain on lovenox indefinitely. . # lower extremity weakness/hip pain/urinary retention: symptoms were attributed bony metastasis. patient started radiation therapy and will compelte treatments on monday . patient was started on steroids to help with inflammation. patient will remain on this dose of steroids until then he can began taper (2mg q12h for 3 days then 2mg q24h then off). outpatient oncology will reassess him to see if further treatments are necessary. physical therapy saw patient and recommended rehabilitation for strength training. foley holiday was attempted however patient continued to have retention of urine upto 1l. foley was then replaced resulting in hematuria, likely trauma v. radiation cystitis. hematocrit was stable and patient was hemodynamically stable. . # hypertension: patient was markedly hypertensive during this admission and amlodipine was started with better control of bp . # elevated troponin: patient had initial troponin leak on admission likely tachycardia and pe; there was associated ekg changes. no changes made to medications and no further interventions were needed. . # atrial flutter: on initially presentation, patient was elevated hr to 120s however with treatment of pe and continued use of metoprolol, patient had hr returned to . . # code status: dnr/dni medications on admission: medications: referal form lasix 20mg daily, last kcl 20meq daily, last 0/8 asa 81 mg daily, last oxycontin 20mg , last 6am hydralazine 50 mg , last calcium carbonate 1250mg po tid last oxycodone 5mg po q3h prn, last 3pm ativan 1mg po q8h prn last lidoderm 5% patch topically to left hip last at 7am iron 325mg daily metoprolol tartrate 25 mg tab colace 100mg prn senna 1 tabe prn insulin humalog starting at 200 increase by 2 units every 50 up to 400 house regular texture, necture thick liquid hydrochlorothiazide 25 mg daily (stopped ) nafcillin in d2.4w 2 gram/100 ml iv piggy back (stopped ) plan to change to dicloxacillin 500 mg qid through discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. hydralazine 50 mg tablet sig: one (1) tablet po bid (2 times a day). 4. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po q12h (every 12 hours): last dose on . 5. oxycodone 20 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q8h (every 8 hours). 6. lorazepam 0.5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed for anxiety. 7. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 8. calcium carbonate 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po tid (3 times a day). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 10. enoxaparin 100 mg/ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours). 11. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 12. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 13. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 14. dexamethasone 4 mg tablet sig: one (1) tablet po q12h (every 12 hours). 15. insulin lispro 100 unit/ml solution sig: one (1) bottle subcutaneous qachs: for fs 150-200 give 2 units; if 201-250 give 4 units, if 251-300 give 6 units, for 301-350 give 8 units, if > 350 alert md; at bed time, give 1 unit -250, give 2 units for 251-300, give 3 units for 301-350, alert md for > 350. 16. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. discharge disposition: extended care facility: hospital - discharge diagnosis: pulmonary emboli aspiration pneumonia metastatic lung cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted because you were having shortness of breath. when you were admitted you were found to have blood clots in your lungs. you were started on a blood thinning medication to help stabilize the clots. you will remain this medication indefinitely. you were also diagnosed pneumonia and placed on antibiotics. you also have fluid in your lungs which we used lasix to help remove the fluid. you however still require oxygen which may be a result of your the lung clots. you began your radiation treatments while you were in the hospital for your hip pain and urinary retention. you had 4 of the 5 treatments and will return on monday for your final treatment. you will be followed by your oncologist to determine if you need treatment. we are expecting you to start feeling better in weeks. in the mean time you will be going to an excellent rehabilitation center to get stronger. you continue to have urinary retention likely from your cancer. a catheter remains in your bladder to help drain the urine. there is some blood in your urine from the catheter insertion and should resolve within a few days. please see the attached sheet for your medications. please take them as directed followup instructions: department: hematology/oncology when: thursday at 10:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 10:00 am with: dr. building: sc clinical ctr campus: east best parking: garage procedure: other radiotherapeutic procedure diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of bronchus and lung aortic valve disorders secondary malignant neoplasm of other specified sites atrial flutter occlusion and stenosis of carotid artery without mention of cerebral infarction constipation, unspecified pneumonitis due to inhalation of food or vomitus do not resuscitate status gross hematuria other pulmonary embolism and infarction secondary malignant neoplasm of bone and bone marrow other nonspecific abnormal serum enzyme levels other specified retention of urine personal history of malignant neoplasm of other sites 

Answer: The patient is high likely exposed to