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: bronchopleural fistula major surgical or invasive procedure: rigid bronchoscopy using dumon black bronchoscope. flexible bronchoscopy, placement of covered metal stent x 40 mm in the left main stem covering the left upper lobe bronchus, balloon dilation of the metal stent. history of present illness: mr is a 70 year old man with a history of non-small cell lung ca s/p r thoractomy with en bloc wedge resection in , who, on at center, underwent left thoracotomy, left upper lobectomy with wedge resection of left lower lobe for two new lung lesions identified on surveillence ct chest in . post-operatively, the patient remained intubated and had a mild elevation in his troponins which later trended down. he underwent tracheostomy on and g-tube placement. he subsequently developed ventilator associated pna (mssa and enterobacter) and has been treated with zosyn and remained ventilaor dependant. he eventualy recovered well but had a had a persistant air leak and on his discharge to a rehab () his chest tube remained in place. the chest tube then fell out at rehab and he was then transferred to medical center for replacement and managament of the chest tube. he underwent bronchoscopy and it was thought he had a bronchopleural fistula. he was planned to undergo a eloesser procedure, but was felt to be too high risk and was transferred to for bronchoscopy and possible endobronchial glue to treat likely bronchopleural fistula. has been afebrile at , wbc normalized. last bm today. was complaining of llq pain during admission, underwent abd ct that was normal. past medical history: lulobectomy/lllobe wedge for lung ca via l thoractomy nscl ca s/p r thoracotomy, en bloc resection portions of rul/rlm/rll etoh gerd depression l knee oa h/o pe social history: lives in . ex-smoker. + etoh family history: unknown physical exam: physical exam: t 97.5 hr 99 bp 131/69 rr 26 02 94% cmv 450x14 peep 5 general nad aao to person heent eomi perrl/a anicteric op/np mucosa normal tongue midline palate symmetric neck supple/nt/without mass trachea midline thyroid nl size/contour abnormal findings: tracheostomy tube in place, no drainage respiratory hyperesonent left chest, decreased bs right base, no crackles left chest tube in place to ws, +airleak cardiovascular rrr no m/r/g no jvd gi soft, nd, no mass/hsm, tender per patient w deep palpation, no rebound or guarding. peg in place, capped. gu- foley in place, deep yellow urine in bag ext: warm, well-perfused, 2+ edema, rue picc line in place. no erythema. pertinent results: 02:33am blood wbc-9.3 rbc-2.91* hgb-7.4* hct-23.8* mcv-82 mch-25.6* mchc-31.3 rdw-19.1* plt ct-282 02:33am blood glucose-115* urean-16 creat-0.5 na-140 k-4.0 cl-96 hco3-39* angap-9 03:45am blood hct-24.1* 09:17am blood hct-26.0* brief hospital course: pt was admitted to sicu on and had ct chest done which demonstrated the following. ct chest with contrast (): 1. likely bronchopleural fistula from the left upper lobe stump. 2. ground-glass opacification, peribronchial consolidation and pleural effusion, most consistent with multifocal pneumonia and mild pulmonary edema. 3. enlarged hyperdense paratracheal nodes that may relate to patient's diagnosis of nsclc or be reactive. 4. severe emphysema. 5. pattern of interstitial disease suggestive of usual interstitial pneumonia which may be secondary to idiopathic pulmonary fibrosis, collagen vascular disease, or drug reaction. 6. lung loculated effusion on the left with apparenelty thickened consistent with intection/inflammation. 7. aortic and mild coronary artery calcification. 8. defects the ribs on the right may be due to respiratory motion or fractures. correlate clinically. patient underwent rigid bronchoscopy with stent placement on . plans were made to transfer him back to medical center for further surgical treatment ( procedure) with his thoracic surgeon there. after communication with his thoracic surgeon it was determined that they were unable to provide him with transportation to his facility. plans were then made to transfer to him back to rehab with follow-up with his thoracic surgeon in . medications on admission: lopressor 25mg po bid nexium 40 mg po daily lorazepam 0.25mg po q 8 trazadone 50mg po daily colace 100mg po bid fentanyl patch 50mcg topical q72hrs nicotine patch 21mg topical daily zosyn 2.2.5mg iv q 6 day #11 or 14 tylenol 650 q 4 prn fever albuterol nebs q 4 prn sob dulcolax 10mg po/pr prn daily haldol 2mg po q 4 prn agitation ativan 1 mg iv q 12 prn agitation morphine 2mg iv q12 prn pain morphine 1 mg iv q 2 prn severe pain zofran 4mg iv q 8 prn nausea oxycodone 10mg po q 4 prn pain lovenox 40mg sc daily promod w fiber at 75cc/hr + 200cc free h20 down g-tube discharge medications: 1. lorazepam 0.5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for anxiety. 2. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). 3. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). 4. heparin, porcine (pf) 10 unit/ml syringe sig: ten (10) ml intravenous prn (as needed) as needed for line flush. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po daily (daily). 6. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 7. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. methadone 10 mg tablet sig: one (1) tablet po bid (2 times a day). 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: lung cancer with respiratory failure and bronchopleural fistula. discharge condition: fair discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. followup instructions: please follow up with your thoracic surgeon at center in weeks md procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other intubation of respiratory tract bronchoscopy through artificial stoma bronchial dilation diagnoses: acidosis esophageal reflux chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified malignant neoplasm of other parts of bronchus or lung gastrostomy status tracheostomy status empyema with fistula 

Answer: The patient is high likely exposed to