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: back pain major surgical or invasive procedure: t12 vertebrectomy history of present illness: this is a 56 year old male with approximately 2 weeks of thoracolumbar back pain of sudden onset. there is no radiating pain. he has no numbness. he has a chronic peripheral neuropathy with paresthesias of all toes. he has had constipation associated with vicodin use at home. he had one episode of hematochezia yesterday while constipated and straining. he denies bowel and urinary incontinence. he was seen in the spine clinic with dr. and review of osh imaging revealed a t12 compression fracture with cord compression. past medical history: hemorrhoids, pineal cyst excision, l knee repair, dm, hypercholesterolemia, peripheral neuropathy, umbilical herniorrhaphy. social history: he stopped smoking >25 years ago, no etoh abuse. family history: unknown physical exam: on admission: gen: wd/wn, comfortable, nad. overweight. motor: ip q h at g l 5 5 5 5 5 5 r 5 5 5 5 5 5 sensation: intact to light touch. reflexes: pa ac right 1 0 left 2 0 there is no clonus mild bony and paraspinal tenderness at lower thoracolumbar spine. rectal exam normal sphincter control on discharge: non focal / ambulatory pertinent results: ct torso: 1. diffuse thickening of the right upper lobe bronchus and right hilar mass are concerning for right lung cancer. bronchoscopy is recommended for further evaluation. diffuse mediastinal lymphadenopathy is also present. fdg pet is recommended for evalauation of disease extent. 2. 12-mm right upper lobe and 9 mmleft upper lobe nodules may be metastatic or inflammatory in etiology. 3. pathologic fracture of t12 lumbar vertebra and equivocal lucencies within the femoral necks bilaterally. bone scan is helpful for evaluation of extent of the osseous lesion. bone scan: 1. there is increased radio-tracer uptake in the body of t12, in keeping with patient's known wedge compression fracture at this level. 2. degenerative disease affecting the knees and right foot as described. 3. no definite abnormality of the pelvis but evaluation of the pelvis was somewhat limited due to patients inability to void completely. , m 56 radiology report chest (pa & lat) study date of 10:46 am , fa11 10:46 am chest (pa & lat) clip # reason: re-expansion of lll? medical condition: 56 year old man with lll collapse after throacic approach to vertebroplasty reason for this examination: re-expansion of lll? final report pa and lateral chest on history: left lower lobe collapse after thoracic approach to vertebroplasty. impression: pa and lateral chest compared to : left lower lobe collapse has not improved and although the lateral view shows a bulge at the left hilus, preoperative torso ct showed no hilar mass. presumably, this is fluid in the major fissure. tiny right pleural effusion is seen only on the lateral view. right lung is clear. cardiac silhouette is shifted into the left hemithorax, not particularly enlarged. no pneumothorax. , m 56 radiology report t-spine study date of 4:20 pm , fa11 4:20 pm t-spine clip # reason: check alignment medical condition: 56 year old man with s/p t12 fusion, please check standing xrays ap and lat and view both ends hardware on one film, check alignment reason for this examination: check alignment final report history: t12 fusion. findings: two views show the fusion procedure spanning t11 through l1 with placement of a cage device at t12. overall alignment appears to be well maintained. brief hospital course: mr. was admitted from the spine center to the 11 floor under the care of dr. . a tlso brace was ordered and the patient was fitted. he was on q4 hr neuro check, he had full strength upon admission. he was on sqh for dvt prophylaxis. a ct torso and bone scan were ordered to investigate for other sites of malignancy. in preparation for this study, he ingested the oral contract but his renal function tests were elevated and he could not complete the study. these labs were repeated and improved after hydration. the ct torso was re-ordered on . dr. of neuro-oncology was consulted. he felt that the differenital for this mass was mm, lymphoma, or infections. serum/urine protein electrophoresis/ldh/b2macroglobulin/hiv/ppd were ordered at his request. dr. of the neurosurgery department was consulted and he recommended an ir guided biopsy. this was ordered on . on the ct torso from he was found to have bilateral pulmonary nodules with lymphnode involvement. as a result pulmonary was consulted. his tlso arrived on but did not get out of bed with it on at that time. he wore the brace while the hob was >30degrees. on he had an episode of urinary retention and was straight cathed for 950cc of residual urine and subsequently a foley was placed. on he was noted to have pain in his left ankle so 3 view ankle plain films were done which showed soft tissue swelling but no bony injury. also on the 12th he got oob with the tlso on with no increase in his pain. he underwent a ir guided biopsy with dr. on the 12th. pathology of the tissue obtained from the biopsy was found to be consistent with adenocarcinoma suggestive of a primary lung cancer so lung biopsy was not indicated. he remained stable on with plans to be an add on case for with dr. for a t12 vertebrectomy via a thoracotomy approach. he tolerated the aforementioned procedure well. he remained in the icu for 2 days. his chest tube was d/c'd on pod #2. he was transferred out to the floor on pod #3. it was here where he was oob with pt, and tolerated it well. a cxr revealed that he had partial collapse of his l lower lobe. thoracic surgery was consulted to review the images. they recommended aggressive chest physiotherapy for the patient and frequent use of the incentive spirometer. his repeat cxr on was stable. the plan is for discharge to home. pt agrees with the plan. medications on admission: metformin 500 mg tablet sig: one (1) tablet po daily (daily). calcium carbonate 500 mg tablet, chewable sig: three (3) tablet, chewable po daily (daily). cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (daily). asa 81mg po qd naprosyn vicodin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/t>100/ha. 2. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (daily). 3. calcium carbonate 500 mg tablet, chewable sig: three (3) tablet, chewable po daily (daily). 4. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for m. spasm. disp:*90 tablet(s)* refills:*0* 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. disp:*1 bottle* refills:*1* 9. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. metformin 500 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). tablet sustained release 24 hr(s) 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 12. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for wheeze. 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 14. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: t12 pathologic fracture spinal cord compression discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery ?????? if you have steri-strips in place, you must keep them dry for 72 hours. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? if you are required to wear one, wear your cervical collar or back brace as instructed. ?????? you may shower briefly without the collar or back brace; unless you have been instructed otherwise. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. unless directed by your doctor. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine. ?????? any weakness, numbness, tingling in your extremities. ?????? any signs of infection at the wound site: redness, swelling, tenderness, and drainage. ?????? fever greater than or equal to 101?????? f. ?????? any change in your bowel or bladder habits (such as loss of bowl or urine control). followup instructions: follow up instructions/appointments ??????please return to the office in 10 days for removal of your staples. ??????please call ( to schedule an appointment with dr. to be seen in 6 weeks. ??????you will need x-rays prior to your appointment. please follow up with dr. , md phone: date/time: 2:00 on 8 procedure: insertion of intercostal catheter for drainage dorsal and dorsolumbar fusion of the anterior column, anterior technique biopsy of bone, other bones other partial ostectomy, other bones excision of bone for graft, scapula, clavicle, and thorax [ribs and sternum] insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae excision or destruction of intervertebral disc, unspecified diagnoses: pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse retention of urine, unspecified malignant neoplasm of other parts of bronchus or lung unspecified hereditary and idiopathic peripheral neuropathy secondary malignant neoplasm of bone and bone marrow myelopathy in other diseases classified elsewhere pathologic fracture of vertebrae thoracic or lumbosacral neuritis or radiculitis, unspecified 

Answer: The patient is high likely exposed to