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: penicillins / fosamax attending: chief complaint: shortness of breath, cough, fatigue, lightheadedness for 3 weeks major surgical or invasive procedure: none history of present illness: mr. is an 83 y/o m w/pmh significant for lung ca who presents w/gradually progressing sob, cough, fatigue and lightheadedness over the past 3weeks. per daughter & patient: pt was in his usual state of health and able to perform adls until 3 wks ago when he suddenly became sob though pt cannot recall exact moment he became sob. pt describes feeling as not being able to breathe in enough air/oxygen. sob is persistent, occurs w/slightest movement. sob only relieved when pt is sitting up and not moving. sob is worse at night and pt has been sleeping w/three large pillows to elevate himself to almost a seating position. pt can no longer lie flat on back w/o becoming sob. around this time, pt also has been experiencing lightheadedness, dizziness and worsening cough w/yellow-whitish sputum. pt has been unable to perform adls and his 4 children have been assisting him with activities he would normally do on his own such as bathing and eating. his daughter also states he has has had a depressed mood, decreased motivation and has also been confused, not able to recall the date or what he ate for breakfast. he has had one episode of syncope during these three weeks, though he cannot recall when and how long he was unconscious. episode of syncope occurred while he was sitting, he did not fall or hit his head. pt also admits to cold intolerance, loa and constipation but denies cp, fevers/chills, diaphoresis, n/v, diarrhea, incontinence, dysuria, urinary frequency, black or dark stools, blood in stool and hematuria. . this am, pt went for scheduled appointment w/dr. at for his lung ca. dr. was concerned when he saw pt and sent him to ed. past medical history: pmh: 1. squamous cell lung cancer 1. niddm: diet controlled ?????? in records but daughter denies 2. rcc: diagnosed ; s/p partial r nephrectomy 3. prostate ca: s/p xrt 4. cad: s/p catheterization & stent??????2; other blockages said to be seen in 5. htn 6. gerd 7. basal cell ca of skin: on maxilla bilat; not excised 8. asthma 9. arthritis social history: mr. was born in and immigrated to the unites states in . he has four children. his daughter who lives nearby accompanies him today. he is a widow and currently lives in a apartment alone. his family visits very often. he is a former smoker, smoking one pack a day for at least 40 years. he quit approximately 20 years ago. he is a retired engineer but denies any occupational or environmental exposures. family history: mr. mother died at the age of 68 from complications of hypertension. his father died in his 70s from a blood infection. he has two brothers, one of whom has diabetes. physical exam: t: 96.8 hr: 68 bp: 118/68 rr: 22 o2sat: 99%2l general: elderly man of avg wt; slightly cachectic; appears fatigued; nad skin: nml temp & consistency; +seborrhaic keratoses & cherry angiomata on abdomen heent: mmm; no supraclavicular or cervical lad; no thyromegaly; no jv elevation chest: +diffuse coarse breath sounds/rhonchi; intermittent crackles in ll & ml bilat; no wheezes; +use of accessory muscles cardiac: distant hs; rrr abd: difficult to appreciate bs; soft; nontender; nondistended; no splenomegaly or hepatomegaly ext: no le edema; +good dp pulses bilat neuro: cnii-xii intact; no asterixis; no pronator drift; strength 5/5 in major muscle groups of arms & legs pertinent results: 11:45am glucose-79 urea n-36* creat-1.9* sodium-142 potassium-4.8 chloride-105 total co2-26 anion gap-16 11:45am ck(cpk)-29* 11:45am ck-mb-notdone 11:45am wbc-6.9 rbc-4.83 hgb-13.1* hct-41.0 mcv-85 mch-27.1 mchc-31.9 rdw-15.9* 11:45am neuts-67.5 lymphs-23.7 monos-7.5 eos-1.1 basos-0.2 11:45am hypochrom-1+ microcyt-1+ 11:45am plt count-430 11:45am pt-12.9 ptt-28.9 inr(pt)-1.1 . . radiology: chest (pa & lat) 1) right perihilar opacity/mass; it is unclear per given history, whether this represents the site of the patient's primary lung cancer. if not, this may represent a pneumonic infiltrate; correlate clinically. 2) multiple small nodules and cavitary lesions seen on the prior chest ct are not appreciated on the current chest x-ray. . cta chest w&w/o c 1. no evidence of pulmonary embolism. 2. increased right-sided effusion. 3. diffuse bronchial wall thickening. 4. increase in size of multiple lung lesions, some of which again demonstrate cavitary transformation and peripheral wedge-shaped appearance. the overall appearance is most concerning for progression of metastatic disease with differential diagnosis again including typical and atypical infectious processes. brief hospital course: patient is an 83 y/o m w/pmh significant for lung ca who presented w/gradually progressing sob, cough, fatigue and lightheadedness over the past 3weeks w/cxr concerning for pna or worsening lung ca. ct performed for further eval also revealed unilateral pleural effusion and increased pulmonary lesions concerning for worsening ca or infection. differential diagonisis on presentation included advancing malignancy, chf, pneumonia. the patient after admission became hypotensive and additionally was requiring increasing oxygen support. the patient was transferred to the for ongoing care. in the he was started on levofloxacin and flagyl for possible pneuominia, with ceftriaxone additionally added as well later. the patient had large o2 requirements, requiring a non-rebreather to maintain o2 sats > 90. however, as the patient was dnr/dni without presssors, therapies offered in the were limited. the patient was tried on a trial of cpap to held decrease the associated work of breathing but found the cpap too uncomfortable and preferred not to use it. the patient therefore was trasnferred back to the floor for ongoing care. the patient's prognosis was known to be poor which the patient and his family were aware of. therefore, priority was shifted towards comfort which was guided by the patient's family. as the patient was lucid and interactive, although markedly tachypnic, he and his family preferred not to use any narcotics for comfort initially. however, as the patient's course progressed over a course of days and he became more tired and confused, the patient's family guided the use of morphine until a point when the patient was on a morphine drip titrated to comfort. all supportive measures including medications, fluids, and lab checks were discontinued and the patient was allowed to pass away with his family present. the patient passed away from respiratory arrest on . medications on admission: atenolol 25mg po qd ambien 5mg po qhs robitussin a-c 2tsp po qhs lipitor 10mg po qd imdur 30mg po qd albuterol sulfate 17gm ih 2puffs qid protonix 40mg po qd advair diskus 500-50mcg ih 1puff discharge medications: none discharge disposition: expired discharge diagnosis: primary: squamous cell lung cancer secondary: squamous cell lung cancer diabetes mellitus: diet controlled ?????? in records but daughter denies renal cell carcinoma: diagnosed ; s/p partial r nephrectomy prostate cancer: s/p xrt coronary artery disease: s/p catheterization & stent??????2; other blockages said to be seen in hypertension gastro-esophageal reflux disease basal cell cancer of skin: on maxilla bilat; not excised asthma arthritis discharge condition: deceased discharge instructions: none followup instructions: none procedure: non-invasive mechanical ventilation diagnoses: pneumonia, organism unspecified anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of prostate asthma, unspecified type, unspecified percutaneous transluminal coronary angioplasty status acute respiratory failure hypotension, unspecified pneumonitis due to inhalation of food or vomitus malignant neoplasm of other parts of bronchus or lung personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to