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: endobronchial mass major surgical or invasive procedure: excision/destruction rul endobronchial mass, removal of foreign body. history of present illness: 76m with hx of lul resection for nsclc 30 years ago who presented to hospital with massive hemoptysis on . at that time, he was intubated for airway protection and on bronchoscopy, he was found to have an obstruction lesion of the right mainstem due to a rul tumor. at that time, he was transferred to on for a rigid and flexible bronchscopy where they found that the right mainstem was approximately 80-90% obstructed by a tumor mass coming from the right upper lobe. they found foreign bodies which appeared to be suture material and perhaps a fingernail in that area which was sent to pathology as well, prompting a possible diagnosis of foreign body granuloma. they performed multiple biopsies of the friable mass. following the biopsies, the tumor was destroyed with electrocautery and argon plasma coagulation. however, they were not able to achieve patency of the right upper lobe bronchus. the right mainstem was completely patent at the end of the procedure. he was then sent to the sicu where he was extubated without event. he had a video swallow which showed no evidence of aspiration. . of note, he originally presented to pcp with month of cough and shortness of breath. he was treated emperically with abx with no resolution of the mass on cxr, which prompted the bronchoscopy at . . at baseline, he can walk 4 blocks without getting sob. past medical history: nsclc lul resection 30 years ago htn cad s/p angioplasty/stent social history: lives with family and worked 25 years as a plumber. has a 50 pack year history of smoking and has been exposed to asbestos in the past. he socially drinks alcohol. family history: noncontributory physical exam: vitals: 97.1 84 159/99 119 25 95%-4lnc gen: a+ox3, nad, comfortable, pleasant heent: mmm, op clear neck: no jvd, no lad cv: rrr, no m/g/r pulm: ctab, no w/r/r, resonant to percussion abd: soft, nd, nt, positive bs ext: no c/e/c neuro: mobilizes all extremities, sensation grossly intact pertinent results: 138 102 12 ------------< 151 4.4 30 0.5 ca: 8.2 mg: 2.0 p: 2.9 9.0 > 12.1 < 143 34.5 pt: 16.9 ptt: 28.8 inr: 1.6 cxr: no comparison exams at this facility. satisfactorily positioned et tube in distal trachea 3 cm from carina. no discrete bronchial lesion identified, although the right main stem bronchus is not visualized. the superior mediastinum is obscured with no discrete margination of its lateral borders, and there is slight prominence of the upper lobe pulmonary markings. no discrete lung mass and no vascular congestion or consolidations. i doubt the presence of effusions, although the right lateral cp angle is not imaged. heart normal size. ng tube looped in stomach. slightly elevated left hemidiaphragm. no lung nodules or bone destruction identified. bronch rul bx: right upper lobe mass, biopsy: undifferentiated large cell carcinoma. cytology rul mass: positive for malignant cells. consistent with poorly differentiated non-small cell carcinoma. mri head: no evidence of intracranial metastasis. ct chest/abd/pelvis: 1. appearance raising concern for the possibility of a pulmonary embolus in a right lower lobe branch of the right pulmonary artery, although indeterminate. this finding was discussed with dr. at 11 pm on the day of the study. 2. mediastinal and right hilar lymphadenopathy. 3. bibasilar mixed ground-glass and consolidative opacities, which given their recent onset, are most suspicious for an infection, inflammation, or in the appropriate clinical setting, hemorrhage. 4. marked scarring and emphysema in the right upper lobe. 5. nonspecific pulmonary nodules, for which short-term followup is recommended. 6. several subcentimeter vague hypoattenuating foci in the liver which are nonspecific. metastatic disease cannot be excluded. 7. large 3-4 cm nonspecific lesion in the spleen. to evaluate the significance of this finding, further correlation with prior studies could be most helpful. 8. a 13 mm lesion along the lower pole of the left kidney with indeterminate characteristics and too small to characterize here. it could be helpful to use an ultrasound to determine whether this definitely represents a mildly dense cyst, if clinically indicated. cta chest: 1. filling defects within the arterial pulmonary vasculature within the superior portion of the right lower lobe consistent with pulmonary embolism. etiology could include primary embolus versus tumor thrombus. 2. mixed ground glass and consolidative opacities seen by bibasilarly. unchanged compared to the previous study. 3. unchanged emphysematous changes. 4. unchanged right hilar mass. 5. unchanged mediastinal lymphadenopathy. bone scan: no definite evidence for osseous metastases. lenis: no evidence of lower extremity dvt. brief hospital course: a/p: 76m with hx of lul resection for nsclc presents with hemoptysis and found to have rul mass with obstruction of right mainstem. . # hemoptysis: he did not have any hemopytsis during his hospital course here. . # nsclc: s/p resection of lul 30 years ago. on this admission, s/p rigid brochoscopy with laser ablation of rul mass. pathology and cytology from biopsy shows undifferentiated large cell carcinoma. heme/onc was called for consultation. he received staging scans. head mri was negative for mets. chest ct showed mediastinal and right hilar lad. abd ct showed 3-4cm lesion in spleen and non-specific lesions in liver. his bone scan was negative. he will get a pet scan for staging as an outpatient. he is scheduled for an outpatient follow up with clinic at bimdc on with dr. . he will also follow up with interventional pulmonology and ct surgery as an outpatient, appointments already scheduled. . # pulmonary embolism: he has a rll pe by cta. his malignancy probably put him at an increased risk for pe. he will need to be on levonox 60mg . he need to follow up with his primary care doctor clinic and pulmonary clinic. . # post-obstructive pna: he has radiographic opacities on chest ct which could be infectious or could be hemorrhage from rul ablation (reviewed with radiology). he will finish his course of antibiotics: levoquin and flagyl. he will also need to finish his steroid taper. at discharge, he was able to ambulate comfortably with 2lnc. he will continue to use oxygen supplement at home as needed. . # copd: he should continue his albuterol and ipratroprium nebs, and advair for long acting steroids. . # htn: continue outpt metoprolol. hctz was added on this admission for further bp lowering. medications on admission: medication at home: levalbuterol atrovent asmacort spiriva metoprolol discharge medications: 1. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. prednisone 20 mg tablet sig: taper as below tablet po daily (daily) for 3 days: : 40mg : 20mg : 20mg. disp:*4 tablet(s)* refills:*0* 4. flagyl 500 mg tablet sig: one (1) tablet po three times a day for 3 days: end . disp:*9 tablet(s)* refills:*0* 5. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 3 days: end . disp:*3 tablet(s)* refills:*0* 6. enoxaparin 60 mg/0.6 ml syringe sig: one (1) shot subcutaneous q12h (every 12 hours). disp:*60 shot* refills:*2* 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 8. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*30 caps* refills:*2* 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*2* 10. oxygen oxygen by nasal cannula (3l) at all times until you see your doctor. discharge disposition: home discharge diagnosis: undifferentiated large cell pulmonary carcinoma pulmonary embolism ------------------ htn h/o non small cell lung cancer s/p resection discharge condition: stable hemodynamically stable, ambulating, afebrile discharge instructions: please take all medication as prescribed. please keep all appointments listed below. please seek medical attention immediately if you cough up blood or if you are bleeding anywhere. also seek medical attention immediately if you have chest pain or shortness of breath. in general, call your doctor or go to the emergency room if you have any medical questions or concerns. . please continue to use oxygen at home. finish the antibiotics course and predisone taper listed below. followup instructions: *** please follow up with your primary care physician as soon as followup *** -------------------- *** pet scan please go to . you will receive a mail about details. . 9:30am *** clinic: provider: , md phone: date/time: 2:00 provider: , md phone: date/time: 2:00 ----------------- *** radiation : provider: , md phone: date/time: 3:00 ----------------- *** thoracic surgery: dr. . . 10:30am. ----------------- *** interventional pulmonology: dr. on novemeber 21, at 12:30. . pulmonary function tests: i am unable to schedule an appointment for you. please call to make an appointment before you go to interventional pulmonology. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus closed endoscopic biopsy of lung endoscopic excision or destruction of lesion or tissue of bronchus removal of intraluminal foreign body from trachea and bronchus without incision diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension chronic airway obstruction, not elsewhere classified percutaneous transluminal coronary angioplasty status acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung iatrogenic pulmonary embolism and infarction 

Answer: The patient is high likely exposed to