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: sulfonamides attending: chief complaint: adenocarcinoma of the right main bronchus major surgical or invasive procedure: right pneumonectomy with serratus muscle flap bronchoscopy mediastinal lymph node dissection exploratory laparotomy with lysis of adhesions foley catheter placement chest tube placement peripherally inserted central catheter nasogastric tube placement endotracheal tube placement epidural catheter placement history of present illness: this is a 73 year old russian gentleman who presented to the clinic with a diagnosis biopsy proven of adenocarcinoma of the right main stem. per his report he had been diagnosed and treated in the soviet for a right lung cancer 25 years ago. he has received a significant amount of radiation therapy and chemotherapy. patient also has had a known partial collapse and consolidation of the right lung for the past several years and increasing shortness of breath for the past six months. he has scoliotic spine and a significantly reduced right lung capacity. he is a very active gentleman. he is able to walk for one to two hours every day. past medical history: past medical history: 1. symptomatic cholelithiasis. 2. right-sided lung cancer, status post chemotherapy and radiotherapy. 3. copd/bronchiectasis 4. hypertension. 5. benign prostatic hypertrophy. 6. status post pacemaker. 7. history of depression. 8. status post partial colectomy in . 9. history of positive ppd in -no prophylaxis/active disease adenosine deaminase in 9/99 ~9.7, suggestive of possible tuberculosis pleural disease 10. history of exertional angina, which is currently asymptomatic. social history: he is a former smoker who has quit 25 years ago. he is retired and lives in an apartment for the elderly. he has been quite active until recently. pt with remote (20 pack year; quit 25 years ago) tobacco history. pt denies use of alcohol or ivda. he lives with his wife. his son and daughter speak english and are able to translate. family history: non-contributory physical exam: patient's physical exam on admission is as follows: vitals: t=97.8, bp=159/59, p=97, r=16, spo2=98%ra gen: nad, aaox3 heent: perrl, eomi, no lad cvs: rrr, no mrg pulm: cta bilaterally, no crw abd: soft, nt/nd, +bs ext: no cce, warm/dry with good cap refill neuro: no focal deficits, cn 2-12 grossly intact pertinent results: 04:47pm wbc-22.4*# rbc-3.82* hgb-10.4* hct-31.2* mcv-82# mch-27.3# mchc-33.4 rdw-16.9* 04:47pm glucose-140* urea n-22* creat-1.3* sodium-141 potassium-5.0 chloride-109* total co2-25 anion gap-12 04:47pm pt-17.3* ptt-34.2 inr(pt)-1.9 04:47pm plt count-238 04:47pm blood glucose-140* urean-22* creat-1.3* na-141 k-5.0 cl-109* hco3-25 angap-12 pathology examination # diagnosis: 1. mediastinal pleura (aa): lung parenchyma with chronic inflammation and fibrosis. no malignancy identified. 2. "part of thymus and anterior mediastinum" (a-e): adipose tissue with focal collection of macrophages, many ladened with carbon pigment. 3. endobronchial tumor (f): non-small cell carcinoma (see synopsis). 4. 4r, node (g-h): one lymph node, no malignancy identified. 5. right lung, pneumonectomy (i-p): non-small cell carcinoma (see synoptic report). vascular and bronchial margins are free. uninvolved lung shows collapse with hemorrhage and chronic inflammation. 6. ribs (q-r): bone and marrow with trilineage hematopoiesis. ct abdomen w/o contrast; ct pelvis w/o contrast 7:15 pm 1. evidence of viscus perforation with free air seen in the right lower quadrant. fat stranding and a small amount of free fluid are also seen in the right lower quadrant. there is possible pneumatosis of the cecum. findings are consistent with a perforated cecum likely due to ischemia. 2. scattered diverticula seen throughout the remainder of the colon without frank diverticulitis. 3. marked distention of the cecum measuring up to 10 cm. there is also distention of the ascending and transverse colons. there is no evidence of obstruction. unilat up ext veins us right 5:06 pm right subclavian vein thrombosis. limited examination, as above. the findings were discussed with dr. at the time of the exam. cardiology report echo study date of 1. the left atrium is mildly dilated. 2. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function cannot be reliably assessed. 3. the right ventricular cavity is mildly dilated. 4. the aortic valve leaflets (3) are mildly thickened. mild (1+) aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 6. there is mild pulmonary artery systolic hypertension. 7.there is a small pericardial effusion. 8. compared with the findings of the prior study (tape reviewed) of , there has been no significant change. chest (portable ap) 8:03 am 1. slight increase in the size of the left pleural effusion. 2. no evidence of pulmonary edema. brief hospital course: mr. was admitted to thoracic surgery on for an intrapleural, intrapericardial pneumonectomy with serratus muscle flap bronchoscopy and mediastinal lymph node dissection. for details of the procedure, please see the operative report. upon completion of the operation, the patient was sent to the micu as a border for hypotension. his course in the micu was significant for afib/flutter which was controlled with verapamil and quinidine. of note, the patient was extubated in the or but which subsequently failed requiring re-intubation. he was then extubated the following day without issue thereafter. in the micu, eps interrogated his aicd after noting rare pvcs. then on pod#3 he was found to be stable enough and was then transferred to the floor. on pod#4, patient was seen by eps for an occurrence of a-flutter; was refractory to metoprolol and was then treated with digoxin and diltiazem which converted patient's rhythm to sinus. the digoxin and diltiazem was then subsequently discontinued with no need to start any antiarrhythmics at that time. however, on pod#7, patient was noted to have a-fib and was started on quinidine 324mg (1.5 tabs po q8hrs), a heparin drip and coumadin for anticoagulation. furthermore, on pod#7, patient began having changes in mental status, complaining of abdominal pain and distention and had need of increased fluids. despite having a completely benign exam and a white blood cell count within normal, he did have an elevated creatinine and lowered systolic blood pressure. the patient was then moved to the icu, a cardiac echo was done, a general surgery consult was obtained and the patient was made npo and had a nasogastric tube and arterial line placed. an abdominal ct showed free air within the right upper quadrant with significant inflammation/stranding about the cecum/appendix and questionable distention of the right colon. his abdominal exam also worsened at that point and general surgery was concerned about possible a perforated appendix, colonic ischemia secondary to the a-fib, or a perforation secondary to syndrome; an exploratory laparotomy was suggested and discussed with the family who agreed and wished to proceed. on patient underwent the exploratory laparotomy but was found to have no gross evidence of perforation. it is believed that the patient suffered a microperforation resulting in free air but which had subsequently healed. he was then taken to the sicu. on was restarted on a heparin drip, amiodarone and also extubated. on , patient was assessed for nutritional requirements and found to need tpn which was started that day. on a post-pyloric dobhoff feeding tube was placed by int. radiology for concerns of aspiration while attending to the patient's nutritional requirements; tpn was discontinued on and patient was moved to the floor. his pulmonary exam improved and begin to clear secretions much better throughout the remainder of his hospital course. on , a bedside swallowing study was performed for concerns of regurgitation possibly leading to aspiration; the study was within normal. the feeding tube was then discontinued and patient's diet was advanced to ground solids with boost supplementation. on , patient had 3 occurrence's of his aicd firing during the qrs complex. this was discussed with eps who recommended that the patient be switched to amiodarone 400mg po qd and be seen at his rehab facility this week by cardiology for possible aicd interrogation and further management. patient was then discharged on the same day to in good condition, ambulating and tolerating a ground diet. his inr was therapeutic and he was placed on 4mg of coumadin po qhs; the inr is to be checked twice a week on thursdays and mondays and the coumadin dosage adjusted accordingly. furtermore, he is to be discharged with a 7 day course of levofloxacin 500mg po qd. he is asked to follow-up with dr. in 1 week, dr. in general surgery in weeks. it is also requested that he be seen by cardiology at as mentioned above. medications on admission: verapamil 240mg po q8hrs protonix 40mg po qd mdi-flovent minoxidil discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q6h (every 6 hours) as needed. disp:*qs 1* refills:*0* 2. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs 1* refills:*2* 3. salmeterol xinafoate 50 mcg/dose disk with device sig: disk with devices inhalation q12h (every 12 hours). disp:*qs disk with device(s)* refills:*2* 4. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). disp:*qs 1* refills:*2* 5. amiodarone hcl 200 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. warfarin sodium 4 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: right lung carcinoma hypertension chronic obstructive pulmonary disease depression benign prostatic hypertrophy diabetes atrial fibrillation constipation hypovolemia discharge condition: good discharge instructions: you may restart any medications taken prior to hospital admission. you may have a regular diet. you may shower. please refrain from any strenuous lifting or activity for at least 1-2 months. followup instructions: please follow-up with dr. (thoracic surgery) in clinic in weeks. please call for an appointment. also, please follow-up with dr. (general surgery) in weeks. please call for an appointment. also, you have been scheduled for the following appointments. please try to keep these appointments: provider: clinic where: cardiac services phone: date/time: 2:00 provider: , md where: cardiac services phone: date/time: 2:30 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances exploratory laparotomy arterial catheterization other intubation of respiratory tract radical dissection of thoracic structures transfusion of packed cells diagnoses: other iatrogenic hypotension congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation other specified intestinal obstruction pleurisy without mention of effusion or current tuberculosis malignant neoplasm of main bronchus fitting and adjustment of automatic implantable cardiac defibrillator 

Answer: The patient is high likely exposed to