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: avastin attending: chief complaint: s/p rul lobectomy major surgical or invasive procedure: 1. right thoracotomy. 2. right upper lobectomy. 3. hand sewn closure of right upper lobe bronchial stump. 4. buttressing of bronchial closure with intercostal muscle flap. , , bronchoscopy history of present illness: 58yo m with a stage iii non-small-cell lung cancer diagnosed over a year ago. he was treated with chemoradiation therapy and was documented to have persistent nodal disease in the mediastinum. he therefore was treated to a definitive dose of radiation therapy. however, he had persistent fdg avid disease in the lung and after lengthy discussion, he was brought to the operating room today for attempted pulmonary resection. before the operation, we met on several occasions and discussed both the conduct and risks of the operation. he was well aware of the risks including respiratory failure, pneumonia, inability to completely resect the tumor, bronchopleural fistula and death. past medical history: cad, mi, htn, hld, copd (fev1 69% ), cva pshx: hip repair, elbow fracture repair social history: polish speaking. former 40 year pack history. no etoh, no drugs. currently unemployed but former factory worker in poland. family history: sister with cad. no family history of cancers physical exam: bp: 151/76. heart rate: 92. weight: 170.4. height: 70.75. bmi: 23.9. temperature: 97.5. resp. rate: 18. o2 saturation%: 100. gen: aaox3, nad heent: no cervical or supraclavicular lad, mucous membranes moist, no icterus neuro: cn 2-12 grossly intact cv: rrr, nml s1/s2 resp: ctab abd: soft, nt/nd, no masses ext: no c/c/e pertinent results: 03:26pm blood wbc-12.0*# rbc-2.93* hgb-9.2* hct-27.9* mcv-95 mch-31.3 mchc-32.9 rdw-16.3* plt ct-308 01:42am blood wbc-11.3*# rbc-3.01* hgb-9.1* hct-27.6* mcv-92 mch-30.3 mchc-33.0 rdw-15.9* plt ct-284 05:40am blood wbc-9.2 rbc-2.80* hgb-8.5* hct-25.2* mcv-90 mch-30.4 mchc-33.8 rdw-14.6 plt ct-418 03:26pm blood glucose-179* urean-24* creat-1.2 na-139 k-5.1 cl-110* hco3-21* angap-13 02:21am blood glucose-132* urean-16 creat-1.0 na-136 k-4.1 cl-104 hco3-25 angap-11 04:47am blood glucose-111* urean-17 creat-1.5* na-140 k-4.0 cl-100 hco3-30 angap-14 03:26pm blood calcium-8.4 phos-3.7 mg-1.2* 04:47am blood calcium-9.3 phos-3.3 mg-1.6 imaging: ct chest: impression: 1. peristent postoperative right middle lobe atelectasis. no evidence of right middle lobe torsion. the middle lobe bronchus is occluded, but the right middle lobe pulmonary artery and draining vein are intact. the findings thus most likely reflect mucus impaction. 2. postoperative changes in the right hemithorax, including nonhemorrhagic layering pleural fluid, additional fluid interposed between the superior segments of the right lower lobe and the mediastinum, and a small right apical pneumothorax. the upper lobe bronchial stump is unremarkable. two chest tubes, one anterior and one posterior, are in expected position. 3. moderate emphysema. cxr there are two chest tubes seen on the right side with each one ending near the right lung apex. the right mid lung opacity representing an unresolved collapsed right middle lobe is unchanged. there are no new opacities which are of concern. endotracheal tube terminates approximately 4.7 cm above the carina and is adequately placed. gastric tube is seen to course through the diaphragm into the stomach and is appropriate in position. small right apical pneumothorax is unchanged. overall, no interval relevant changes. cxr : overall appearance of the chest is stable with minimal residual subcutaneous emphysema in the right lateral soft tissues. a tiny amount of residual air within the surgical bed at the right apex in this patient status post right upper lobectomy. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or pleural effusions. slight nodularity of the right lateral pleura particularly at the base is likely postoperative in etiology. brief hospital course: the patient was admitted to the thoracic surgery service on after he underwent a thoracotomy and rul lobectomy. neuro: post-operatively, the patient had an epidural with good effect but with some hypotension and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient was initially hypotensive to the sbps 80s immediately post-op and he was placed on neo up to 0.5mcg. he was monitored in the pacu overnight and was stable to be transferred to the floor on pod1. on the floor, his bps have remained stable off neo but he was placed again on the neo when he was intubated and sedated in the sicu. once transferred to the floor again, he remained off all pressors. vital signs were routinely monitored. pulmonary: the patient was initially stable from a pulmonary point of view post-op. his post-op cxr showed rml collapse but aerated rll. however, on pod 2 on the floor, the patient began to desat to mid 80s on room air. a cxr was obtained and showed rml as well as rll collapse. he was transferred to the sicu on to undergo a bronchoscopy with bal, which was sent for studies. for the bronch, he was intubated and sedated. he had a repeat bronch on and am and suctioned out more mucous from his rll and rml. he was stable from a pulmonary standpoint thereafter and extubated on after cxr showed good stable rll. his ct was placed to waterseal on and removed on . post-pull cxr was stable. he was transferred to the floor on and his pulmonary status remained stable, although with desat to the mid 80s on ambulation. he has not been anle to wean off of oxygen but his requirements are decreasing daily. for that reason he will be sent home with oxygen at 1-2 liters per minute and can gradually wean off over time. gi/gu: post-operatively, the patient was given iv fluids. his diet was advanced when appropriate once extubated in the sicu, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. foley was removed on . intake and output were closely monitored. his cr was elevated to 1.6, fena was 0.7%, showing a likely pre-renal etiology. he was bolus'd w/ 500cc ns two times on and . id: post-operatively, the patient was not placed on any antibiotics. however, upon transfer to the sicu, he was started on vanc, zosyn, and tobra for empiric coverage of hap. he was switched to po augmentin once tolerating po and due to a rising cr. cultures only showed respiratory flora but a 10d course of antibiotics was planned. the patient's temperature was closely watched for signs of infection. he had a temperature of 101.3 on and fever workup was sent but have so far been negative. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on , he was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. his incision was healing well. medications on admission: albuterol sulfate""prn, amlodipine 10',atenolol 100', atorvastatin 80', advair 500-50', lisinopril 40' nitroglycerin 0.4prn, prochlorperazine maleate 10"'prn nausea, tiotropium bromide 18', warfarin 5' discharge medications: 1. home oxygen o2 1-2 liters continuous dx copd 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*7 disk with device(s)* refills:*2* 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. nitroglycerin 0.4 mg tablet, sublingual sig: tablet, sublinguals sublingual prn (as needed) as needed for angina. 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*30 caps* refills:*2* 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours). disp:*1 mdi* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day): hold for sbp < 100, hr < 60. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: two (2) tablet po at bedtime as needed for constipation. 11. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 12. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po q12h (every 12 hours): thru 11//. disp:*6 tablet(s)* refills:*0* 13. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever, pain. discharge disposition: home with service facility: vna discharge diagnosis: stage iii a non-small-cell lung cancer. post op atelectesis acute blood loss anemia stage iii a non-small-cell lung cancer. post op atelectesis acute blood loss anemia stage iii a non-small-cell lung cancer. post op atelectesis acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough (it is normal to cough up blood tinge sputum for a few days) or chest pain -incision develops drainage -continue to use your incentive spirometer 10 times an hour while awake pain -acetaminophen 650 every 6 hours as needed for pain -dilaudid 2 mg every 3-4 hours as needed for pain -no driving while taking narcotics -take stool softners with narcotics activity -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 -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily -oxygen via nasal cannula at 1-2 liters per minute. the vna will monitor your saturations and help you wean off. 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 earlier to the radiology department on the in the clinical center for a chest xray. procedure: fiber-optic bronchoscopy arterial catheterization closed [endoscopic] biopsy of bronchus graft of muscle or fascia insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt simple excision of other lymphatic structure other lobectomy of lung diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified pulmonary collapse other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias malignant neoplasm of upper lobe, bronchus or lung other respiratory complications removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to