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: history of present illness: this 61 year old white male has a history of lung cancer and is status post pneumonectomy. he presented with worsening exertional shortness of breath over a seven week period and also complained of substernal chest pain/pressure, lightheadedness and bilateral leg swelling. an echocardiogram in , revealed regional hypokinesis of the distal septum and apex and an ejection fraction of 40 percent with one plus mitral regurgitation and two plus tricuspid regurgitation. a cardiac catheterization on , showed an ejection fraction of 53 percent with apical hypokinesis. no mitral regurgitation. a 50-60 percent left main lesion, a 70-80 percent left anterior descending coronary artery lesion, a 50-60 percent mid left anterior descending coronary artery lesion and a 50-60 percent left circumflex lesion and an 80 percent obtuse marginal lesion. he is now admitted for elective coronary artery bypass graft. past medical history: history of squamous cell carcinoma of the left main bronchus which was treated with chemotherapy, radiation and a left pneumonectomy in . history of obstructive sleep apnea. he uses cpap at night. history of anemia and myelodysplastic syndrome. history of congestive heart failure. history of emphysema of the right lung. status post neck surgery ten years ago and rodding of the left femur in . allergies: he has no known allergies. medications on admission: 1. advair one puff twice a day. 2. combivent two puffs five times a day. 3. prozac 20 mg p.o. once daily. 4. mirapex 0.50 mg p.o. twice a day. 5. ibuprofen p.r.n. 6. aspirin 325 mg p.o. once daily. 7. erythropoietin 40,000 units subcutaneously q.week. 8. lasix 20 mg p.o. once daily. 9. imdur 30 mg p.o. twice a day. 10. sublingual nitroglycerin p.r.n. 11. vitamin c and garlic. family history: unremarkable. social history: he lives with his wife and has a couple drinks per week. he has an 80 pack year smoking history and quit five months ago. review of symptoms: as above. physical examination: on physical examination, he is a well- developed, well-nourished white male in no apparent distress. vital signs are stable and afebrile. head, eyes, ears, nose and throat examination is normocephalic and atraumatic, extraocular movements intact. the oropharynx is benign. the neck is supple with full range of motion. no lymphadenopathy or thyromegaly. carotids are two plus and equal bilaterally without bruits. the lungs are clear to auscultation and percussion. no breath sounds on the left. the abdomen was soft, nontender, with positive bowel sounds, no masses or hepatosplenomegaly. extremities are without cyanosis, clubbing or edema. neurologic examination was nonfocal. pulses were two plus and equal bilaterally throughout. hospital course: on , the patient underwent a coronary artery bypass graft times one and a pericardiectomy, cross pump time was 22 minutes and total bypass time 53 minutes. he was transferred to the csru on propofol and levophed. he had a stable postoperative night. he was extubated. he was on levophed and pitressin. he remained on that. he had his chest tubes discontinued on postoperative day number two. his levophed was weaned off but he remained on the pitressin. he continued to slowly progress and was eventually weaned off the pitressin on postoperative day number five and transferred to the floor in stable condition. he continued a stable postoperative course and discharged to home on postoperative day number seven in stable condition. medications on discharge: 1. atenolol 25 mg p.o. once daily. 2. lasix 20 mg p.o. twice a day for seven days. 3. potassium 20 meq p.o. twice a day for seven days. 4. colace 100 mg p.o. twice a day. 5. percocet one to two tablets p.o. q4-6hours p.r.n. pain. 6. advair one puff twice a day. 7. combivent two puffs five times a day. 8. mirapex 0.5 mg p.o. twice a day. 9. prozac 20 mg p.o. once daily. 10. ecotrin 325 mg p.o. once daily. laboratories on discharge showed a white blood cell count 7.5, hematocrit 30.8, platelet count 110,000. sodium 144, potassium 4.0, chloride 104, co2 32, blood urea nitrogen 27, creatinine 0.8, blood sugar 125. discharge diagnoses: coronary artery disease. lung cancer, status post pneumonectomy. obstructive sleep apnea. anemia with myelodysplastic syndrome. emphysema. congestive heart failure. fop: the patient will follow-up with dr. in one to two weeks, dr. in two to three weeks as he may need a stent for further revascularization in six weeks. he will also follow-up with dr. in four weeks. , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours extracorporeal circulation auxiliary to open heart surgery insertion of endotracheal tube pericardiectomy (aorto)coronary bypass of one coronary artery arterial catheterization insertion of other (naso-)gastric tube systemic arterial pressure monitoring pulmonary artery wedge monitoring monitoring of cardiac output by other technique transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified personal history of malignant neoplasm of bronchus and lung unspecified sleep apnea other emphysema constrictive pericarditis other diseases of respiratory system, not elsewhere classified 

Answer: The patient is high likely exposed to