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: hemoptysis major surgical or invasive procedure: intubation attempted central line placed history of present illness: patient is a 62 yo m w/pmhx of nscl and scc recently admitted at the va and treated for pneunomia in , who presents with hemoptysis of one day's duration. patient relates that he awoke at 2:30 am and noted a small amount of blood when he coughed. at approximately 6:30 am, the amount of blood had increased, and he sought medical attention at the ed. he relates that he coughed up about 100cc of bright red blood at that time. he was transferred to for further evaluation and management. . in the ed, his vitals were t 97.6, hr 120, bp 102/64, and oxygen saturation of 100% on 4l nc. he received 1 l ns, as well as levaquin 750 mg. . in the setting of a recent admission to the hospital for a pneumonia, and apparently in light of abnormal findings there, patient underwent a bronchoscopy on at through interventional pulmonology which showed normal upper airways. the right main stem and right upper lobe were normal and the right lower lobe ended in a large cavity filled with purulent secretions. biopsies were taken and eventually showed extremely scant fragments of atypical squamous epithelium and bronchial tissue with necrotic debris and necrotic bronchial cartilage. the left lower lobe demonstrated a long main stem stump with surgical clips. biopsies were also taken and showed scant bronchial tissue and necrotic debris; no viable malignancy was identified. . a ct done on showed a cavitary lesion continuous with an ulcerated bronchus intermedius. . ros: denies fever, chills, chest pain, n/v, palpitations, ha, lightheadedness, dizziness. notes he did feel sob, has noted some weight loss and increasing fatigue. . past medical history: 1. nsclc s/p pneumonectomy () and photodynamic therapy activation and rigid bronchoscopy clean () out. 2. scc diagnosed in at , s/p chemotherapy. 3. chronic obstructive pulmonary disease, on 2l home o2 4. hyperlipidemia. social history: lives w/ wife. retired post-office worker. significant smoking history of >80 pack years, quit . has prior history of asbestos exposure while working in shipyard for the navy. family history: father with emphysema and lung cancer. mother with cancer metastatic to bone. one sister with lung cancer, another sister with lung and breast cancer. children healthy. physical exam: vitals - t 97.2 hr 126, bp 105/65, sao2 95% on 5l general - chronically ill, thin male laying in bed, in nad although occasionally coughing up blood-tingled sputum. speaking in full sentences without any distress. heent - nc/at. mmm, no jvd. cardiovascular - tachycardic, rr, no m/g/r appreciated, hyperdynamic precordium. pulmonary - absent lung sounds over left lung field, no egophony or tactile fremitus noted over right field. decreased bs at right base. abdomen - soft, nt, nd, +bs extremities - warm, well perfused, no clubbing/cyanosis/edema. neurology - alert, oriented, no focal deficits. psych - pleasant, appropriate pertinent results: pfts (): marked obstructive ventilatory defect. the reduced fvc is likely due to gas trapping but a coexisting restrictive defect cannot be excluded. suggest lung volume measurements if clinically indicated. the reduced dlco suggests a perfusion limitation. there are no prior studies available for comparison. fvc 41% predicted fev1 27% predicted fev1/fvc 67% predicted dsb 23% predicted . ct chest (): 1. cavitary lesion continuous with an ulcerated bronchus intermedius has non-aggressive appearing thickened wall with smooth margins, but a small focus of soft tissue surrounding the right middle lobe bronchus could be tumor. ct fdg pet-ct might be able to localize tumor, but discrimination from the inflammation of the large pocket may be problem. 2. focal fibrosis and traction bronchiectasis in the posterior segment of the right upper lobe may be sequelae to radiation therapy. 3. status post left pneumonectomy with unremarkable left main bronchus stump. 4. severe apical predominant emphysema. . cxr (): the patient is status post left pneumonectomy, with stable opacification of the left hemithorax and shift of the mediastinum. the left lung is relatively well aerated. there is persistent left perihilar opacity, which may correspond to a cavitated lesion, seen on the recent ct. there is no pleural effusion and no pneumothorax. there is increase in interstitial markings above the minor fissure, which may represent early or atypical pneumonia or asymmetric edema. interstitial septal thickening due to lymphangitic tumor spread is also in the differential diagnosis. . ekg: sinus tachycardia @ rate of 128, some twi in v5, v6, new as compared to ekg. early r wave progression (v1-v2) unchanged. . 11:15pm glucose-82 urea n-8 creat-0.5 sodium-138 potassium-3.9 chloride-95* total co2-33* anion gap-14 11:15pm calcium-8.7 phosphate-3.4 magnesium-1.8 11:15pm wbc-11.7* rbc-3.54* hgb-10.9* hct-32.5* mcv-92 mch-30.8 mchc-33.6 rdw-15.5 11:15pm plt count-337 01:33pm glucose-92 urea n-6 creat-0.5 sodium-137 potassium-3.9 chloride-93* total co2-35* anion gap-13 01:33pm estgfr-using this 01:33pm wbc-10.4 rbc-3.83* hgb-11.7* hct-35.6* mcv-93 mch-30.4 mchc-32.7 rdw-15.2 01:33pm neuts-88.2* bands-0 lymphs-8.0* monos-3.4 eos-0.2 basos-0.2 01:33pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 01:33pm plt smr-normal plt count-337# 01:33pm pt-11.9 ptt-29.1 inr(pt)-1.0 brief hospital course: patient was a 62 year-old man with a history of nsclc s/p pneumonectomy who presented with hemoptysis. . # hemoptysis: patient presented at outside hospital coughing up bright red blood. in setting of his nsclc and scc, it was concerning for several pathologies, including malignancy, malignant erosion into a bronchial blood vessel, infection, avm/fistula, irritation, or trauma. . on night of admission, interventional pulmonology, thoracic surgery, and interventional radiology all were involved in evaluation of the patient. thoracic surgery determined that there was no appropriate surgical intervention. embolization was considered, but not immediately pursued due because the patient only had one functional lung and obviously would have little reserve capacity if embolization were to be completed. at the time of initial evaluation, the patient was stable and demonstrated no further evidence of bleeding. his hematocrit was monitored overnight and stable. he was started on broad antibiotic therapy (vancomycin, levofloxacin, and zosyn) to cover for any possible infectious component to his symptoms. he was also given codeine to suppress his cough. . on the morning after admission, the intensive care team evaluated the patient on morning rounds, who reported he was doing well. as the team was leaving, patient began to cough up copious amounts of bright red blood. the patient quickly progressed to pea arrest. the full medical intensive care team, along with the assistance of the full surgical intensive care team, coded the patient for approximately 30 minutes. during this time he underwent intubation, central line placement, and fiberoptic bronchoscopy. with every chest compression, he had a large amount of blood coming up from the right mainstem. due to the absence of left lung and location of the tumor erosion/cavity, it was not possible to obtain control of the bleeding. at the end of the code, he had 2 - 3 liters of blood outside the body as a result of hemoptysis. the most likely explanation was that the tumor eroded into the main pulmonary artery. he at no time regained a spontaneous pulse during the code. interventional pulmonology and interventional radiology were also involved. he had been confirmed as a full code status the night before. after the patient failed to respond to any interventions, he was pronounced dead. his family was notified and at the bedside shortly after he expired. medications on admission: spiriva 18 mcg cap inhaled daily - advair 250/50, puff daily - preventil 90 mcg 1 puff 2x daily - albuterol 0.5% neb 3-4x daily - flunisolide nasal soln 25 mcg spray, 2 puffs each nasal 2x day. - simvastatin 40 mg daily - codeine/guafanesin prn cough - prednisone 20 mg (tapering down from prior pna/copd exacerbation) discharge medications: none, expired. discharge disposition: expired discharge diagnosis: expired. discharge condition: expired. discharge instructions: expired. followup instructions: expired. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube other bronchoscopy insertion of other (naso-)gastric tube transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified diagnoses: personal history of malignant neoplasm of bronchus and lung paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute respiratory failure cardiac arrest secondary malignant neoplasm of lung other dependence on machines, supplemental oxygen family history of malignant neoplasm of trachea, bronchus, and lung 

Answer: The patient is high likely exposed to