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: atrial fibrillation with rvr s/p bronchoscopy major surgical or invasive procedure: bronchoscopy history of present illness: 61-year-old male with a history of nonsmall cell lung carcinoma (squamous cell), atrial fibrillation, aaa who developed atrial fibrillation with rvr and hypotension after bronchoscopy. . the patient presented for a bronchoscopy for increasing shortness of breath, weight loss and hemoptysis of the last 2 weeks duration. he states that he has a cough that has been progressing over the last three months. he developed scant hemoptysis which ranges from a pink color to frank blood over the last 2 weeks. the patient also endorses brownish sputum over that time. he also has been having increasing dyspnea and fatigue. he tried a four day steroid course without improvement in his symptoms. he also endorses a 13 pound weight loss over the last 2 weeks. . he has a history of atrial fibrillation that is hard to control tachycardia. he has been on coumadin but it was stopped wed of last week prior to bronchoscopy. he is managed by a cardiologist on . . his oncologic history is significant for lobectomy of right lung and s/p radiation and chemotherapy. his last chemotherapy was in . . on presentation to the micu, he was seen in clinic with hr in the 120s. he was stable and feeling well and given 5 mg iv lopressor prior to his bronchoscopy. during the procedure, his hrs were in the 100s and his bps were stable in the 120s. he received fentanyl and versed during the procedure. then, post-procedure he had tachycardia and hypotension with hrs in the 150s despite 2 doses of 5 mg iv lopressor and his home dose of 50 mg po. his bp was in the 80s, but he was mentating. he denied chest pain, palpitations, shortness of breath. he felt tired and "loopy" from the sedation. he was appropriate as he answered questions and was easily arousable. ten minutes prior to micu transfer, he converted to nsr with a hr around 100. on arrival to the icu, he was afebrile, bps in 120s, hr in 100s and satting in mid 90s on 6l post-bronchoscopy. he had no current complaints and was more alert than on initial evaluation. . in the micu, he was started on antibiotics. he was quickly weaned to room air and he remained in nrs. he was called out to the medicine floor. the patient feels well and states that his dyspnea is improved. he has had no further episodes of hemoptysis. . ros: denies fever, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: afib htn nonsmall cell lung cancer of squamous cell type, stage iiia previous right inguinal hernia repair intrarenal aaa left hydronephrosis peripheral artery disease social history: -tobacco history: lifetime smoker now quit, ~45 pack year -etoh: 1-2 beers per week -illicit drugs: denies married father of three and lives with family in , ma. is accompanied by his wife today who recently has undergone treatment for breast cancer. family history: father: died from mi at age 42, mother: died of leukemia, brother: died from pneumonia as sequelae of years of immobilization following mvc in ., sister: and healthy, uncle (paternal): died from mi at age 41, uncle (maternal): history of tuberculosis; however, died in . physical exam: vitals: t afebrile, hr 88, bp 106/60, rr 28, sao2 99% ra general: in chair, mildly tachypneic, no acute distress heent: anicteric, mmm, op without lesions, perrl, eomi cv: rr, nl rate, no rubs, gallops or murmurs lungs: coarse crackles at l base, decrease bs at r base, no wheezes, otherwise clear, no accessory muscles used abd: soft, nt, nd, no hsm or masses, normoactive bs ext: warm, well perfused, no edema neuro: no deficits appreciated pertinent results: 02:00pm blood wbc-10.3 rbc-4.36* hgb-11.6* hct-35.6* mcv-82 mch-26.6* mchc-32.5 rdw-14.6 plt ct-419 02:17am blood wbc-14.2* rbc-4.33* hgb-11.5* hct-35.8* mcv-83 mch-26.5* mchc-32.0 rdw-14.8 plt ct-400 02:17am blood glucose-112* urean-16 creat-1.0 na-133 k-4.9 cl-99 hco3-26 angap-13 02:17am blood calcium-8.7 phos-3.5 mg-1.9 02:00pm blood tsh-1.9 02:00pm blood digoxin-0.7* cxr: impression: ap chest is read in conjunction with a chest ct scan performed earlier today prior to transbronchial biopsy: there is probably more consolidation in the left lower lung, now than prior to the biopsy suggesting some hemorrhage in addition to extensive pneumonia. chronic atelectasis of the right upper lobe and distortion of both hila indicate tumor infiltration. heart size is normal. there is no pneumothorax. ct chest: impression: 1. new multifocal pneumonia, most severe in the left lower lobe. the pattern of distribution could also represent aspiration pneumonitis. 2. persistent subtotal collapse of rul and rml, with tumor infiltration causing the persistent bronchial obstruction. 3. unchanged marked left hilar lymphadenopathy with mild mass effect on adjacent left atrium. bronchial brushings: positive for malignant cells, consistent with non-small cell lung carcinoma. bronchial washings: positive for malignant cells. consistent with non-small cell lung carcinoma. fna, lymph node station 11l: positive for malignant cells. consistent with squamous cell carcinoma. fna, lymph node station 7: positive for malignant cells. consistent with squamous cell carcinoma. lung, left lower lobe, transbronchial biopsy: alveolar tissue with increased intra-alveolar macrophages, fibrin deposition and organizing pneumonitis with features of bronchiolitis obliterans/organizing pneumonia (boop/cop). no malignancy identified, multiple levels are examined. brief hospital course: 61-year-old male with a history of atrial fibrillation, squamous cell carcinoma of the lung and aaa was admitted to the micu after afib with rvr s/p bronchoscopy, which showed recurrence of nonsmall cell lung cancer. # nonsmall cell lung cancer: the patient was found to have a recurrence of squamous cell carcinoma of the lung which was diagnosed by bronchoscopy. the patient was notified of his diagnosis by his interventional pulmonologist. the patient has a follow up appointment with is outpatient oncologist for the day after discharge. a cd of the imaging was given to the patient for use of his oncologist. # atrial fibrillation: the patient was in atrial fibrillation with rvr and low blood pressure after the bronchoscopy. he was given iv and po metoprolol tartrate and spontaneously converted into normal sinus rhythm. he was continued on his home medications and remained in normal sinus rhythm. he was observed on telemetry. he should follow up with his outpatient cardiologist as previously scheduled. # lll infiltrate: the patient had a lll infiltrate on ct scan. bronchoscopy was done. the patient was initially started on antibiotics (vanc, levoflox) until biopsy results returned. the decision to continue to treat or not with antibiotics was addressed with his interventional pulmonologist who thought that they should be stopped as there was no evidence of infection during the bronchoscopy. pathology, which returned following the patient's discharge, demonstrated features consistent with bronchiolitis obliterans/organizing pneumonia (boop/cop). the ip team contact the patient to discuss this result and recommended a prolonged course of prednisone starting at 60mg tapering by 10mg every four weeks; as well as bactrim ds 2 tabs, three times per week for pcp prophylaxis as well as calcium and vitamin d supplementation. # hemoptysis: the patient was on anticoagulation and has metastatic cancer. his anticoagulation was held. the decision was made to continue to hold his anticoagulation in the setting of this hemoptysis. # hypoxia: the patient became hypoxic with ambulation to the 80s when on room air. he was discharged with home oxygen to use with ambulation. # diarrhea: the patient noted recent diarrhea. it resolved prior to admission and the etiology is unknown. # hypertension: the patient was continued on metoprolol and lisinopril once he became hemodynamically stable. # pvd: stable. no symptoms in the hospital. # aaa: stable. follow up as outpatient. medications on admission: # codeine-guaifenesin 10-100 mg/5 ml q 6hr prn # metoprolol 50 mg # digoxin 0.25 mg daily # lisinopril 2.5 mg daily # cilostazol 100 mg daily # coumadin being held currently discharge medications: 1. home oxygen oxygen at 2l nc continuous pulse dose for portability diagnosis: squamous cell carcinoma of the lung 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 3. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. 5. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. disp:*1 bottle* refills:*3* 6. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for cough. disp:*120 lozenge(s)* refills:*3* 7. aspirin 325 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. cilostazol 100 mg tablet sig: one (1) tablet po once a day. 9. xopenex hfa 45 mcg/actuation hfa aerosol inhaler sig: one (1) inh inhalation every six (6) hours as needed for shortness of breath or wheezing: patient with afib and does not tolerate albuterol tachycardia. disp:*1 inh* refills:*3* 10. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: one (1) inhaler inhalation every six (6) hours. disp:*1 inhaler* refills:*2* 11. tessalon perle 100 mg capsule sig: one (1) capsule po every eight (8) hours as needed for cough. disp:*90 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: 1. squamous cell carcinoma of the lung 2. atrial fibrillation with rapid ventricular rate (fast hear secondary diagnosis: 1. hypertension 2. intrarenal aaa 3. left hydronephrosis 4. peripheral artery disease discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted for a bronchoscopy. you had the bronchoscopy and it unfortunately showed squamous cell carcinoma of your lungs. you will need to follow up with your outpatient oncologist dr. tomorrow. when you see her please bring the cds of your images. you will also need to follow up with your primary care physician. appointments are listed below. while you were an inpatient you were found to have low levels of oxygen when walking. you were prescribed oxygen which should be used when you feel short of breath or when ambulating. pleaes wear this at 2 liters while walking and 2-3 liters while sleeping. you don't need to wear it when you are awake and resting. the following medications were added: 1. start: oxygen as above 2. start: aspirin 325mg once a day 3. held: coumadin - we talked with you and dr. and decided to hold your coumadin since you had been coughing up some blood. please talk to your cardiologist about restarting the coumadin. if he feels strongly about restarting it, that is fine with dr. . it was truly a pleasure meeting you and barb and particiapting in your care. followup instructions: md: dr specialty: oncology date/ time: tomorrow, at 10am location: , phone number: special instructions for patient: please bring any disc of scans that they may have taken during your inpt stay here. appointment #2 md: dr specialty: primary care date/ time: at 8:30am location: , phone number: procedure: closed [endoscopic] biopsy of bronchus diagnoses: unspecified essential hypertension atrial fibrillation personal history of tobacco use long-term (current) use of anticoagulants personal history of venous thrombosis and embolism hypoxemia abdominal aneurysm without mention of rupture hydronephrosis secondary and unspecified malignant neoplasm of intrathoracic lymph nodes malignant neoplasm of lower lobe, bronchus or lung personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health other specified alveolar and parietoalveolar pneumonopathies 

Answer: The patient is high likely exposed to