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: left upper lobe pulmonary nodule major surgical or invasive procedure: left video-assisted thoracoscopic surgery, left upper lobectomy history of present illness: this is a 77 years old male with history of dvt and atrial fibrillation (on anticoagulation) who presented in with incidental finding of left upper lung mass on chest x-ray during fever work at the beginning of . ct scan described a 2.8 x 2.9 cm lul nodule crossing the major fissure into the superior segment of the left lower lobe--which is positive on pet scan. a 2 mm ground glass nodule on was noted in the right lower lobe, and a 7x10 mm nodule in the subpleural region of the right lower lobe and calcified granuloma on the left lung base. no fdg avidity was noted on pet scan. he had flexible bronchoscopy/bal and transbronchial biopsy that were negative, but concerning for malignancy on . the patient had flexible bronchoscopy and mediastinoscopy performed on which revealed 4l, 4r and 7 lymph nodes which were negative for malignancy. he denied any respiratory symptoms, cough, or constitutional symptoms like fever, chills, nightsweats and weight loss. patient was admitted on for left upper lobe video-assisted thoracoscopic surgery, left upper lobectomy. past medical history: - atrial fibrillation - anemia - osteoarthritis, s/p total l hip replacement, s/p total r knee replacement - h/o tibial fracture - spondylosis of the lumbosacral spine - h/o gastric ulcer - h/o tia - colonic adenoma - hypothyroidism social history: 10 pack year history many years ago. denies current alcohol use, illicit substance use. family history: no family history of lung cancers, prostate cancers or clotting disorders. physical exam: on discharge: vs: 98.2 66 122/69 20 96% ra gen: wa/wd, nad cv: irregularily irregular pulm: cta b/l abdomen: soft, nt/nd, +bs extremities: no edema pertinent results: wbc-8.8 rbc-3.23* hgb-10.0* hct-29.7 plt ct-389 wbc-7.7 rbc-3.37* hgb-10.4* hct-31.2 plt ct-374 wbc-9.9 rbc-3.49* hgb-10.7* hct-32.8 plt ct-393 wbc-7.3 rbc-3.16* hgb-9.8* hct-29.5 plt ct-297 glucose-128* urean-15 creat-0.8 na-141 k-4.1 cl-102 hco3-32 glucose-256* urean-14 creat-0.8 na-137 k-4.1 cl-100 hco3-31 glucose-135* urean-16 creat-0.9 na-140 k-4.1 cl-99 hco3-34* glucose-149* urean-12 creat-0.7 na-140 k-3.8 cl-105 hco3-30 calcium-8.3* phos-3.7 mg-2.1 inr(pt)-2.7* inr(pt)-2.4* inr(pt)-2.4* inr(pt)-2.2* inr(pt)-1.8* inr(pt)-1.4* inr(pt)-1.3* inr(pt)-1.1 cxr: chest radiograph, ap semi-upright: left hydropneumothorax is redemonstrated, with decrease in basilar pleural effusion and possible increase in apical pneumothorax compared to one day prior. there is left basilar lung opacity, but the right lung remains clear. cct : impression: left chest tube is surrounded by hematoma and small air-fluid level, so that parenchymal laceration by the tube might be present. otherwise normal postoperative aspect of the recent left upper lobectomy. the stump is unremarkable, there is no evidence of larger pulmonary emboli. no abnormalities at the stump. moderate fluid or pneumothorax and subcutaneous gas collections. uncharacteristic right upper lobe parenchymal opacities, mild right lower lobe atelectasis. calcified gallstone, mild compression fracture of t6. brief hospital course: cardiovascular: he remained hemodynamically stable with few pacs post-op, but he always remained asymptomatic and ekg tracing was unremarkable. he was monitored on telemetry and we continued his home doses of digoxin 0.125 mg po daily and metoprolol 75 mg po daily. on he had intermittent a.fib with rvr. cardiology was consulted and recommended iv diltiazem converted to dilitiazem 60 mg qid, increased his digoxin dose to 0.375 and beta-blocker 100 mg . he converted to sinus rhythm 50-70's with brief burst of atrial fibrillation. please monitor his digoxin level. respiratory: patient is s/p vats lobectomy. he had a left side chest tube placed intra-operatively. in the immediate post-op period, it only drained 75-100 ml of serosanguinous fliud. his chest tube was placed on low continuous suction and has mild evidence of airleak. his post-op film showed moderate pneumothorax with left upper lobe collapse. the patient remained asymptomatic with oxygen saturations greater than 94% on nasal cannula. chest tube was removed on . patient tolerated it well and at the time of discharge his oxygen saturation is > 92% on ra. fen/gi: post-operatively, normal saline at 75 cc/hr was given for maintenance fluid, and we hliv when the patient began tolerating clear liquids. he was advanced to regular diet when appropriate. he tolerated diet well. genitourinary: a foley catheter was placed intra-operatively, and he maintained adequate urine output throughout. his bph medication was restarte his foley was removed and he voided without difficulty. heme/id: peri-operative antibiotics were given. his wbc was 11.8 and his hematocrit post-op was 30.5 which was appropriate. he remained afebrile and without evidence of infection. his lovenox was restarted with bridge to warfarin. once his inr was 2.0 the lovenox was discontinued. he received warfarin 7.5 mg at the time of discharge, his inr was 2.7. endocrine: no active issues of note. prophylaxis: heparin 5000 units sq tid for dvt prophylaxis. neuro: geriatric service was consulted to assist with managment of his dilirium and delusion. they recommended seroquel 12.5 q6pm and prn until his delirium improved medications on admission: digoxin 125 mcg tablet one (1) tablet by mouth daily (daily). docusate sodium 100 mg capsule one (1) capsule by mouth twice a day: hold to loose stools. doxycycline hyclate 100 mg capsule one (1) capsule by mouth every twelve (12) hours for 6 days. enoxaparin 120 mg/0.8 ml syringe one (1) injection subcutaneous every twelve (12) hours: hold on am prior to bronchoscopy. metoprolol tartrate 50 mg tablet 1.5 tablets by mouth twice a day. tamsulosin 0.4 mg capsule, sust. release 24 hr one (1) capsule, sust. release 24 hr by mouth hs (at bedtime). discharge medications: 1. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 2. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 3. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po once (once) as needed for agitation. 4. digoxin 125 mcg tablet sig: three (3) tablet po daily (daily). 5. quetiapine 25 mg tablet sig: 0.5 tablet po hs (at bedtime). 6. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 8. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day). 9. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 10. warfarin 2.5 mg tablet sig: three (3) tablet po once daily at 4 pm: maintain inr 2.0-3.0. 11. seroquel 25 mg tablet sig: 0.5 tablet po daily as needed for agitation. 12. metoprolol succinate 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po bid (2 times a day). 13. diltiazem hcl 60 mg tablet sig: one (1) tablet po four times a day. discharge disposition: extended care facility: care & rehab center - discharge diagnosis: left upper lobe nodule atrial fibrillation on coumadin hyperlipidemia bph discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. discharge instructions: call dr. office if you experience: -fever > 101 or chills -increased shortness of breath, cough or chest pain -incision develops drainage -you may shower. no tub bathing or swimming until incision healed followup instructions: provider: , md phone: date/time: 10:00 on the clinical center chest x-ray radiology 30 minutes before your appointment procedure: venous catheterization, not elsewhere classified thoracentesis thoracoscopic lobectomy of lung diagnoses: unspecified pleural effusion unspecified acquired hypothyroidism atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse other and unspecified hyperlipidemia iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung long-term (current) use of anticoagulants retention of urine, unspecified personal history of venous thrombosis and embolism removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation knee joint replacement delirium due to conditions classified elsewhere lumbosacral spondylosis without myelopathy hip joint replacement 

Answer: The patient is high likely exposed to