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: no known allergies / adverse drug reactions attending: chief complaint: squamous cell lung cancer major surgical or invasive procedure: 1. left thoracotomy and sleeve left upper lobectomy. 2. mediastinal lymph node dissection. 3. wrapping of bronchial anastomosis with intercostal muscle flap. 4. therapeutic bronchoscopy. 5. cervical mediastinoscopy. bronchoscopy history of present illness: 58m diagnosed with a squamous cell lul tumor. he has had interval ebus which confirmed squamous cell cancer of the left upper lobe. the 4l node is negative. the 7 node shows atypical cells c/w squamous metaplasia (negative). his brain ct is negative. his pet scan shows the very avid left upper lobe mass with avid mediastinal nodes. the 4l which was ebus negative is very avid. station 5 and 2l are also avid. his pft's are adequate for pneumonectomy. past medical history: pmh/psh none social history: cigarettes: 1 pack/day x 35 years, quit 6 months ago etoh: no yes but quit 6 months ago drugs: no family history: mother - died of lung cancer at age 57 father - died of lung cancer at age 60 physical exam: on discharge: vs: 98.9 88 96% on ra gen: nad heent: neck incision c/d/i without erythema, dermabonded. cv: rrr, nl s1 and s2 pulm: mild wheezes in rll, otherwise to cta, no respiratory distress. incisions c/d/i. no erythema. abd: soft, nt, nd, bs + ext: no c/c/e. pertinent results: swab left upper lobe. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram negative rod(s). wound culture (final ): haemophilus influenzae, beta-lactamase negative. sparse growth. beta-lactamse negative: presumptively sensitive to ampicillin. confirmation should be requested in cases of treatment failure in life-threatening infections.. cxr: right lung is clear. mediastinum is shifted only slightly to the left despite left upper lobectomy. a bulging mediastinal contour projecting over the left hilus could be due to hematoma or tissue augmentation of the left upper lobectomy and sleeve resection. apical pleural tube in place. no pneumothorax or appreciable pleural effusion. subcutaneous emphysema, left chest wall, is minimal. the posterior short-segment rib resection is visualized by approximately one-half shaft width. heart size is normal. cxr: no pneumothorax or pleural effusion, but apical pleural tube in place. no change in mild subcutaneous emphysema left chest wall and neck. mild left suprahilar atelectasis is new. no progressive enlargement of the post-operative left hilar bulge, either hematoma or bronchial augmentation. right lung clear. heart size normal. cxr: impression: stable to slightly increased left lung atelectasis. otherwise, unchanged compared to study done yesterday. cxr: impression: stable to slightly increased left lung atelectasis. otherwise, unchanged compared to study done yesterday. cxr: cardiomediastinal silhouette is unchanged, partially obscured by left lower lobe and lingular atelectasis. surgical clips in the left hilum are again noted. there are no pleural effusions or evident pneumothorax. left subcutaneous gas has decreased. right lower lobe atelectasis has worsened. there are low lung volumes. surgical fracture of the posterior left 5th rib is again noted. cxr: there is persistent opacity in the left lower hemithorax consistent with large are of atelectasis. fluid and air in the left pleural space are small and grossly unchanged. right lower lobe atelectasis has improved. cardiomedistinum is slightly shifted towards the left side. surgical clips are present in the left hilum. 06:25am blood wbc-11.0 rbc-3.67* hgb-10.6* hct-32.2* mcv-88 mch-29.0 mchc-33.0 rdw-12.3 plt ct-347 07:05am blood wbc-18.5* rbc-3.88* hgb-11.5* hct-34.1* mcv-88 mch-29.6 mchc-33.7 rdw-12.3 plt ct-350 05:28pm blood wbc-27.8*# rbc-4.46* hgb-12.9* hct-38.9* mcv-87 mch-28.9 mchc-33.1 rdw-12.8 plt ct-317 06:00am blood glucose-106* urean-13 creat-0.7 na-135 k-4.2 cl-98 hco3-29 angap-12 01:48am blood glucose-150* urean-16 creat-0.7 na-135 k-4.7 cl-104 hco3-24 angap-12 06:00am blood calcium-8.2* phos-3.7 mg-2.0 brief hospital course: mr. was admitted to the hospital and taken to the operating room where he underwent a cervical mediastinoscopy and left vats with a left upper lobe sleeve resection (see operative report for complete details). he tolerated the procedure well and was brought to the sicu in stable condition. he maintained stable hemodynamics and his pain was well controlled with an epidural catheter. he was kept in the icu overnight to optimize his care and to monitor his respiratory status. good pulmonary toilet, aggressive incentive spirometry, and nebulizers were used to optimize respiratory function. he was transferred to floor on pod 1 requiring only 02 via nasal canula. neuro: the patient received an epidural and iv tylenol immediately post-op with good effect and adequate pain control. aps service retained epidural until pod 4 due to efficacy. he was subsequently transitioned to oxycodone as well as po tylenol. cv: metoprolol was use post-op for rate prophylaxis against a-fib due to possible pericardial irritation intraoperatively. patient's rate well was controlled throughout his stay with out issue and remained in sinus rhythm. patient will not be discharged with home beta blockade. pulmonary: good pulmonary toilet, nebulizers, incentive spirometry and early ambulation were encouraged throughout his stay. patient was quickly weaned to nasal canula and subsequently room air. nebulizers were continued for persistent wheezing noted on auscultation which had nearly completed resolved by discharge. chest tube was kept to water seal and initially had high output and was retained until pod 4 and was discontinued without complication. routine cxr revealed continued left sided atelectasis and flexible bronchoscopy was performed by interventional pulmonology on pod 5 which revealed granulation tissue along the anastomotic site. repeat cxr showed continued atelectasis and questionable pleural effusion and ip again saw the patient and performed ultrasonography which revealed a small amount of fluid not amenable to drainage. patient was asymptomatic by discharge without shortness of breath or respiratory distress and was ambulating without difficulty on room air. gi/gu/fen: post-operatively, the patient was started on sips and advanced as tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: intraoperative cultures revealed gram negative rods on gram stain and patient was begun on unasyn. postoperatively he had a leukocytosis to 28k which was downtrending throughout his stay. the patient's white blood count and fever curves were closely watched and were downtrending throughout his stay and afebrile at time of discharge. bacteria was speciated as h. flu that was beta lactamase negative and presumptively sensitive to amoxicillin and patient was discontinued on a course of augmentin. incisions were routinely monitoring and were without signs or symptoms of infection. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received famotidine while in the icu and subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: none discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 2. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*18 tablet(s)* refills:*0* 5. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*100 tablet(s)* refills:*2* 7. famotidine 20 mg tablet sig: one (1) tablet po daily (daily): use for 30 days. disp:*30 tablet(s)* refills:*0* 8. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*1* discharge disposition: home discharge diagnosis: squamous cell lung cancer pleural effusion lower lobe atelectasis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * you were admitted to the hospital for lung surgery and you've recovered well. you are now ready for discharge. * continue to use your incentive spirometer 10 times an hour while awake. * check your incisions daily and report any increased redness or drainage. cover the area with a gauze pad if it is draining. * if your chest tube site continues to drain fluid, cover it with a clean dry dressing and change it as needed to keep site clean and dry. * you will continue to need pain medication once you are home but you can wean it over a few weeks as the discomfort resolves. make sure that you have regular bowel movements while on narcotic pain medications as they are constipating which can cause more problems. use a stool softener or gentle laxative to stay regular. * no driving while taking narcotic pain medication. * take tylenol 650 mg every 6 hours in between your narcotic. if your doctor allows you may also take ibuprofen to help relieve the pain. * continue to stay well hydrated and eat well to heal your incisions * shower daily. wash incision with mild soap & water, rinse, pat dry * no tub bathing, swimming or hot tubs until incision healed * no lotions or creams to incision site * walk 4-5 times a day and gradually increase your activity as you can tolerate. call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, chest pain or any other symptoms that concern you. followup instructions: department: hematology/oncology when: tuesday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage please report 30 minutes prior to your appointment to the radiology deptartment on the of the building for a chest xray. you will need to return on wednesday at 8am for a bronchoscopy at 9:30 am with dr. . please report to the information desk in the . procedure: fiber-optic bronchoscopy fiber-optic bronchoscopy biopsy of lymphatic structure division or crushing of other cranial and peripheral nerves regional lymph node excision other repair and plastic operations on bronchus mediastinoscopy mediastinoscopy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt other lobectomy of lung diagnoses: unspecified pleural effusion unspecified essential hypertension personal history of tobacco use pulmonary collapse malignant neoplasm of other parts of bronchus or lung pneumonia due to hemophilus influenzae [h. influenzae] personal history of contact with and (suspected) exposure to asbestos body mass index 26.0-26.9, adult 

Answer: The patient is high likely exposed to