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: the patient is a previously healthy 77-year-old male with a t3,n0,m0 cancer of his right vocal cord. past medical history: the past medical history was significant only for a previous left vocal cord biopsy as well as a port-a-cath placement. allergies: the patient had no known drug allergies. medications: the only medication that the patient took was claritin. social history: the patient did have a significant smoking history, which he quit five months ago. physical examination: on examination, the patient was alert and oriented times three. his oral mucosa showed no obvious lesions. the heart had a regular rate and rhythm. the lungs were clear to auscultation. the neurological examination was nonfocal. hospital course: on , the patient went to the operating room for a total laryngectomy with a permanent tracheostomy. findings included no gross extension of the tumor to the inferior incision of the tracheostomy. there were no complications at that time. the patient was admitted to the surgical intensive care unit for overnight monitoring of his fresh tracheostomy site. he did very well overnight with no airway issues. he was therefore transferred to the floor in good condition. a nutrition consultation was obtained early in order to adequately start tube feeds on the patient. they started the tube feeds slowly and progressively increased them to goal. there was a question of a lung nodule on the patient's chest ct scan. to further evaluate this, a cardiothoracic consultation was obtained. the surgeons recommended a follow up ct scan in four to six weeks after laryngectomy, just to rule out postoperative changes. an oncology consultation was obtained at nearly the same time and recommended the same. a speech and swallowing consultation was also obtained to aid in the patient's care during his stay in the hospital. they continued to work with the patient on a daily basis and his speech and swallowing techniques. otherwise, the patient progressed very well. he was making good urine and was caring for the tracheostomy site. on , a barium swallow was obtained to rule out the presence of an anastomotic or fistula. of note, clinically the patient had no evidence of fistula at this time. the study came back as showing no evidence of , the patient's nasogastric tube was discontinued and the patient was started on an oral diet. he tolerated his diet very well at this time. it was decided that the patient was ready for rehabilitation placement. he was screened by the center and was transferred as soon as a bed was available. condition on discharge: the patient will be discharged in good condition. discharge medications: roxicet 5 to 10 ml p.o. every six hours p.r.n. for pain. bacitracin ointment, one applicator topical p.r.n. around his tracheostomy site. discharge instructions: the treatment that the patient required was assistance in his tracheostomy care. a laryngectomy tube was inserted into the site prior to his discharge in order to ensure the patency of his tracheostomy. this will be removed in the office by dr. at a later time. the patient will eat a regular soft diet. follow up: the patient will follow up with dr. in the office; he will call for an appointment in one week. he will also follow up with a ct scan on at 10:15 am and after that with dr. on at 9:30 am for review of the ct scan findings. disposition: the patient is discharged to rehabilitation as instructed. , m.d. dictated by: medquist36 procedure: radical laryngectomy diagnoses: personal history of tobacco use other diseases of lung, not elsewhere classified secondary malignant neoplasm of other respiratory organs secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck malignant neoplasm of thyroid gland 

Answer: The patient is high likely exposed to