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: shortness of breath major surgical or invasive procedure: none history of present illness: 73 yo m pmh h/o stage iii squamous lung ca s/p radiation and chemotherapy, copd, afib and chf who presents with one week of increasing dyspnea both and rest and with exertion. pt reports slow decline in exercise capacity over the last few months with rapid decline over the last week. denies any fevers or chills. he has had a cough consistent of small amts of sputum. he was seen by his pulmonologist on who was concerned for possible pna given pt's dyspnea and desaturation to 80's while in the office and was started on a 7d course of augmentin. pt also started on home o2 in the past week. . in ed vs were t:98 hr: 123 rr: 35 o2sat: 78% 4l. ct chest demonstrated bilateral ground glass opacities bilaterally which is an interval change from prior ct chest . no pe on cta. ecg with afib with rvr. he received levaquin for presumed pna. past medical history: stage iiia poorly-differentiated squamous cell carcinoma. he was treated with platinum and etopocide along with a radiation dose of 61.2 gy which completed probable radiation induced lung injury copd cad, ef 50% per pt atrial fibrillation, on coumadin bph gout history of asbestos exposure appendectomy social history: lives with wife, 80 pack year smoking history, no recent etoh use. worked in power plant x 40 years with asbestos exposure. no current pets. family history: non-contributory physical exam: in ed vs were t:98 hr: 123 rr: 35 o2sat: 78% 4l gen: aox3, nrb in place and breathing comfortably heent: perrla. mmm. no lad. no jvd. neck supple. cards: irregular, no murmurs appreciated pulm: fine crackles at bilateral bases, good air movement abd: soft, nt, +bs. no g/rt. neg hsm. neg sign. extremities: wwp, no edema. dps, pts 2+. skin: no lesions neuro/psych: cns ii-xii intact. 5/5 strength in u/l extremities. pertinent results: admission labs: 06:55pm blood wbc-13.8*# rbc-4.72 hgb-14.3 hct-42.6 mcv-90 mch-30.3 mchc-33.5 rdw-15.9* plt ct-341# 06:55pm blood neuts-88.8* lymphs-5.2* monos-5.1 eos-0.5 baso-0.4 06:55pm blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 06:55pm blood pt-39.4* ptt-31.8 inr(pt)-4.1* 05:06am blood fibrino-568* 08:30pm blood glucose-138* urean-14 creat-0.7 na-138 k-3.9 cl-101 hco3-20* angap-21* 03:32am blood alt-33 ast-36 ld(ldh)-568* alkphos-83 totbili-0.4 04:27am blood calcium-9.7 phos-2.8 mg-1.7 microbiology: blood cultures x 2: negative legionella urinary antigen: negative imaging: admission cxr: low lung volumes, which limits assessment of the lung parenchyma. continued right paramediastinal radiation fibrotic changes with evidence of marked volume loss in the right lung. ill-defined hazy opacities in the upper lobe may reflect development of an infectious process. consider repeat radiographs with deeper inspiration when the patient's condition has improved. cta chest: 1. no pulmonary embolism, aortic dissection, or aortic aneurysm. 2. extensive peribronchovascular ground-glass opacities with refluxing of contrast into the ivc, suggestive of pulmonary edema from cardiac failure. differential considerations also include infection, drug reaction, or possibly hypersensitivity pneumonitis. follow up imaging after diuresis is recommended for further evaluation. 3. small right pleural effusion, increased. 4. right paramediastinal radiation changes on a background of pulmonary fibrosis, similar to prior. brief hospital course: mr. is a 73 year old male with history of stage iii squamous lung cancer s/p chemotherapy and right-sided radiation, copd, atrial fibrillation and chf. he was admitted with worsening hypoxia in the setting of a subacute decompensation over the last few weeks. cta chest was notable for extensive peribronchovascular ground-glass opacities bilaterally in addition to known prior right paramediastinal radiation changes. on admission, he was offered a bronchoscopy for further diagnosis, but he deferred after a discussion with his family because of concern for difficulty weaning from the ventillator after the procedure. he was empirically given vanocmycin and levofloxacin starting on to treat a pneumonia. pulse dose solumedrol 250 mg iv q6 were started on for concern for an inflammatory pneumonitis for three days and titrated to daily prednisone. bactrim ds three tabs tid was started on as well for possible pcp pneumonia that could not be excluded in the absence of a bronchoscopy. he was also diruesed with lasix 20 mg iv prn because he was mildy volume overloaded on admission. he did well for several days on high flow mask and nasal cannula, but his oxygen requirement continued to increase overnight from to requiring non-invasive ventillation. abg showed a combined metabolic and respiratory alkalosis (7.51/40/62 on 95% high flow and 6l nco2). he was weaned from non-invasive ventilation yet required high flow mask ranging from 80%-95% oxygen. he would immediately desaturate once the oxygen was removed. the interventions pursued did not improve the patient's oxygen requirement. after extensive discussion with the patient and family, it was ultimately decided to make the patient comfort measures only as his respiratory status was not expected to improve. he was started on a morphine gtt and passed away 7:58 am . cause of death was radiation pneumonitis with immediate cause ards. the family declined an autopsy. he was on flecainide for atrial fibrillation, but this was discontinued on admission because he was not in sinus and there was concern flecainide may have contributed to progression of his lung process. he was on warfarin for atrial fibrillation, which was held on admission for inr 4.1. he continued to have a rising inr (max to 17.1) while on levofloxacin and with poor po intake. there was no evidence of bleeding complications. lft's and dic labs were normal. medications on admission: allopurinol - (prescribed by other provider) - 300 mg tablet - 1 tablet(s) by mouth once a day amoxicillin-pot clavulanate - 875 mg-125 mg tablet - 1 tablet(s) by mouth twice daily budesonide-formoterol - 160 mcg-4.5 mcg/actuation hfa aerosol inhaler - 2 puff(s) inhaled twice a day **rinse mouth after each use doxazosin - (prescribed by other provider) - 2 mg tablet - 1 tablet(s) by mouth once a day fenofibrate nanocrystallized - (prescribed by other provider) - 145 mg tablet - 1 tablet(s) by mouth once a day finasteride - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once a day furosemide - 20 mg tablet - 1 tablet(s) by mouth daily. take for 3 days only niacin - (prescribed by other provider) - 1,000 mg tablet sustained release - 1 tablet(s) by mouth daily prednisone - 5 mg tablet - 4 tablet(s) by mouth daily rosuvastatin - (prescribed by other provider) - 20 mg tablet - tablet(s) by mouth sulfamethoxazole-trimethoprim - 800 mg-160 mg tablet - one tablet(s) by mouth three times a week tiotropium bromide - 18 mcg capsule, w/inhalation device - 1 capsule(s) inhaled once a day warfarin - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once a day discharge medications: none discharge disposition: expired discharge diagnosis: 1. radiation pneumonitis 2. acute respiratory distress syndrome discharge condition: na discharge instructions: na followup instructions: na procedure: non-invasive mechanical ventilation diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of bronchus and lung personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) constipation, unspecified other and unspecified hyperlipidemia acute respiratory failure encounter for palliative care other and unspecified coagulation defects late effect of radiation radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure mixed acid-base balance disorder acute pulmonary manifestations due to radiation 

Answer: The patient is high likely exposed to