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: no known allergies / adverse drug reactions attending: chief complaint: svc syndrome with facial and upper extremity swelling major surgical or invasive procedure: : svc stent attempt, migrated, failed retrieval : ivc filter placed to prevent further stent migration history of present illness: 54-y.o. male with stage 4 nsclc c/b svc syndrome presented for outpatient svc stent placement for svc syndrome. past medical history: stage 4 nsclc c/b svc syndrome (please refer to oncology progress notes for full oncologic history), asthma, osteoarthritis. past surgical history: : vats with rul biopsy and wedge resection of right lung mass social history: patient is of italian heritage; his father is first generation and his mother emigrated to the u.s. single with no children. lives with his parents in . worked as an engineering technician in a company that makes auto remote sensors. -cig smoking 1.5 ppd x 38 years. -drinking beer for "fun" in the past. -denies history of substance abuse. family history: his sister died of brain cancer at 32 yo. maternal grandmother died of liver cancer at 69 yo. maternal uncle died of livercancer at 72 yo. another maternal uncle died of an aneurysm. his father has htn, hl. his mother has . physical exam: at time of discharge: t 97.9 p 65 (sinus rhythm) bp 104/69 rr 14 o2sat 98% awake, alert, nad. improved facial/upper extremity swelling heart rrr lungs without respiratory distress abdomen soft, nt, nd r groin without bleed/hematoma palpable bilateral radial/dp/pt art pertinent results: 02:23am blood wbc-8.5 rbc-3.85* hgb-11.9* hct-34.0* mcv-88 mch-30.8 mchc-35.0 rdw-13.5 plt ct-169 02:23am blood pt-14.3* ptt-28.5 inr(pt)-1.3* 02:23am blood glucose-124* urean-10 creat-0.9 na-134 k-3.9 cl-101 hco3-26 angap-11 brief hospital course: on , the patient presented for outpatient placement of svc stent for svc syndrome. please refer to operative note for details of the procedure. in short, he underwent balloon angioplasty of the svc and during stent placement, the stent migrated to the heart, requiring emergent vascular surgery consult. the stent was snared endovascularly but could not be extracted, so it was positioned at the ivc bifurcation and an ivc filter was placed to prevent migration to the heart. the patient was admitted post-procedure to the cvicu for monitoring overnight. he was started on heparin gtt anticoagulation, transitioned to enoxaparin injections and oral warfarin. the remainder of his admission was eventful and on he was discharged home in good condition. medications on admission: albuterol nebs q6h prn, advair 100-50 disk 1 puff inh , folate 1', ipratropium 1 inh q6h prn, dexamathasone 4 mg 3 days prior to chemo, lorazepam 1 mg , zofran prn, oxycodone 10 q6h prn, prochlorperazine 5 q6h prn, spiriva', ambien 10 qhs prn, colace prn, senna prn, nicotine patch prn discharge medications: 1. warfarin 2.5 mg tablet sig: two (2) tablet po once daily at 4 pm: adjust dose to reach target inr . disp:*60 tablet(s)* refills:*2* 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation four times a day as needed for shortness of breath or wheezing. 3. advair diskus 100-50 mcg/dose disk with device sig: one (1) puff inhalation twice a day. 4. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation four times a day as needed for shortness of breath or wheezing. 5. enoxaparin 80 mg/0.8 ml syringe sig: eighty (80) mg subcutaneous (2 times a day): continue as directed until goal inr is reached with warfarin. disp:*14 syringes* refills:*0* 6. lorazepam 1 mg tablet sig: one (1) tablet po twice a day. 7. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every six (6) hours as needed for nausea. 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*10 tablet(s)* refills:*0* 10. prochlorperazine maleate 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 11. ambien 10 mg tablet sig: one (1) tablet po at bedtime as needed for sleep aid. 12. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: take while taking narcotics. disp:*60 capsule(s)* refills:*2* 13. senna 8.6 mg tablet sig: one (1) tablet po twice a day: take while taking narcotics. disp:*60 tablet(s)* refills:*2* 14. folic acid 1 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: stage 4 non small cell lung cancer with superior vena cava syndrome discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery discharge instructions medications: ?????? you are being started on blood thinners called lovenox(injection) and coumadin(pill). you will take the lovenox injection twice daily, and the coumadin pill once daily. you will have a frequent blood test called an inr. this will tell us how "thin" your blood is. when this number is greater than 2, you will be told to stop your lovenox injections and just take the coumdin. dr. will be checking your inr level and telling you how to adjust your coumadin dose. your first blood test should be monday, . . ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have some swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. what is warfarin? warfarin is the generic name for coumadin?????? (brand or trade name). warfarin belongs to a class of medications called anticoagulants, which help prevent clots from forming in your blood and or keep grafts open. why am i taking warfarin? you are taking warfarin because you have a medical condition that puts you at risk for forming dangerous blood clots, or to keep open vessels that have stents and or vessels that allow blood to flow for ischemic leg symptoms. how do i take warfarin? warfarin is taken once daily at the same time every day, preferably in the evening, with or without food. if you miss a dose of warfarin, take the missed dose as soon as possible on the same day. if you forget, do not double up the next day! write the day of your missed dose on your calendar and let your health care provider know at your next visit. why is warfarin use monitored so carefully? warfarin is a medication that requires careful and frequent monitoring to make sure that you are being adequately treated, but not over- or under-treated. if you have too much warfarin in your body, you may be at risk for bleeding. if you have too little warfarin in your body, you may be at risk for forming dangerous blood clots. medications, food and alcohol can also interfere with warfarin, making close monitoring even more important. what is inr? inr, which stands for international normalized ratio, is a blood test that helps determine the right warfarin dose for you. the inr tells us how much warfarin is in your bloodstream and is a measure of how fast your blood clots. a high inr means you are more likely to bleed (your blood does not clot very fast). a low inr means you are more likely to form a clot (your blood clots very fast). all patients will have an inr goal depending on their medical condition(s), yours is . what are the possible side effects of warfarin? the major side effect of warfarin is bleeding (especially when your inr is too high). here are some symptoms of bleeding to look for and to report to your health care provider: bruising or bruises that won't heal bleeding from your nose or gums unusual color of urine or stool (including dark brown urine, or red or black/tarry stools) what do i need to know about drug interactions with warfarin? many drugs can potentially interfere with warfarin and may cause your inr to change, putting you at risk for bleeding or a clot. these drugs include prescription medications, over-the-counter medications (like aspirin, ibuprofen, naproxen), and dietary and herbal supplements. they should be avoided unless otherwise directed by health provider. should take your aspirin as directed. what role does my diet play? the amount of vitamin k in your diet may affect your response to warfarin. certain foods (like green, leafy vegetables) have high amounts of vitamin k and can decrease your inr. you do not have to avoid foods high in vitamin k, but it is very important to try to maintain a consistent diet every week. what about alcohol? alcohol use also may affect your response to warfarin. excessive use can lead to a sharp rise in your inr. it is best to avoid alcohol while you are taking warfarin. safety tips carry a wallet id card and/or wear an emergency alert bracelet tell all health care providers (physicians, nurses, pharmacists, dentists, etc.) that you are taking warfarin, especially if you have any planned surgeries or procedures. alert your health care provider if you are pregnant or become pregnant while taking warfarin. plan ahead when traveling by having enough warfarin and arrange for follow-up blood tests. it is also important to keep your diet consistent. avoid any sport or activity that may result in a serious fall or injury. use a soft-bristled toothbrush to protect your gums. use an electric razor if you are prone to cut yourself when shaving. call if you have any questions regarding your new medication followup instructions: provider: , md phone: date/time: 9:00 provider: , hematology/oncology-sc date/time: 9:00 provider: , rn phone: date/time: 10:00 please call dr. office for follow up in the next few weeks. your pcp, . will be following your inr. please go to his office monday in the morning to have your inr drawn. his staff will call you with directions on how to adjust your coumadin dose, and when to stop lovenox. procedure: interruption of the vena cava angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel procedure on vessel bifurcation diagnoses: secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung compression of vein swelling, mass, or lump in head and neck examination of participant in clinical trial mechanical complication of other vascular device, implant, and graft swelling of limb mechanical failure of instrument or apparatus during other specified procedures 

Answer: The patient is high likely exposed to