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: pioglitazone attending: chief complaint: shortness of breath, ? lung abscess major surgical or invasive procedure: flexible bronchoscopy, right thoracotomy, decortication, open lung biopsy, intercostal muscle flap, pericardial window and biopsy, mediastinal lymph node sampling. history of present illness: his is a 77 year old male with hospital admission starting on with an extensive course. per records patient had a diagnosis of lung abcess in without improvement in course and since that time have undergone biopsy and been diagnosed with poorly differentiated cancer. he underwent a pigtail catheter placement into the pleural space, as well as a pigtail catheter placed into a lung abscess in attempts to allow this infection to resolve. past medical history: avr/ pacemaker htn copd chf dm2 osteoarthritis afib neuropathy bph dyslipidemia cad nsclc physical exam: deceased pertinent results: 01:44am blood wbc-12.3* rbc-2.90* hgb-8.4* hct-25.8* mcv-89 mch-29.1 mchc-32.8 rdw-15.8* plt ct-401 09:21pm blood wbc-11.2* rbc-2.73* hgb-8.1* hct-25.0* mcv-92 mch-29.6 mchc-32.3 rdw-16.2* plt ct-415 05:35am blood wbc-10.2 rbc-3.51* hgb-10.4* hct-31.8* mcv-90 mch-29.5 mchc-32.6 rdw-16.0* plt ct-355 10:05pm blood wbc-8.5 rbc-3.62* hgb-10.5* hct-32.6* mcv-90 mch-28.9 mchc-32.1 rdw-15.9* plt ct-349 01:44am blood plt ct-401 10:35am blood pt-15.2* ptt-33.1 inr(pt)-1.4* 01:44am blood glucose-116* urean-15 creat-0.8 na-142 k-3.7 cl-101 hco3-34* angap-11radiology final report ct chest w/contrast 12:49 am ct chest w/contrast reason: h/o lung abscess field of view: 36 contrast: optiray medical condition: 77 year old man with reason for this examination: h/o lung abscess contraindications for iv contrast: none. addendum: proximal to the fluid-filled cavity of the right middle lobe the middle lobe bronchus approximately 1 cm from its origin, with intrinsic and some extrinsic component. the collection splays the right upper lobe anterior segment subsegmental bronchi at its superior margin (not the medial and lateral segmental bronchi of the right middle lobe as stated in the body of the report). indication: history of lung abscess. comparison: there are no prior ct exams or radiographs for comparison. technique: contiguous axial images through the chest were obtained following the administration of 80 cc of optiray contrast iv. coronal reformatted images were generated. ct of the chest with contrast: a 6.7 x 5.8 cm fluid-filled cavity in the right middle lobe containing small, non-dependent air bubbles, has a wall less than one cm thick, smooth internally, and moderately irregular externally. it splays the medial and lateral segmental bronchi of the right middle lobe, displaces the right major fissure posteriorly and reaches the lateral costal pleural surface but shows no sign of extending into the chest wall. there is a small right hydropneumothorax, despite a pleural catheter in place, and at least one small loculation in the medial mid right chest at the level of the carina. a small rounded area of atelectasis or consolidation in the posterior right lower lobe (2a:50) is 20 mm wide. there is a small simple left effusion, with associated atelectasis. the central airways are patent to the subsegmental level, except for retained secretions in the mid trachea. there is no pericardial effusion. moderate cardiomegaly involves all . an rv pacemaker and aortic valve prosthesis are present. the mitral annulus is heavily calcified. coronary arteries are also heavily calcified. the ascending aorta is midly dilated, 4.9 cm in diameter. the pulmonary arteries are enlarged, with the right pulmonary artery measuring 31 mm, suggesting pulmonary hypertension. a right picc terminates in the svc. multiple borderline paratracheal nodes measuring up to 10 mm are seen. several notable findings are seen in the soft tissues, including a right thyroid nodule measuring 3.3 x 2.8 cm. there is a 4.3 x 4.2 cm rounded lesion of the posterior right upper back subcutaneous tissue is not fully characterized but may be a sebaceous cyst. there is asymmetric enlargement of the left breast tissue, of undetermined significance. the exam was not tailored for subdiaphragmatic diagnosis. central biliary prominence is seen. a calcified granuloma is in the right lobe of the liver posteriorly. enlarged celiac nodes measure up to 13 mm. there are no bone findings concerning for malignancy. there are degenerative changes of the thoracic spine. impression: 1. right middle lobe lung abscess, less likely cavitating neoplasm. abutting the lateral costal pleural margin, accessible to percutaneous aspiration. 2. small, partially loculated right hydropneumothorax, pleural catheter in place. 3. mediastinal and celiac axis lymphadenopathy. 4. 3cm right thyroid nodule. further evaluation with thyroid ultrasound recommended. 5. 4.3-cm subcutaneous lesion, right upper back, possible cyst, but best evaluated clinically. 6. cardiomegaly, mitral annulus and coronary artery calcifications, enlarged ascending aorta, aortic valve replacement, and probably pulmonary hypertension. the right middle lobe abscess or neoplasm was discussed with dr. on the afternoon of . the study and the report were reviewed by the staff radiologist. dr. dr. approved: wed 1:53 pm radiology final report thoracostomy tube insertion 10:59 am thoracostomy tube insertion; ct guidance drainage reason: place pigtail catheter in right pleural abcess. medical condition: 77 year old man with right pleural fluid collection reason for this examination: place pigtail catheter in right pleural abcess. contraindications for iv contrast: none. indication: right hemithoracic fluid collection requiring drainage. comparisons: chest ct dated . procedure: after explaining potential risks, benefits and alternatives of the procedure to the healthcare proxy, verbal consent was obtained. all questions were answered. patient identity was confirmed using three identifiers. a qualified nurse was present to administer 1 mg of versed and 50 mcg of fentanyl over 30 minutes, with continuous monitoring. limited images of the chest were obtained with the patient in the left posterior oblique position for localization purposes only. images confirm the presence of a heterogeneous collection with a thick rind in the right middle lobe along the major fissure, with at least one air locule. a small loculated right hydropneumothorax is again noted, perhaps slightly increased in size, with a posterior pigtail catheter in stable position. pacemaker leads, sternotomy wires, extensive coronary artery and mitral annular calcifications are seen in addition to an aortic valve prosthesis. the heart remains enlarged. left lower lobe atelectasis appears mild. the right lower axilla was marked, prepared and draped in the usual sterile fashion and 1% lidocaine was used for local anesthesia. using ct guidance and trocar technique, a 10 french catheter was inserted directly into the collection and approximately 35 cc of purulent hemorrhagic fluid was aspirated, a portion of which was sent to microbiology. the pigtail was then formed and the catheter was secured to the skin. adequate hemostasis was achieved and there were no immediate complications. dr. was an essential participant in the procedure. limited post-procedure images revealed slight interval decrease in the collection size. impression: 1. patient status post ct-guided 10 french catheter placement into a right middle lobe fluid collection without immediate complication. brief hospital course: patient was admitted to the for failure to resolve lung infection. he underwent ct guided drainage of lung abscess. however, he failed to resolve infection and continued to have significant leukocytosis and fevers. he was taken to the operating room on for more definitive treatment. at the time of the procedure, frozen section pathology of the lung and pericardium revealed stage iv squamous disease. this lesion was not resectable. chest tubes were placed and the patient was taken to the recovery room. over the next several days, he was extubated and chest tubes were sequentially removed. on pod4 he developed worsening shortness of breathing and had an episode of desaturation. he was transferred to the icu for closer monitoring. given the patient's poor prognosis and his wished to have no further intervention. the patient was made comfortable and supportive care was withdrawn. he passed on with his family at the bedside. discharge disposition: expired discharge diagnosis: lung cancer discharge condition: deceased procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other bronchoscopy decortication of lung closed [endoscopic] biopsy of bronchus graft of muscle or fascia closed endoscopic biopsy of lung biopsy of lymphatic structure pericardiotomy biopsy of pericardium puncture of lung open biopsy of lung diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation secondary malignant neoplasm of other specified sites hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure abscess of lung infection and inflammatory reaction due to other vascular device, implant, and graft heart valve replaced by transplant accidents occurring in residential institution phlebitis and thrombophlebitis of upper extremities, unspecified malignant neoplasm of middle lobe, bronchus or lung other disorders of lipoid metabolism 

Answer: The patient is high likely exposed to