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: hemoptysis major surgical or invasive procedure: bronchoscopy with lung biopsy mrcp history of present illness: 41m with history of deafness who presents with 3-4 months history of cough, doe and chest pain and recent episodes of hemoptysis, found to have large hilar mass on ct. . the patient was in his usoh until approximately 3-4 months ago when he developed a cough productive of white sputum, severe left-sided chest pain radiating to his back, as well as progressive dyspnea on exertion. he was seen multiple times in the er and diagnosed with pneumonia and treated with courses of antitbiotics. his symptoms progressed over the last several months and he lost his appetite and lost a significant amount of weight. during his last visit on , he had a chest ct which revealed a left hilar mass with no mediastinal lad. the hilar mass was encasing and narrowing the left main pulmonary artery and multiple central bronchi and primary anterior branches. it was suggested that this could be carcinoma with metastasis. . over the day prior to presentation, the patient developed hemoptysis, prompting him to return to the er . he notes two episodes, the last of which he produced approximately a "cupful" of blood clots and bright red blood. according to the consultation note at the osh, he estimated that the blood was approximately half cup filled with bright red blood. he was admitted and underwent bronchoscopy on with biopsy that presumptively shows small cell lung ca. . he describes his chest pain as sharp left-sided chest pain that he thought was from a heart attack, though this was ruled out. this pain is non-exertional and radiates to his back and abdomen. he reports occasional fevers to above 100, chills and sweats. he also reports loss of appetite with a 32 pound weight loss in months (from 150->118). he also endorses nausea and vomiting, without hemetemesis. he has occasional upper abdominal pain. he reports significant fatigue and generalized weakness. he denies orthopnea, pnd, palpitations, edema. past medical history: recent stab wound to the head with hematoma htn deafness social history: social hx: the patient grew up in the area, recently moved to nine months ago. he has worked several jobs, including painting and as a cooking assistant. he is married with five children. has history of cocaine use, last two months ago. also smokes marijuana. smoked 1 ppd for 15-20 years, quit two weeks ago. drinks about one beer per day. he was incarcerated in for domestic violence. no sexual contacts other than wife. ivda. reports negative hiv test six months ago. family history: no lung diseases or cancer. father died at 79 from probable stroke. mother alive with dm. physical exam: vitals: t 97.4 bp 112/78 hr 94 rr 20 97% ra gen: cachectic african american man, in nad heent: perrl, eomi, mmm, op clear neck: supple, from, no jvd lung: decreased breath sounds in left lower lung fields, otherwise cta bilaterally cor: rrr, nml s1s2, no m/r/g abd: nabs, soft ntnd ext: no c/c/e pertinent results: chemistries: 09:15pm glucose-87 urea n-10 creat-1.0 sodium-139 potassium-4.2 chloride-102 total co2-27 anion gap-14 09:15pm albumin-4.0 calcium-9.7 phosphate-3.6 magnesium-2.0 lfts: 09:15pm alt(sgpt)-12 ast(sgot)-29 ck(cpk)-162 alk phos-89 amylase-184* tot bili-0.2 09:15pm lipase-251* cardiac enzymes: 09:15pm ctropnt-<0.01 09:15pm ck-mb-3 cbc: 09:15pm wbc-8.8 rbc-4.43* hgb-14.3 hct-40.6 mcv-92 mch-32.3* mchc-35.3* rdw-12.8 09:15pm neuts-68.4 lymphs-25.6 monos-3.2 eos-1.8 basos-1.1 09:15pm plt count-288 studies: cta ( ): large left hilar mass extending to the mediastinum, with narrowing of the pulmonary arteries and left bronchial branches. post-obstructive airspace opacity - could reflect post-obstructive consolidation or though alveolar hemorrhage is not excluded (givne history of hemoptysis. no pe. ct ( mc ): known life hilar mass with question of lymphangitic spread, low attenuation in the liver, too small to characterize bronch ( mc ): significant narrowing of the left mainstem bronchus by extrinsic compression, as well as mucosal thickening. mucosa in the lmb was thickend and erythematous and abnormal appearing. three need aspirates performed. ekg (): sinus tach at 100 bpm, normal axis, rad, non-sig q waves in iii and avf, slight st elevations in v2-3 brief hospital course: 41 yom w/ 20 pk yr tob h/o, weight loss, night sweats, found to have large left hilar mass c/w sclc. . icu course: #sclc - patient had bronchoscopy at osh with biopsy consistent with sclc on . he was transferred to on for further w/u and second opinion. at the , he had a repeat cta with similar findings. he had a bone scan with abnormal areas of increased tracer uptake in the posterior left parietal skull and right lateral 2nd rib. he had an mri of his head notable for multiple enhancing lesions within the brain consistent with metastatic disease. he was started on decadron per onc/rad onc. he was seen by pulmonary who suggested sending sputums for cytology and treating for postobstructive pna seen on f/u cxr. the slides from the osh were received and felt to be c/w sclc so a family meeting was held and it was decided to start chemo on and proceed with xrt after the 2nd cycle of chemo. patient with squamous cell lung cancer with metastases to brain and pancreas. during hospital course, tumor spread very quickly to encompass most of right lung. patient was then intubated. patient's treatment for squamous cell lung cancer was on hold due to his pancreatitis, ventilator requirement, and acute illness. given patient's continued pancreatitis, heme-onc was again consulted who recommended that chemotherapy would likely not be an option for this patient due to his continued illness. family was made aware of this and preferred that patient would not receive further treatment. # pancreatitis - patient had abdominal pain, nausea, and vomiting. found to have elevated amylase and lipase secondary most likely to pancreatic metastases of his primary tumor. given the continued elevated amylase and lipase, hematology-oncology did not believe chemotherapy would be an option for him. ct abdomen show diffusely edematous and enlarged pancreas. ultrasound did not show any gallstone. his hiv status is negative. he then had a mrcp that show mass in pancreatic duct.patient received 4l of ns on . he received another 3l this morning. he started to develop respiratory distress and increasing oxygen requirement(90% on 2l, 93% on 4l, 90% on fm and then 94% on nrb). abg show 7.42/34/64. he was transferred to icu for management of respiratory distress. medicine service hospital course after transfer from icu on : # comfort measures only: patient not in distress,normal resp rate, did not check daily vitals acetaminophen haloperidol lorazepam morphine sulfate, titrate to comfort scopolamine patch # respiratory failure s/p extubation in icu, sats low prior to transfer # sclc no treatment options # mrsa no antibiotics given goals of care. # dispo mother, , is representative payee . medications on admission: 1000 ml 1/2ns d5 levofloxacin 500 mg po q24h d5 flagyl 500 mg po tid albuterol 0.083% neb soln 1 neb ih q6h benzonatate 100 mg po tid dexamethasone 4 mg iv q6h hydromorphone 0.5-1 mg sc q3-4h:prn hydromorphone 2-4 mg po q4h:prn insulin sc discharge medications: none discharge disposition: extended care discharge diagnosis: squamous cell lung cancer small cell lung cancer with metastases to brain/skull/rib respiratory failure pancreatitis . hypertension stab wound congenital deafness discharge condition: n/a discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy arterial catheterization insertion of other (naso-)gastric tube infusion of vasopressor agent diagnoses: pneumonia, organism unspecified tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension infection with microorganisms resistant to penicillins pulmonary collapse acute and chronic respiratory failure secondary malignant neoplasm of brain and spinal cord bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site unspecified hearing loss secondary malignant neoplasm of bone and bone marrow acute pancreatitis secondary malignant neoplasm of other digestive organs and spleen malignant neoplasm of main bronchus 

Answer: The patient is high likely exposed to