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: dyspnea, hypotension major surgical or invasive procedure: :transthoracic ultrasound. thoracentesis on the right side 1.5l : transthoracic ultrasound. thoracentesis on the right side 1l history of present illness: 85yom ex-smoker w/ rul nsc lung ca w/ chest wall invasion (poorly diff sq cell ca, t3 n0, stage iib), s/p rul lobectomy, r chest wall resection (ribs ), rml wedge resection, chest wall reconstruction w/ goretex graft by dr . pt discharged to rehab and returns to ed today due to hypotension noted at rehab. past medical history: cva with residual l arm numbness, dementia, likely vascular etiology adenocarcinoma of colon, dx'd , surgery sch'd for anemia (on iron & b12 supplementation now) copd/asthma with chronic cough hyperlipidemia bph s/p turp hiatal hernia hand surgeries b/l h/o tuberculosis infxn in childhood social history: retired teacher. widower. has dementia with stm deficits. daughter ( , ) is health care proxy. distant 30 pk-yr smoking history (quit 43 yrs ago), no etoh. patient is a vegetarian. family history: mother-stroke in 70s, father-tuberculosis pna, sister died of cardiac cause physical exam: vs: t 97.4 hr: 52 sr bp: 105-120/60 sats: 96% 4l wt; 74 kg general: lying in bed no apparent distress neck: supple no lymphadenopathy card: rrr resp: bibasilar crackles, no wheezes gi: benign extr: warm no edema incison: right thoracotomy site well healed neuro: non-focal pertinent results: wbc-6.7 rbc-3.25* hgb-9.9* hct-29.1* plt ct-248 wbc-7.4 rbc-3.27* hgb-9.8* hct-29.4* plt ct-244 wbc-11.3* rbc-4.03* hgb-12.1* hct-35.6* plt ct-389 neuts-87.2* lymphs-9.0* monos-3.2 eos-0.5 baso-0.1 pt-16.1* inr(pt)-1.4* pt-15.8 inr(pt)-1.4* pt-16.9* inr(pt)-1.5* pt-16.8* ptt-78.1* inr(pt)-1.5* glucose-100 urean-9 creat-0.8 na-132* k-4.7 cl-100 hco3-25 glucose-99 urean-11 creat-0.7 na-133 k-4.8 cl-99 hco3-26 glucose-109* urean-12 creat-0.7 na-131* k-4.1 cl-100 hco3-25 glucose-85 urean-11 creat-0.8 na-136 k-3.9 cl-105 hco3-23 glucose-120* urean-18 creat-1.1 na-137 k-4.4 cl-106 hco3-22 calcium-9.4 phos-2.7 mg-1.9 chest ct : impression: 1. large multiloculated nonhemorrhagic right pleural effusion, decreased slightly since . 2. right chest wall graft intact. no associated abscess. 3. moderate pulmonary edema increased. 4. right bronchial stump intact. 5. stable reactive central adenopathy. 6. stable moderate sliding hiatus hernia. 7. no new emboli in large pulmonary arteries. subsegmental left lung emboli are all that remain. chest ct ; impressions: 1. multiple left-sided segmental and subsegmental pulmonary emboli. 2. post- operative changes on the right after right upper lobectomy including increasing fluid and small amount of residual air within the pleural space, and subcutaneous gas along the chest wall. rounded opacity in the right lung base could represent rounded atelectasis, although infection cannot be excluded. 3. new reticulation with ground-glass attenuation along the posterior left upper lobe could represent aspiration or infection. trace left pleural effusion. 4. large hiatal hernia. study : there is thrombus in the right cephalic vein which is a superficial vein, otherwise no thrombus is seen. duplex and color doppler of both lower extremities demonstrates thrombus within the peroneal veins only. :cytology. pleural fluid: negative for malignant cells. brief hospital course: : patient was admitted to sicu after ct showed multiple segmental & subsegmental left pulmonary emboli involving both lobes, as well as a loculated r pleural effusion, a heparin bolus was given, followed by a drip, together with zosyn for possible pneumonia. : a pleural tap produced 1.5 l of transudative fluid : the patient was triggered fro transient hypoxia, resolved spontaneously on 4 l n/c o2. r pleural effusion found to be recurring. : coumadin 3 given. : the patient had an acute desaturation with sinus tachycardia, likely a chf exacerbation, he received iv lasix and lopressor and was transferred back to icu. cultures of pleural fluid were negative, so the patient's antibiotics were discontinued. a foley was replaced and the patient given additional lasix with good response. the patient also expressed suicidal ideation to the nursing staff. : patient returned to floor, continued to receive coumadin and heparin drip. psychiatric consultant recommended starting citalopram and changing seroquel to standing, both of which were done. : a chest ct was done to further evaluate the loculated right pleural effusion. no further treatment was warrented at this time. he was converted from heparin to lovenox. his coumadin was restarted with a goal inr 2.0-2.5 for pulmonary embolism. he will remain off plavix while on coumadin. his foley was removed and he voided without difficulty. he continued to do well and was discharged to rehab on . medications on admission: albuterol/atrovent nebs, omeprazole 20 mg daily, amiodarone 400mg daily, plavix 75mg daily, finasteride 5mg daily, heparin 5000units sq tid, lopressor 25mg tid, oxycontin 20mg , oxycodone 5mg prn discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 2. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation every six (6) hours as needed for shortness of breath or wheezing. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 8. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 9. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 11. quetiapine 25 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed. 12. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 13. enoxaparin 80 mg/0.8 ml syringe sig: one (1) subcutaneous q12h (every 12 hours): goal inr 2.0-2.5 stop when inr 2.0. 14. quetiapine 25 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)) as needed for sleep. 15. warfarin 1 mg tablet sig: three (3) tablet po dose to maintain inr 2.0-2.5. 16. zocor 20 mg daily discharge disposition: extended care facility: house discharge diagnosis: left pulmonary embolus, right loculated effusion right upper lobe squamous cell ca invading 4th-5th ribs (t3n0), s/p rulobectomy with chest wall resection/reconstruction with goretex mesh/flex bronch () dementia, likely vascular etiology anemia hyperlipidemia hiatal hernia bph s/p turp, known distal urethal stricture discharge condition: deconditioned discharge instructions: call dr. office if experience: -fever > 101 or chills. -increased shortness of breath, cough or chest pain. followup instructions: follow-up with dr. :00am on the clinical center, . report to the 4th radiology department for a chest x-ray 45 minutes before your appointment. coumadin follow-up with his pcp . . has been notified and agreed. follow-up with psychriatry for newly started psychiatric medications. procedure: thoracentesis thoracentesis diagnoses: unspecified pleural effusion diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia iatrogenic pneumothorax iatrogenic pulmonary embolism and infarction malignant neoplasm of other parts of bronchus or lung other postprocedural status chronic obstructive asthma, unspecified acute diastolic heart failure emphysema (subcutaneous) (surgical) resulting from procedure removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation secondary malignant neoplasm of bone and bone marrow vascular dementia, uncomplicated anemia in neoplastic disease acute venous embolism and thrombosis of unspecified deep vessels of lower extremity suicidal ideation major depressive affective disorder, recurrent episode, moderate 

Answer: The patient is high likely exposed to