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 attending: chief complaint: metastatic lung cancer major surgical or invasive procedure: none history of present illness: 83 yo m with a past medical history significant for cad and aaa repair, with a very recent diagnosis of nsclc with intracranial and bony metastasis, presents today to the ed after wife noted increased lethargy and decreased po intake beginning saturday (2 days prior to presentation). he was brought first to an osh where no intervention was made prior to coming to . his wife reports some abdominal distention but denies n/v/f/c. he has not had a bm in three to four days and is passing no flatus currently. in the ed, the patient was tachycardic to the 120's and was febrile to 101, lactate 1.3. he was given 2l ns and a dose of levo/flagyl for possible aspiration. hct stable at 34. he was evaluated for sbo by the general surgery team, who felt that based on imaging and physical exam that this was gastric distention, no surgery recommended at this time and advised iv ppi and ngt for decompression. an ngt was placed to suction and about 600cc+ of liquid black gastric contents was drained. at this time, gi was consulted and felt that this was not evidence of ugib and that there was no acute indication for egd. he was guaiac negative. he is admitted to the micu for further monitoring in the setting of gastric distention secondary to possible gastric outlet obstruction with tachycardia. his oncologic history as noted above is a very recent diagnosis of metastatic nsclc with mets in cerebellum and bone. he was diagnosed after experiencing pleuritic chest pain (different from his stable angina) and a ct on showed a spiculated mass in the right upper lobe,pretracheal and precarinal right hilar lymph nodes. the patient subsequently experienced severe lbp and an mri of l-spine showed multi-level metastatic disease with no compression of spinal cord or cauda equina. radiation oncology has now begun palliative treatment to brain and back, first xrt on back was due the day of admission, . past medical history: aaa repair (asymptomatic 6.1cm aaa) hyperlipidemia cad, h/o imi stable angina cross fem bypass for claudication htn bph h/o hemorrhoidal bleeding social history: stopped smoking 15 years ago. smoked 3-4 packs a day for 50 years. he is retired. he and wife are financially responsible for their son, who is unable to work secondary to psychiatric problems. they have undergone quite a lot of psychologic stress secondary to this and resultant financial harships. family history: non-contributory physical exam: vs: temp: 98.6 bp: 98/64 hr: 117 rr: 17 o2sat 95% ra gen: pleasant, comfortable, nad heent: perrl, eomi, anicteric, mm dry, op without lesions. ngt in place neck: no supraclavicular or cervical lymphadenopathy, carotids with sharp upstroke, no carotid bruits, no jvd no thyromegaly or thyroid nodules resp: decreased bs at the right base, otherwise, clear. cv: tachycardic, s1 and s2 wnl, no m/r/g abd: moderately distended, but soft, +b/s, nontender. no masses. no rebound/guarding. tympanitic to percussion. ext: no c/c/e, warm, good pulses skin: no rashes/no jaundice neuro: arousable, but lethargic. ox3. cn ii-xii intact. strength throughout. 2+dtr's, downgoing babinski bilaterally. random movements and picking noted. pertinent results: ct abdomen w/o contrast 9:14 pm 1. no acute intra-abdominal pathology including no evidence of gastric outlet obstruction. 2. patchy bibasilar opacities are concerning for pneumonia and/or aspiration. 3. cholelithiasis. 4. monoiliac-type aortic graft with known occlusion of the left common iliac artery and fem-fem bypass graft. 5. prostatic enlargement. 6. lumbar metastases, better visualized on recent mr of the l-spine of . portable tte (complete) done at 10:45:50 am final normal biventricular cavity sizes with preserved global and regional biventricular systolic function. atleast moderate mitral regurgitation. pulmonary artery systolic hypertension. mild aortic regurgitation. brief hospital course: a/p: 84 yo m with h/o of cad and recent diagnosis of stage iv nsclc with metastases to his brain and bone presents with delirium, concern for aspiration pneumonia, and nstemi from demand ischemia. # delirium: initially felt to be secondary to possible pneumonia vs. over sedation from opiates, yet poor mental status persisted despite treatment of pneumonia and pulling back on pain medication. other contributing factors included hypernatremia (resolved), icu psychosis, and untreated pain from bone metastases. known brain metastases likely another contributing factor. despite treatment of all possible reversible etiologies, continued to have decreased mental status. given poor prognosis and failure to resume noteworthy function, patient was made dnr/dni and later cmo. he expired due to cardiopulmonary arrest. # non-small cell lung cancer: at initial diagnosis was stage iv with metastatic lesions to his brain and bones. oncology consulted initially on admission and later met with family and informed them that he is not a candidate for chemotherapy because of his medical illness and poor performance status. rad/onc was also consulted concerning possible palliative treatment but determined that he was too unstable for further intervention. ultimately palliative care was consulted and assisted in the transition to cmo status. # respiratory distress/pneumonia: while inpatient he had episodes of respiratory distress that probably resulted from several factors, including his underlying pneumonia, difficulty clearing secretions, pain, and anxiety. leukocytosis and infiltrates persisted despite treatment with flagyl and ceftriaxone. later zosyn and vancomycin were started to cover possible nosocomial pathogens. respiratory distress continued to be progressive despite antibiotics and suctioning. once cmo status, his pain and distress with treated with morphine as needed until he expired. # demand ischemia/tachycardia: upon admission was found to be actively having a nstemi from demand ischemia in setting of tachycardia. cardiology was consulted and recommended medical management given his tenuous status. troponins were followed until they peaked. tachycardia remained and appeared to be multifactorial including pain and agitation. he was treated with gentle iv fluids, morphine for pain and lopressor as tolerated until he expired. # hematuria: noted while inpatient and thought to be due to trauma associated with foley placement/patient tugging on foley. urology was consulted and replaced his foley. he was also treated with continuous bladder irrigation intermittently. once cmo status was determined, bladder irrigation was discontinued for patient comfort. # renal failure: cr slowly increased during his hospitalization, likely associated with pre-renal etiology. his lisinopril was held for this reason. he was treated with ivf and his cr was monitored until he was made cmo status, at which point further labs were not drawn. # pain control: patient with significant pain, likely secondary to known bone metastates. while inpatient, was started on a fentanyl patch and given iv morphine as needed for breakthrough pain. he was continued on morphine and fentanyl for comfort until he expired. medications on admission: lopressor 25mg asa 81mg simvastatin 40mg cilostazol 200mg qdaily slntg morphine/oxycontin (recently prescribed) discharge medications: expired discharge disposition: expired discharge diagnosis: primary: nonsmall cell lung cancer, metastatic discharge condition: expired. discharge instructions: expired. followup instructions: expired. md, procedure: parenteral infusion of concentrated nutritional substances diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute kidney failure, unspecified pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of brain and spinal cord old myocardial infarction paralytic ileus malignant neoplasm of other parts of bronchus or lung dehydration secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to