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: multiple pulmonary embolism major surgical or invasive procedure: flexible bronchoscopy, esophagoscopy with biopsy, right thoracotomy with decortication and pleurectomy history of present illness: 45 year-old male with h/o tobacco abuse and multiloculated large right pleural effusion, transferred from with multiple pulmonary emboli, bilaterally following non-diagnostic right thoracoscopy. the patient was initially admitted on to dr at with shortness of breath. on admit, the patient reported several month h/o anorexia, fatigue, and 20 lb weight loss over past 2-3 months. a cxr, ultrasound, and ct chest were obtained which revealed a large right pleural effusion. a thoracentesis was attempted but only a few ml of serosanginous fluid were obtained. the patient was subsequently scheduled for a right thoracoscopy on . intra-operatively the patient was noted to have a very sanguinous effusion with multiple fibrinous adhesions and nodularity of the parietal pleura. 140cc ml of pleural fluid was drained. adhesions were taken down and multiple parietal pleural biopsies were obtained, although found to be nondiagnostic. final pathology revealed chronic fibrinous and fibrous pleuritis with no evidence of malignancy. pleural fluid wbc=440, rbc=, total protein=2.4, ldh=991, glucose=4, amylase=13. one chest tube was placed and then removed on pod#1. the patient was hemodynamically stable and oxygen saturation was 96% on 3l nc. on pod#2, the patient was noted to desaturate with ambulation to 80%s. when placed back on oxygen, saturation was 89% to 91% on 3l nasal cannula. the patient then ambulated independently without oxygen and had a syncopal episode. he was found unreponsive on the floor, spontaneously recovering when placed on 100% nonrebreather. the patient subsequently underwent a ct angiogram, which revealed multiple pulmonary emboli, bilaterally, small mediastinal lymph nodes, and right hydropneumothorax with compressive atelectasis of rml and rll and small foci of ground-glass opacity within rul. the patient was started on heparin gtt (3000u bolus with 1000u/hr) and an ivc filter was placed. he was then transferred to for further evaluation and management. past medical history: ivc filter placement social history: smokes 1.5ppd x past 30years family history: non contributory physical exam: general: no acute distress, appears comfortable heent: perrl, eomi, mucous membranes moist, oropharynx - clear pulm: bibasilar crackles cv: rrr, no murmurs appreciated abd: soft, non-tender, non-distended, normoactive bowel sounds ext: warm, well-perfused, no clubbing, cyanosis or edema neuro: no focal deficits pertinent results: 10:39pm blood wbc-11.3* rbc-4.09* hgb-11.6* hct-34.6* mcv-85 mch-28.4 mchc-33.5 rdw-13.4 plt ct-325 05:24pm blood wbc-18.0*# rbc-4.12* hgb-11.4* hct-35.1* mcv-85 mch-27.7 mchc-32.6 rdw-13.4 plt ct-409 06:10am blood wbc-13.4* rbc-3.55* hgb-9.7* hct-30.3* mcv-85 mch-27.4 mchc-32.2 rdw-14.3 plt ct-494* 10:39pm blood pt-12.3 ptt-27.8 inr(pt)-1.1 07:10am blood pt-25.2* inr(pt)-2.5* 05:01am blood glucose-116* urean-11 creat-0.8 na-137 k-4.3 cl-101 hco3-29 angap-11 05:01am blood calcium-8.6 phos-4.6* mg-2.4 rads: echo : r ventricular cavity enlargement w/free wall hypokinesis c/w primary pulmonary process (e.g., pulmonary embolism) or primary right venricular cardiomyopathy. dilated thoracic aorta. lenis : no deep vein thrombosis in either leg. incidentally noted is an arrhythmia and the bidirectional flow of the venous waveforms suggests right heart failure. rue u/s : no dvt cxr : right lower lobe atelectasis, no ptx brief hospital course: patient was admitted to the icu as a transfer from an osh with a multiloculated large right pleural effusion, multiple pulmonary emboli, right hydropneumothorax and was found to desat when off o2. upon arrival to the floor the patient was started on a heparin drip and was scheduled for lower extremity dopplars and an echo. echo revealed right ventricular wall hypokinesis and enlargement which were consistent with pe and ct showed possible small bowel wall thickening. patient remained stable while in the icu and was then transferred to the floor on hd#2 with plans to go to the or on . on patient underwent a right thoracotomy, decortication and drainage of hemothorax. patient tolerated the procedure well and was transferred to the sicu postop with 3 chest tubes to suction. on pod#1 pt spiked a fever to 102.6 for which he was pan cultured. cultures revealed gram positive cocci from the sputum and bal. patient was advanced to clears on pod#2, foley was d/c'd on pod#3 and was transferred to the floor on pod#5. on pod#3 the patient was found to be in a-fib and was subsequently started on amiodarone. the anterior apical tube was d/c'd on , posterior/apical tube on and the anterior tube was d/c'd on . patient was started on coumadin on pod#6 with plans to discharge the patient when the inr became therapeutic. on pod#9 pt had an inr of 2.5 and was deemed stable for discharge. upon discharge the patient was afebrile with stable vital signs, normal sinus rhythm, tolerating po diet, o2 saturation was 93% on room air and had a therapeutic inr. patient will follow up with his pcp to have his inr monitored and will follow up with dr. in weeks. medications on admission: zofran 4mg iv q6h prn tylenol 650 mg po q6h prn dilaudid 2mg po q3h prn heparin gtt protonix 40mg iv daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*80 tablet(s)* refills:*0* 4. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po twice a day. disp:*60 tablet sustained release 24 hr(s)* refills:*2* 5. warfarin 5 mg tablet sig: as directed tablet po once a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: multiple pulmonary embolism right hydropneumothorax discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, chest pain coumadin for pulmonary embolism. take as directed. inr goal 2.0-3.0 follow-up with dr. for further coumadin dosing: blood draw on monday followup instructions: follow-up with dr. on at 3:00pm on the clinical center . report to the radiology department for a chest x-ray 45 minutes before your appointment. follow-up with dr. on monday at 10:45 blood draw and coumadin dosing procedure: other bronchoscopy decortication of lung other incision of pleura transfusion of packed cells transfusion of other serum closed [endoscopic] biopsy of esophagus diagnoses: tobacco use disorder atrial fibrillation pulmonary collapse other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to