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: neck mass major surgical or invasive procedure: thyroidectomy, resection of substernal mass and bilateral neck dissections. history of present illness: 73 year old male who initially presented to md in left neck mass, dysphagia, and 9 pound weight loss over a month. ultrasound revealed heterogeneous, necrotic-appearing mass in the left neck, inferior to the submandibular angle worrisome for malignancy. chest ct revealed bilateral thyroid goiters, large on the right and massive on the left. the left goiter significantly displaced the esophagus. patient was admitted to on and underwent elective resection of goiter, total thyroidectomy with bilateral neck and mediastinal dissection. past medical history: past medical/surgical history: appendectomy b knee surgery shingles left eye afib with cardioversion ' w residual paf b cataract surgery pna social history: married, denies smoking, drinking family history: family history: he has one sister and has cancer of the cervix and a second sister who had cancer of the lung. there is also a family history of diabetes and bleeding disorders. physical exam: heent: ncat. hemodynamically stable. neck exam revealed very large thyroid gland with goiter predominantly on the right side to some extent on the left side but on the left side around sternomastoid muscle there is a fairly large probably a lymph node diameter of which is more than one inches. there is no other palpable lymph node in the neck or in the inguinal region. vesicular breath sound in chest. normal heart sounds. benign nontender abdomen. nonfocal neurological exam. pertinent results: 10:38pm type-art ph-7.40 comments-greentop 10:38pm freeca-1.09* 05:48pm type-art po2-341* pco2-45 ph-7.40 total co2-29 base xs-2 05:48pm glucose-141* lactate-2.9* na+-140 k+-4.0 cl--101 05:48pm hgb-11.7* calchct-35 05:48pm freeca-1.23 03:45pm type-art rates-/12 tidal vol-600 peep-5 po2-241* pco2-42 ph-7.46* total co2-31* base xs-6 intubated-intubated 03:45pm glucose-122* lactate-2.0 na+-140 k+-3.8 cl--103 03:45pm freeca-1.24 02:33pm type-art rates-/10 tidal vol-600 o2-50 po2-247* pco2-39 ph-7.48* total co2-30 base xs-6 intubated-intubated 02:33pm glucose-117* lactate-1.9 na+-140 k+-3.6 cl--104 02:33pm freeca-1.05* 01:23pm type-art rates-/10 tidal vol-600 peep-5 o2-50 po2-237* pco2-38 ph-7.47* total co2-28 base xs-4 intubated-intubated vent-controlled 01:23pm glucose-105 lactate-2.0 na+-140 k+-3.8 cl--102 01:23pm hgb-14.5 calchct-44 brief hospital course: 73 yo male with paroxysmal atrial fibrillation, a known goiter dating to presenting on to his pcp with dysphagia and an increasing painless neck mass. the patient said that the left neck mass had been increasing in size for 1-2 weeks prior to presentation to pcp. examination, the pcp found "very large thyroid gland with goiter predominantly on the right side to some extent on the left side but on the left side around scm muscle there is a fairly large probably a lymph node diameter of which is more than one inch. there is no other palpable lymph node in the neck or in the inguinal region." at that time, the patient underwent an ultrasound of the neck which showed unchanged large thyroid with new left-sided cervical lymphadenopathy. the patient also underwent a stat chest ct scan which confirmed goiter without any additional finding. the patient was to stop anticoagulation and undergo a fine needle aspiration. . on , an ultrasound of the left neck demonstrated a 3.0 x 1.9 x 2.5 cm anechoic centered mass inferior to the submandibular angle. the conclusion was that he had a heterogeneous, necrotic-appearing mass, worrisome for malignancy. a ct of his chest demonstrated bilateral thyroid nodules with the one on the right measuring 2.9 x 2.4 cm and on the left 6.4 x 4.6 x 6.9 cm. the appearance is that of bilateral thyroid goiter. several ground glass and solid pulmonary nodules were also noted. patient was admitted to for ressection of this neck mass on . patient tolerated the procedure well and there were no intraoperative complications. post operatively he was npo until cleared by speech and swallow for a pureed diet. his calcium levels were checks twice and day and remained stable. prior to discharge patient was stable with normal vital signs and tolerating a regular diet. he is to be discharged to today with follow-up with dr. . an additional appointment has been booked with endocrinology as well. medications on admission: toprol xl 25'', amlodipine 5, warfarin , uroxatrol 10, tylenol prn, fosamax 70, prednisone acetate both eyes, eye ointment, triamcinclone acetonide 0.10% prn itch, fluocinonide 0.05%, polyethelene glycol 3350 nf pwd prn constipation, omeprazole 10, stool softener po bid discharge medications: 1. senna 8.6 mg capsule sig: one (1) tablet po bid (2 times a day) as needed for constipation . 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. alendronate 70 mg tablet sig: one (1) tablet po qsat (every saturday). 5. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*40 tablet(s)* refills:*2* 8. prednisolone acetate 0.12 % drops, suspension sig: one (1) drop ophthalmic q72h (every 72 hours). 9. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). disp:*75 tablet(s)* refills:*2* 10. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po bid (2 times a day). disp:*120 tablet, chewable(s)* refills:*2* 11. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q6h (every 6 hours) as needed for ha/fever/pain. 12. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*400 ml(s)* refills:*0* 13. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po twice a day. discharge disposition: home discharge diagnosis: neck tumor discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. 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. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. followup instructions: you have an appointment with dr /dr in endocrinology on at 8am. they are located on . please call if you need to reschedule. procedure: radical neck dissection, bilateral complete substernal thyroidectomy diagnoses: esophageal reflux atrial fibrillation other and unspecified hyperlipidemia osteoporosis, unspecified long-term (current) use of anticoagulants enlargement of lymph nodes goiter, unspecified herpes zoster with other ophthalmic complications dysphagia, pharyngoesophageal phase 

Answer: The patient is high likely exposed to