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: iodine; iodine containing / codeine attending: chief complaint: new back pain major surgical or invasive procedure: transpedicular decompression, t10, of epidural metastatic disease with instrumented fusion from t8-t12. history of present illness: this 83 yo male who is a pt of dr. with known history of prostate cancer and lytic lesion in t10 diagnosed in s/p radiation presents with complaint of severe lower thoracic back pain thought to be t11-12 radicular in nature. of note patient came off his second line hormonal therapy in after progression of disease was noted. he was taken off ketonconazole and had his hydrocortisone tapered. des was started concurrently. at that time he began to notice a dull aching right side lower back pain. he underwent mri of the lumbar spine, incomplete due to intolerance to pain as well as claustrophobia. at the beginning of , there was concern for possible progression of disease in the thoracic spine that may need xrt. patient now presents with severe bilateral lower back pain that's different to the prior symptoms. his new pain is sharper and feels like a band around the back. he denies any parathesia or weakness of the lower extremities. he denies any bowel or bladder issues. he has no fever, chill or rigorm dysuria, or change in urinary frequency. . in the ed neuro exam was essentially intact and rectal tone was normal. he was noted to have severe hypertension which improved on pain meds as well as metoprolol. he was admitted for mri of the thoracic spine to rule out cord compression, bp control, as well as pain management. past medical history: )cad s/p cabg ' 2)restrictive lung disease 3)bronchiectasis 4)bladder ca 5)type 2 diabetes 6)hx of asbestosis exposure 7)pulmonary nodule 8)prostate ca as well as bladder ca 9)copd 10) oa 11) htn social history: lived with two daughters and grandson in . currently living with girlfriend in . retired, used to work in dry cleaning. quit tobacco 30 years ago, no etoh, no illicits. family history: nc physical exam: 97.8, 150/80, 64/min, 18/min, 94% on ra general: comfortable at rest, no apparent distress neck: supple, no jvd, no nodes cv: rrr, nl s1+s2, no m/r/g lungs: ctab, nl effort abdomen: soft, non tender, nl bs ext: no clubbing cyanosis or edema. neuro: cns intact, lower back pain band like, no rash, no papule, nl strength. delayed reflexes in upper and lower extremities. babinski equivocal. a&o x 3 exam upon discharge: incision site was clean and dry without erythema, collection or drainage. staples and drain stitch were in place. his le's had full strength and sensation to light touch. there was no clonus noted. pertinent results: 01:30pm wbc-8.5 rbc-4.21* hgb-12.2* hct-38.0* mcv-90 mch-29.1 mchc-32.2 rdw-13.4 01:30pm neuts-78.0* lymphs-15.7* monos-4.8 eos-1.2 basos-0.3 01:30pm plt count-198 01:30pm glucose-225* urea n-15 creat-1.0 sodium-133 potassium-4.5 chloride-95* total co2-27 anion gap-16 mr t spine - 1. multiple lesions noted from the t8-t11 vertebral bodies, with extensive involvement of the t10 and t11 vertebral bodies, and a prominent epidural component, seen along the right side of the spinal canal from anterior to posterior aspects, causing displacement and compression of the cord, at t10 and t11 levels. perineural/foraminal and right paravertebral components as well, as described above. 2. involvement of the ribs along with soft tissue mass, related to metastatic involvement, from t8-t12 levels, inadequately assessed on the present study as not targeted. 3. mild enhancement of the meninges/anterior surface of the thecal sac from t6-t12 levels. - ct head no hemorrhage, edema or mass effect. tspine xray findings: metallic fixation is identified in the lower thoracic spine, of the t8, t9, t11 and t12 vertebral bodies. satisfactory alignment on ap and lateral views. prominent mural calcification of the aorta in keeping with atherosclerosis. bowel gas pattern is unremarkable. a small right basal pleural effusion is seen. cxr findings: compared to the most recent prior film the right cp angle is better visualized, now not cut off from view. there is an opacity in this region - more remote prior film showed a nodule in this area. i would suggest follow up of this region to see if this is evolving. otherwise, there is no significant interval change. orthopedic hardware stable in appearance. shoulder right xray four total radiographs are submitted. there is moderate osteoarthritis of the acromioclavicular joint. there is also moderate osteoarthritis of the glenohumeral joint with osteophyte formation and joint space narrowing. no fracture or malalignment identified. visualized right upper lungs are clear. brief hospital course: 83 yo with metastatic prostate ca s/p xrt in for thoracic mets now progressing through second line hormonal therapy and was recently started on presents with band like lower back pain without radiation or neurological deficit. he was being followed by oncology. he had a psa near 60, this was increasing despite treatment with des. dr. , his outpt oncologist, decided to stop . coumadin which had been initiated with des as prophylaxis was d/c'd also lower back pain: pt had no focal neurologic exams, but given new pain there was concern for cord compression. he received an mri in ed which showed t10-12 compression. iv steroids were initiated. neurosurgery and radiation oncology were consulted. pain controlled with ms contin and prn dilaudid. surgery was decided to be the best option as pt has history of radiation in this area in the past. he was brought to the or where under general anesthesia he underwent transpedicular decompression, t10, of epidural metastatic disease with instrumented fusion from t8-t12. he tolerated this procedure well, did require intra-op transfusions. he remained intubated and brought to the icu overnight. post op he had full strength. he was extubated on the first post op morning. his diet and activity were advanced. he had jp drain in that was monitored and removed . he was transferred to the floor . he did have episode of hypertension enzymes were flat and ekg unchanged. he was monitored on telemetry. he had shoulder pain on right and xrays showed no fracture or dislocation but osteophyte and osteoarthritis. he was tapered off his decadron. wound was clean and dry. he was evaluated by pt/ot and felt safe for discharge to home. on , patient has been intermittently hypertensive, his lopressor was increased to 37.5mg and prn hydralazine 10mg iv was administered. patient's bp was reduce to the 130s. he remained stable and was discharged to home on . medications on admission: des 1mg daily leupron - adminstered q3months, last dose . finasteride - 5 mg tablet - 5 mg tablet(s) by mouth take one pill a day fluticasone-salmeterol - 250 mcg-50 mcg/dose disk with device - 1 puff intraoral twice a day furosemide - 40 mg tablet - 1 tablet(s) by mouth q am glyburide - 5 mg tablet - 1 tablet(s) by mouth twice a day lisinopril - 30 mg tablet - 1 tablet(s) by mouth once a day lorazepam - 0.5 mg tablet - 1 tablet(s) by mouth q hs prn insomnia metformin - 1,000 mg tab,sust rel osmotic push 24hr - 1 tab(s) by mouth qam metoprolol tartrate - 25 mg tablet - 1 tablet(s) by mouth once a day morphine - 15 mg tablet sustained release - omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth take one pill once a day oxycodone - 5 mg capsule - 1 capsule(s) by mouth take one or two as needed for pain every 4 hours prochlorperazine maleate - 10 mg tablet - 1 tablet(s) by mouth as needed every 6 hours as needed for prostate cancer terazosin - 5 mg capsule - 1 capsule(s) by mouth once a day warfarin - 1 mg tablet - 1 tablet(s) by mouth daily multivitamin - (prescribed by other provider) - tablet - 1 (one tablet(s) by mouth once a day discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 9. methocarbamol 500 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: metastatic prostate cancer to spine hypertension osteoarthritis of the right acromioclavicular joint and glenohumeral joint discharge condition: neurologically stable discharge instructions: ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up/ take daily showers ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks. ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc.for 3 months. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits followup instructions: follow -up with your pcp regarding the right shoulder pain you experienced during your hospital stay as well as your elevated blood pressure within the next 1-2 weeks. your right shoulder xray on revealed moderate osteoarthritis. please call to schedule an appointment with dr. to be seen in 6 weeks. you will need xrays prior to your appointment the following appointments have already been scheduled for you. they are listed here for your convenience. provider: , md phone: date/time: 11:30 provider: , rn phone: date/time: 1:00 provider: , md phone: date/time: 9:00 procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: 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 aortocoronary bypass status secondary malignant neoplasm of other specified sites long-term (current) use of anticoagulants personal history of malignant neoplasm of bladder retention of urine, unspecified bronchiectasis without acute exacerbation secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health secondary malignant neoplasm of other parts of nervous system neoplasm related pain (acute) (chronic) myelopathy in other diseases classified elsewhere osteoarthrosis, unspecified whether generalized or localized, shoulder region 

Answer: The patient is high likely exposed to