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: history of present illness: the patient is a 51-year-old male with a history of multiple myeloma and chest plasmacytoma (status post radiation therapy approximately two weeks ago) who now presents with nausea, vomiting, decided oral intake, and chest pressure. the chest pressure is not exertional, it is not new, and is presumably secondary to the large retrosternal plasmacytoma. the patient has had nausea and vomiting for the two weeks prior to admission, and he describes his vomitus as black with chunks, and his stool as dark. the patient vomited once after presenting to the emergency room and had clear yellow emesis. he also complained of early satiety, orthopnea, and a persistent cough. the patient described some shortness of breath related to this full feeling in his chest. of note, he had a repeat chest computed tomography prior to admission which revealed a decreased size of the retrosternal mass, a thickened pericardium, and thickened wall of the stomach to 6.1 cm. in the emergency department, his systolic blood pressure was in the high 80s/low 90s. he had no pulsus paradoxus, and he was mentating well. he received intravenous fluids while in the emergency department and was sent to the medical intensive care unit. past medical history: (his past medical history is significant for) 1. multiple myeloma and chest wall plasmacytoma diagnosed in in where it was initially treated in with .................... and prednisone. the patient has received cvad through , and he received radiation therapy treatment to the anterior chest wall (which was completed approximately two weeks ago). the patient did have a large 18-cm x 17-cm plasmacytoma extending from the inferior portion of the sternum to the inferior peritoneum. this mass was concerning for advancement to the pericardium, left hepatic lobe, and anterior stomach wall. 2. the patient has a history of chronic obstructive pulmonary disease/asthma (which has never required intubations in the past). 3. he has a question of diabetes; given that he had elevated blood sugars while on dexamethasone. medications on admission: (his medications included) 1. oxycontin 20 mg p.o. b.i.d. 2. oxycodone 5 mg to 10 mg p.o. q.4-6h. p.o. as needed. allergies: no known drug allergies. family history: family history was noncontributory. social history: the patient smokes at home. he lives with his wife. is from . he does not drink alcohol. physical examination on presentation: physical examination on admission revealed vital signs with a temperature of 100.3; other vital signs were stable. general appearance revealed a well-appearing and well-nourished male in no apparent distress. head, eyes, ears, nose, and throat examination revealed pupils were equally round and reactive to light and accommodation. sclerae were anicteric. extraocular movements were intact. the neck was supple. jugular venous distention of 9 cm. heart was regular in rate and rhythm, distant. no murmurs, rubs, or gallops. pulmonary examination revealed no crackles. clear to auscultation bilaterally. the abdomen revealed positive bowel sounds, soft, nontender, and nondistended. rectal examination was guaiac-negative. extremity examination revealed no edema. pertinent laboratory values on presentation: his complete blood count on admission showed white blood cell count was 4, hematocrit was 30.6, and an elevated neutrophil and band count. his urinalysis was sent and remained essentially normal. his electrolytes were within normal. hospital course: given the above, the patient was sent to the medical intensive care unit for further without. 1. plasmacytoma issues: the patient initially was monitored in the intensive care unit to prevent any further drop in his hematocrit or any further episodes of hematemesis or bright red blood per rectum. however, after remaining stable he was transferred to the bone marrow transplant service for the possible recurrence of plasmacytoma. he had an endoscopy with biopsies performed by the gastroenterology service. these initially showed a cardiac ulcer with granulation tissue, but no tumor. therefore, the patient had a repeat esophagogastroduodenoscopy performed. the second esophagogastroduodenoscopy showed hyperplasia and mild regeneration of the gastric pit. no neoplasm was seen in this sample. considering the gross appearance, the lesion was thought to represent either an inflammatory or hypoplastic polyp. there was also possibly an underlying lesion of the gastric wall. the third biopsy was performed with ultrasound guidance which was not available at the time of discharge; however, it suggested fungal elements with possible lymphocytes consistent with plasmacytoma. the patient was instructed to follow up as an outpatient for this recurrence of his plasmacytoma. 2. gastrointestinal issues: otherwise, in terms of gastrointestinal issues, the patient continued to have guaiac-positive stools for the first few days of his hospitalization; however, these normalized. he experienced constipation and was treated with an aggressive bowel regimen. 3. musculoskeletal issues: his left arm had severe pain on admission; requiring an increase in his oxycontin dose to approximately 60 mg p.o. b.i.d. over the next few days. the patient was seen by the orthopaedic surgery service, and plain films were obtained which suggested a left humeral fracture and a thrombolytic lesion. this thrombolytic lesion appeared to impinge on the ulnar nerve (according to a computed tomography scan which was performed). therefore, radiology/oncology was also consulted. orthopaedic surgery felt that the fracture was not significant enough to be repaired surgically. therefore, they signed off. radiology/oncology treated the thrombolytic lesion in the humerus for a few days prior to discharge. they set up outpatient appointments as well for the patient. otherwise, the patient also experienced some left hip pain; for which plain films were obtained, suggesting a thrombolytic lesion in the proximal femur. this will also be followed up as an outpatient. as well, the patient had some radial and medial nerve damage; according to an electromyogram which was performed while he was in house. this possibly suggested a brachial plexus nerve route injury, and a magnetic resonance imaging was attempted. however, the patient had significant anxiety despite haldol, xanax, morphine, and ativan. anesthesia was consulted, and the patient was to return on for a magnetic resonance imaging of the neck and left arm under anesthesia. discharge status: the patient was discharged to home on . medications on discharge: 1. oxycontin 20 mg p.o. b.i.d. 2. oxycodone 5 mg to 10 mg p.o. q.4-6h. as needed. 3. zofran 8 mg p.o. q.4-6h. as needed. 4. colace 100 mg p.o. b.i.d. 5. dulcolax 10 mg p.o. q.d. 6. lactulose 5 cc to 10 cc p.o. q.i.d. as needed. 7. protonix 40 mg p.o. b.i.d. the patient was not continued on his glucophage. he was not continued on his allopurinol. condition at discharge: condition on discharge was stable. discharge instructions/followup: 1. the patient was instructed to follow up with dr. . 2. the patient was to follow in the radiology/ clinic. 3. the patient was also to follow up for his magnetic resonance imaging on . , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine esophagogastroduodenoscopy [egd] with closed biopsy esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: esophageal reflux tobacco use disorder chronic airway obstruction, not elsewhere classified multiple myeloma, without mention of having achieved remission chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction pathologic fracture of humerus acute pericarditis, unspecified injury to brachial plexus other immunoproliferative neoplasms, without mention of having achieved remission 

Answer: The patient is high likely exposed to