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: weight loss, heavy smoker major surgical or invasive procedure: 1. bronchoscopy. 2. cervical mediastinoscopy. 3. right thoracotomy with right lower lobectomy, resection of giant upper lobe bulla and intercostal muscle flap bronchoscopy. history of present illness: mr. is a 69 year old chinese immigrant with a large cavitary right lower lobe nodule. bronchoscopy with biopsy failed to yield a cancer diagnosis and was negative for acid-fast organisms. the lesion was intensely pet- positive with no other site of disease. he had obvious bullous emphysema with a giant bulla occupying half the upper thorax but adequate pulmonary reserve to tolerate lobectomy. lobectomy was recommended to clear this lesion with associated bullectomy to further improve his respiratory mechanics. because of the t2 nature of the lesion in the lower lobe, also a mediastinoscopy. he agreed to proceed after careful explanation using the hospital's chinese interpreter. he complains of generalized weakness as well as some vague back pain. he denies any cough, fevers, dyspnea, hemoptysis, productive cough, or night sweats. his weight has recently remained stable. past medical history: achalasia unsteady gait emmegrated from 's social history: the patient lives with a son and daughter. emigrated from . he used to work as a cook. he does not drink alcohol. heavy smoker - at least 40 pack year family history: mother is years old and healthy. father died when he is young and does not know cause of death. he has 5 healthy siblings. physical exam: general: healthy appearing male, vs: skin: no rashes heent: no scleral icterus neck: supple, full range of motion. lymphatics: no cervical or supraclavicular lymphadenopathy chest: clear, decreased r base heart: regular rate and rhythm no murmurs abd: soft, non tender non distended +bs extremities: no clubbing, cyanosis, or edema neuro: grossly intact, appropriate, cooperative pertinent results: chemistry renal & glucose glucose urean creat na k cl hco3 angap 05:35am 114* 11 1.4* 139 3.8 103 26 14 chemistry totprot albumin globuln calcium phos mg uricacd iron 05:35am 7.6* 2.8 1.6 hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 03:25pm 31.1* 04:30am 9.1 3.36* 9.8* 30.4* 91 29.3 32.4 14.5 201 differential neuts bands lymphs monos eos baso atyps metas 07:07pm 84.1* 0 10.6* 4.2 0.7 0.3 basic coagulation (pt, ptt, plt, inr) plt smr plt ct 04:30am 201 radiology final report chest (pa & lat) 9:37 am medical condition: 69 year old man s/p rll resection and rul blebectomy, ptx on water seal returned to sx reason for this examination: eval for interval change on sx 2 views chest: comparison: . indication: chest tube on water seal. a right-sided chest tube remains in place in the lower right hemithorax posteriorly. again demonstrated is a moderate sized pneumothorax at the right apex as well as a loculated anterior hydropneumothorax. these findings are stable in the interval. increased opacity is again demonstrated in the right middle and right lower lobes, not significantly changed, but there are improving opacities at the left lung base with only minor residual atelectatic changes remaining in this area. impression: stable moderate right apical pneumothorax and basilar hydropneumothorax. improving atelectasis at left lung base and no significant change in right middle and lower lobe opacities, most likely due to atelectasis although infection is not excluded in the appropriate clinical setting. chest (pa & lat) reason: please eval for ptx s/p ct d/c medical condition: 69 year old man s/p rll resection and rul blebectomy, ct d/c reason for this examination: please eval for ptx s/p ct d/c indication: status post right lower lobe resection and right upper lobe blebectomy, chest tube removed, evaluate for size of pneumothorax. comparison: . technique: single ap portable upright chest. findings: a right apical pneumothorax is again seen and is probably unchanged in size allowing for differences inpatient positioning. there is continued right-sided pleural effusion consistent with hydropneumothorax. the right basilar chest tube has been removed. approximately stable opacities within the right lung base and stable atelectasis at the left base. tiny left pleural effusion. the osseous structures appear unchanged. impression: 1. stable moderate right apical pneumothorax. 2. approximately stable right basilar hydropneumothorax. tiny left pleural effusion. 3. stable bibasilar atelectasis. more prominent density at the right base may represent atelectasis versus superimposed infectious process. dr. r.m. sun pathology mediastinal nodes negative for malignancy. frozen section of rll -no evidence of malignancy, only abscess, some histocytes. report follows: , pathology examination name birthdate age sex pathology # , pei 69 male report to: dr. . gross description by: dr. . /mdm?????? specimen submitted: r 4,r 2,4 l,7,r 11,r 8, rt lower lobe mass,rt upper lobe procedure date tissue received report date diagnosed by dr. . /cwg previous biopsies: endobronchial bx. egd. ************this report contains an addendum*********** diagnosis: 1. r 4 lymph node (a): no malignancy identified. 2. r2 lymph node (b): no malignancy identified. 3. 4l lymph node (c): no malignancy identified. 4. 7, lymph node (d-e): no malignancy identified. 5. r8, lymph node (f-g): no malignancy identified. 6. r11, lymph node (h): no malignancy identified. 7. lung, right lower lobectomy (i-u): necrotizing pneumonitis with abscess formation, focal granulomatous inflammation and scarring. no malignancy identified. no evidence of vasculitis. special stains for afb and fungi will be reported in an addendum 8. wedge resection, right upper lobe of lung: subpleural emphysema, pleura scarring and bulla formation. addendum: special stains for afb and fungi are negative. addendum added by: dr. . /vf date: clinical: right lower lobe mass. gross: the specimen is received in eight parts in the or in containers labeled with the patient's name ", pei" and the "medical record number." part 1 is additionally labeled "r4 lymph node" and consists of multiple fragments of red-tan tissue measuring 1.0 x 0.6 x 0.4 cm, which are entirely frozen. the frozen section diagnosis reads as follows: "no malignancy identified" per dr. . the entire frozen section remnant is submitted into cassette a. part 2 is additionally labeled "r2 lymph node" and consists of multiple fragments of red-tan tissue measuring 1.2 x 0.6 x 0.3 cm. the specimen is entirely frozen and the frozen section diagnosis reads as follows: "no malignancy identified" per dr. . the frozen section remnant is entirely submitted into cassette b. part 3 is additionally labeled "4l lymph node" and consists of multiple fragments of red-tan tissue measuring 0.9 x 0.6 x 0.3 cm. the specimen is entirely frozen and the frozen section diagnosis reads as follows: "no malignancy identified" per dr. . the entire frozen section remnant is submitted into cassette c. part 4 is additionally labeled "7 lymph node" and consists of multiple fragments of red-tan tissue measuring 1.5 x 1.0 x 0.7 cm. the specimen is divided into two parts and frozen as parts a and b. the frozen sections diagnosis for parts a and b read as follows: "no malignancy identified per dr. ." the frozen section remnant of a is submitted into cassette d and the frozen section remnant of part b is submitted into cassette e. part 5 is additionally labeled "r8 lymph node" and consists of multiple fragments of red-tan tissue measuring 2.5 x 1.5 x 0.5 cm. one lymph node is bisected and submitted entirely into cassette f, cassette g has two lymph nodes, both bisected with one lymph node marked in black ink. part 6 is additionally labeled "r11 lymph node" and consists of a 2.3 x 0.8 x 0.5 cm lymph node, which is bisected and submitted entirely into cassette h. part 7 is additionally labeled "lobectomy" and consists of a 13.5 x 10.7 x 3.5 cm lobectomy specimen with a mottled pink-tan visceral pleura. a 3.5 x 1.6 cm tan patch of tissue is present on the antihilar side and is marked with yellow ink. a surgical staple line measures 8.0 cm below which lies a firm palpable nodule. the hilum has no gross abnormalities and the bronchial margin measures 1.5 x 1.0 cm with a bronchial thickness of 0.2 cm. the vascular margin measures 1.5 cm in diameter. black ink is applied to the visceral pleura and sections through the lung reveal a cavitary lesion with central necrosis. this lesion measures 0.5 x 2.7 x 2.5 cm and has a central cavity measuring 3.2 x 1.5 x 1.3 cm. the cavitary lesion has a wall that ranged in thickness between 1.0 and 1.5 cm. the center of the lesion has necrotic appearing pink-tan tissue and this lesion grossly approaches the aforementioned tan patch. sections through the remaining lung parenchyma reveals no gross abnormality and the specimen is represented as follows: i = bronchial margin, j = bronchial margin frozen section, k = vascular margin, l-o = cavitary lesion with respect to visceral pleura, p and q = cavitary lesion with respect to tan patch, r = normal lung parenchyma adjacent to cavitary lesion, s = tissue deep to staple line, which is marked with green ink, t = lesion content, u = frozen section of tumor. part 8 is additionally labeled "right upper lobe bulla" and consists of an 11 x 5.3 cm wedge resection of lung lobe. a bulla measuring 10.5 cm in greatest dimension is palpated and a section through the bulla reveals a cavity measuring 10.5 x 4.8 x 2.0 cm. the bulla has a wall that ranges in thickness between 0.1 and 0.3 cm. the bulla has a smooth inner lining and no masses, nodules or areas of necrosis are seen. the specimen is represented in cassettes v and w. brief hospital course: the patient sda for or for bronchoscopy, mediastinoscopy, and right thoracotomy with right lower lobectomy, resection of giant upper lobe bulla and intercostal muscle flap bronchoscopy with 2 chest tubes was placed to suction, minimal blood loss. mediastinal nodes negative for malignancy. frozen section of rll -no evidence of malignancy, only abscess, some histocytes the patient recovered from anesthetic, and was briefly extubated in the operating room but had poor respiratory effort and was reintubated and taken to the pacu in satisfactory condition. pain control w/ bupivicaine epidural and morphine pca. respiratory status improved, patient extubated. pain controlled and transferred to floor in stable condition. right ct x2 to sx. pod#1- pain control w/ same-epidural cont with intermittent d/c periods for bp 80/40, pca use encouraged by nursing in setting of language barrier; ct to sx w/ min leak, output 150/50 (#1, #2 repspectively), bs ronchi bilat, min crepitus to scapula; nsr 68-82 po intake encouraged; ivf cont. is/oob w/ 2 assist. interperter utilized along w/ communication w/ family. pt consulted pod#2-pain control- epidural dislodged and d/c per aps, pca cont; ctx2 to sx to water seal w/ ptx by cxray, returned to sx; bs scattered ronchi, decreased @bases, o2 2lnc-93%. nsr w/ episode of 7bt run pt asymptomatic, lytes drawn and repleated approp. ct dsg sm ser/sang dsg, thoracotomy dsg removed, incision site clean. pt/ oob/ is cont.fall/risk precautions done.po intake poor, ivf cont. ambulation w/ pt and nursing, coordination limited. pod#3- pain controlw/ pca transitioned to po w/ good effect; ct x2 to sx w/ leak, bs, cta 'd at bases 2lnc sat 92-96%, nebs and cpt done; temp 102f, at which time pan-cultures were drawn. pt/ oob/is cont. levofloxacin started for 7 day course. pod#4- temp 102. overnight tacky/brady, atrial bigemeny, lytes repleated and returned to nsr/ st with lopressor iv. pain control w/ po dilaudid and tylenol; ctx2 to waterseal; o2 1lnc sat 91%, 2l=97%; foley d/c and condom cath placed; po intake improved w/ food from home; ambulated in w/ pt, gait unsteady-needs assistance; dsg site c&d; hr 60 nsr, lopressor 25 started. pod#5- pain control as above; ct x2 to w/s, posterior ct removed small ptx on cxry and ct x1 to sx, no leak. cont pt, po intake, ivf, nebs.interperter services utilization ongoing qd. o2 ra 95-98%. pod#6- ct to sx. assessment made by pt patient unsafe to go home and needs rehab. pod#7-ct removed w/o complication. cxry unchanged. pt relunctant to go to rehab but agrees to be screened. discussion w/ family to inform of rehab screening process. pod#8-accepted at rehab facility- , ma., discussion with patient and family and patient agrees to go to rehab facility. family agrees to provide interper for patient communication. patient stable for discharge. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 4. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: of discharge diagnosis: cavitary pet-positive right lower lobe nodule. discharge condition: good discharge instructions: 1. call office if you experience: fever, chills, shortness of breath, chest pain, productive cough, incisional redness or discharge 2. resume home medications 3. take new medications as directed 4. no driving if taking narcotic pain meds 5. can shower in 2 days 6. no bathing or swimming for 3-4 weeks followup instructions: please call dr. office when discharged from rehab for appointment in please arrive 45 minutes prior to appointment for chest xray in 4 radiology department. procedure: fiber-optic bronchoscopy mediastinoscopy other local excision or destruction of lesion or tissue of lung simple excision of other lymphatic structure diagnoses: abscess of lung emphysematous bleb 

Answer: The patient is high likely exposed to