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: iv dye, iodine containing contrast media attending: chief complaint: lung nodules major surgical or invasive procedure: vats left upper lobectomy history of present illness: mr returns to thoracic clinic for follow-up of a newly discovered 14 mm lul pulm nodule w/ associated mediastinal lymph nodes that were fdg avid on pet . he recently had a ct head and ebus w/ mediastinal ln biopsy . the ct head had a ? cerebellar anomaly and ebus biopsies were negative for malignancy. he is still asymptomatic and denies f, c, sob, n, v, cp, weight loss. given the questions of possible cerebellar anomaly on ct head and warthin's tumor or pleomorphic adenomas on pet scan, a mri head to was conducted to evaluate. we therefore scheduled a left vats, wedge resection and possible upper lobectomy. past medical history: cad, scc upper arms s/p excision, gerd, erectile dysfunction, spinal stenosis, oa, nephrolithiasis, cervical radiculopathy, anxiety, thrombocytopenia social history: cigarettes: never ex-smoker current pack-yrs:_60_ quit: ______ etoh: no yes drinks/day: _____ drugs: exposure: no yes radiation asbestos other: marital status: married single lives: alone w/ family other: wife pertinent social history: fought in war, currently working at bu at a desk job, hoping to gain full-time employment family history: mother - died of cervical cancer father - died of lung cancer physical exam: on discharge: gen: nad, aox3 cv: rrr, occasional pvc's, nl s1 and s2 pulm: ctab, no crackles or wheezes. wound: left incisons were c/d/i and not oozing. no erythema, swelling or evidence of infection. there was a soft resloving hematoma around the axillary incisions. abd: soft, nt, nd ext: no c/c/e. pertinent results: 04:30am blood wbc-10.7 rbc-3.96* hgb-13.0* hct-38.2* mcv-97 mch-32.8* mchc-33.9 rdw-12.3 plt ct-165 07:15am blood wbc-10.5 rbc-4.37* hgb-14.1 hct-43.2 mcv-99* mch-32.3* mchc-32.7 rdw-12.1 plt ct-133* 03:00pm blood wbc-15.2* rbc-4.11* hgb-13.7* hct-40.2 mcv-98 mch-33.4* mchc-34.1 rdw-12.4 plt ct-130* 04:30am blood glucose-119* urean-14 creat-0.8 na-137 k-4.2 cl-106 hco3-24 angap-11 12:24am blood glucose-137* urean-13 creat-0.7 na-139 k-3.8 cl-105 hco3-23 angap-15 03:00pm blood glucose-137* urean-12 creat-0.7 na-141 k-4.2 cl-109* hco3-22 angap-14 08:51am blood ck(cpk)-319 12:24am blood ck(cpk)-457* 08:51am blood ck-mb-5 ctropnt-<0.01 12:24am blood ck-mb-7 ctropnt-<0.01 04:30am blood calcium-8.5 phos-2.4* mg-2.6 12:24am blood calcium-8.6 phos-2.3* mg-2.1 03:00pm blood calcium-7.9* phos-3.3 mg-1.7 cxr: lung volumes are low. single mediastinal drain tube is present on the left side. bilateral lower lung opacities are likely atelectasis. patient is status post left upper lobectomy. subcutaneous air along the left lateral chest wall and axilla is attributed to the postop changes. there is no pneumothorax. pleural effusion, if any, is minimal on the left side. the heart size is top normal. mild prominence of mediastinal contour is likely from low lung volumes. cxr: impression: small left apical pneumothorax after chest tube removal. cxr: bilateral low lung volumes are noted with crowding of bronchovascular markings. plate-like atelectasis is again noted within the right lung base. additionally, there is increased opacification at the right medial lung base which may represent crowding of bronchovascular markings. cardiac silhouette is top normal but may be exaggerated by low lung volumes. emphysematous changes are noted along the left hemithorax. trace left pleural effusion cannot be excluded. brief hospital course: the patient was admitted to the thoracic surgery service following a left vats upper lobectomy on , which went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, and ***for pain control. the patient was hemodynamically stable. in the evening of pod 1, the patient went into rapid a fib with rvr (hr in 140's) . he was asymptomatic and all other vital signs were stable. however, the arrythmia was not responding to 3 doses of 5 mg iv push lopressor and one dose of 10 mg iv push diltiazem. his blood pressure at that point lowered to about 90/60 and he was transferred to the unit for a dlitiazem drip and blood pressure monitoring. he converted to sinus rhythm several hours later and stayed there thereafter (hr in 80's) with ocassional pvc's. he was taken off the diltiazem drip later that morning. his blood pressure remained stable through out. he went back to the floor on pod3, did well and went home on pod 4. his pcp was notified of the events to ensure proper follow up. neuro: post- operatively, the patient received percocet po which was then switched to oxycodone and tylenol seperately with good effect and adequate pain control. cv: the patient remained more or less stable from a cardiovascular standpoint- please refer to cv events as mentioned above. vital signs were continously monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was allowed to eat a regular (cardiac healthy) diet, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. wound care involved changing chest tube site dressings as needed. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge on pod 4, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: isordil 40''', atenolol 50', pepcid 20'', simvastatin 40 or 20' (does not recall dose), aspirin 325', hydrocodone, oxycodone, flexeril, clonopin prn discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 4. acetaminophen 650 mg tablet sig: one (1) tablet po every hours as needed for pain. 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. ibuprofen 400 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 9. isosorbide dinitrate 40 mg tablet extended release sig: one (1) tablet extended release po q8h (every 8 hours). 10. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 11. atenolol 25 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. disp:*28 tablet(s)* refills:*0* 12. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet sublingual every five minutes for fifteen minutes as needed for angina. disp:*25 tablets* refills:*0* discharge disposition: home discharge diagnosis: lung nodules atrial fibrillation with rapid ventricular response exacerbation of cervical radiculopathy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure of taking care of you during your stay at . you were admitted following a vats left upper lobectomy. call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough (it is normal to cough up blood tinge sputum for a few days) or chest pain -incision develops drainage -chest tube site: remove dressing 48 hours after removal and cover site with a bandaid until healed. -should chest tube site begin to drain, cover with a clean dry dressing and changes as needed to keep site clean and dry atenolol take 25 mg three times per day, as directed, for the next week. after this time, pending approval of your primary care physician, may switch back to your home regimen of atenolol 50 mg by mouth daily. pain -acetaminophen 650 mg every 6 hours as needed for pain. do not take more than 4000 mg acetaminophen per day. -ibuprofen 400 mg every 6 hours as needed for pain -oxycodone 5-10 mg every 4-6 hours as needed for pain -no driving while taking narcotics -take stool softners with narcotics activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tubs until incision healed -no lotions or creams to incision site -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily please resume all regular home medications, unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. followup instructions: please follow up with dr. in clinic in 2 weeks. call to confirm appointment date and time. you should arrive 30 minutes early for a chest x-ray before your appointment. please follow up with your primary care physcian in 1 week to continue to monitor your current medical issues as well as to discuss with him the new development of atrial fibrillation. procedure: arterial catheterization thoracoscopic lobectomy of lung diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder atrial fibrillation anxiety state, unspecified brachial neuritis or radiculitis nos personal history of other malignant neoplasm of skin malignant neoplasm of upper lobe, bronchus or lung osteoarthrosis, unspecified whether generalized or localized, site unspecified obesity, unspecified spinal stenosis, unspecified region impotence of organic origin 

Answer: The patient is high likely exposed to