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: prednisone attending: chief complaint: sob/decreased po major surgical or invasive procedure: stent placement in airway and esophogus history of present illness: hpi: 58 y/o male with history of small cell lung cancer with a large mass encircling esophogus and aorta, was first admitted to the from hospital because of fear of erosion of the tumor into esophogus or aorta and catastrophic bleed and massive mediastinitis. pt had symptoms of dysphagia for 2 months, lightheadedness, and hematemesis ( cups). when trasferred to egd was done on which showed a necrotic, obstructing mass in the esophogus. there seemed to be evidence of airway compression as well. ct showed ulcerated necrotic mass, 9.7 x 7.5 cm encasing the esophogus and freely communicating with esophogeal lumen. it also confirmed widely metastatic disease. subsequently, an airway stent and esophogeal stent was placed. peg tube was not recommended since increased risk of aspiration with esophogeal stent. pt currently has some nausea, cough productive of sputum and some sob. now being transferred to omed service awaiting placement. past medical history: small cell lung ca-initially presented with dysphagia. ct chest revealed large med. mass compressing esophagus and mainstem bronchus. now s/p vats and med. bx . had chemotherapy and xrt. hbv, cirrhosis, hodgkins, htn, lyme, anxiety, cva, cri, physical exam: pe: v/s hr:110-123 (post- ambulation), bp: 80-100/60-90, rr 12, o2 sat:85% on 4l general: cachectic male lying in bed, in nad, coughing cv: tachycardic, rrr s1 s2 lungs: course rhonchi bilaterally abd: +bs, no r/g no masses palpated, soft, nd ext: warm, dry, no c/c/e, 2+ pulse pertinent results: 11:00pm urine color-ltamb appear-slcldy sp -1.010 11:00pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:45pm glucose-142* urea n-25* creat-1.3* sodium-141 potassium-3.8 chloride-108 total co2-21* anion gap-16 07:45pm wbc-9.4 rbc-2.82* hgb-9.2* hct-27.2* mcv-97 mch-32.7* mchc-33.9 rdw-18.2* brief hospital course: pt is a 58 yo with end stage small cell lung cancer with mass impinging on airway and esophogus, who, during this hospital stay, had placement of esophogeal and airway stent. now patient able to tolerate clears. he understands the nature of his disease and agrees that he does not want a peg tube. pt is at end stage and does not want extremely invasive procedures. case management has been following and meeting with pt's family regarding wishes for placement. pt and team discussed overall status and prognosis, and pt decided to be comfort measures only. pt had presumptive mediastinitis on admission and was treated with antibiotics until cmo. tachycardia: associated with episodes of hypoxia, pt would become dyspneic and hypoxic usually around am and, associated with this (somtimes before, sometimes after) would develop palpitations with an ecg that showed rates in the 150's. the rapidity made it unclear whether the rhythm was sinus (read by computer as afib, but very regular). pt started on metoprolol for rate control. hypoxia: increasing oxygen demand and dyspnea with movement. cxr prelim with poor aeration-no change, and slight inc in left pleural effusion. pt declined to have interventional pulmonology repeat bronchoscopy and to only have comfort measures taken. nausea: this was well controlled with po phenergan and zofran. sob/hypoxia: throughout course, pt required increasing doses of supplemental o2 and continued to experience desats, usually around 3-4am without clear etiology. pt responded well to 9l o2 by face mask and morhpine prn. cough: this remained stable throghout. tried guaifenisen, mucomyst nebs, and albuterol/atrovent nebs, all without much relief. dvt: pt developed left upper extremity dvt during admission with edema, pt declined lovenox once made cmo. dispo: given the stage and prognosis of the patient's cancer, he decided to continue his dnr/dni status and change to comfort measures only. medications on admission: asa, hepsera, klonopin and potassium discharge medications: 1. codeine phosphate 30 mg/ml syringe sig: .5 syringe injection q4-6h (every 4 to 6 hours) as needed. syringe 2. morphine sulfate 0.5-2 mg iv q4h:prn pain hold for sedation 3. codeine phosphate 15 mg iv q4-6h:prn 4. promethazine hcl 12.5 mg iv q4-6h:prn nausea/vomiting 5. ipratropium bromide 0.02 % solution sig: one (1) neb ih inhalation q6h (every 6 hours). 6. ondansetron 4 mg iv q4h 7. pantoprazole 40 mg iv q24h 8. lorazepam 0.5 mg tablet sig: 1-2 tablets po q2h (every 2 hours) as needed for anxiety. 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po qd (once a day) as needed. 10. ipratropium bromide 0.02 % solution sig: one (1) neb ih inhalation q3-4h () as needed. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 13. albuterol sulfate 0.083 % solution sig: one (1) neb ih inhalation q2-3h (every 2-3 hours) as needed for low o2 sats; shortness of breath. neb ih 14. lidocaine hcl (local anesth.) 0.5 % solution sig: five (5) mg/ml injection q1h (every hour) as needed for cough. 15. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po tid (3 times a day). disp:*500 ml(s)* refills:*2* 16. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: hospice care of discharge diagnosis: metastatic lung cancer discharge condition: stable discharge instructions: please follow up with dr. , if needed procedure: venous catheterization, not elsewhere classified other esophagoscopy other esophagoscopy fiber-optic bronchoscopy other intubation of respiratory tract arteriography of other intrathoracic vessels bronchial dilation insertion of permanent tube into esophagus diagnoses: cirrhosis of liver without mention of alcohol iron deficiency anemia secondary to blood loss (chronic) malignant neoplasm of bronchus and lung, unspecified cachexia chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta secondary malignant neoplasm of mediastinum secondary malignant neoplasm of other digestive organs and spleen mediastinitis 

Answer: The patient is high likely exposed to