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: no known allergies / adverse drug reactions attending: chief complaint: tracheal stenosis major surgical or invasive procedure: : cervical tracheal resection and reconstruction, flexible bronchoscopy with bronchoalveolar lavage, sternothyroid muscle flap buttress. : flexible bronchoscopy history of present illness: the patient is a 70-year-old gentleman who has had longstanding tracheostomy and has failed decannulation. he has a significant stenosis at the level of the cricoid and first ring. he failed an attempt at dilation and required replacement of a tracheostomy following decannulation. he is here for surgical resection. past medical history: -copd on o2 x 6yr, underwent trach at hospital in that was later decannulated . -cad s/p cabg x3/tissue avr' () -paf s/p multiple dccv on coumadin -htn -back surgery ' -rle osteo ' -spinal decompression ' -etoh abuse (sober x 6 mos) social history: married, came from rehab. cigarettes ex-smoker pack-yrs: 100+, quit: etoh: no (sober 6 months) previously 4 drinks/day family history: mother smoker died of lung cancer father smoker died of lung cancer physical exam: discharge physical exam vs: t: 97.9 hr: 77 af bp: 130/70 satsl 97 1.5 l wt: 88.8 general: 71 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple. no stridor card: rrr, normal s1,s2 ii/vi sem resp: decreased breath sounds bilateral 1/4 up. no wheezes or crackles gi: benign extr: warm no edema incision: cervical clean dry intact, no erythema. margins well approximated neuro: awake, alert oriented. pertinent results: wbc-4.9 rbc-3.31* hgb-10.1* hct-30.3 plt ct-214 wbc-6.8# rbc-3.63* hgb-10.9* hct-32.8 plt ct-218 pt-15.3* inr(pt)-1.3 pt-14.5* ptt-26.9 inr(pt)-1.3 pt-13.4 ptt-27.9 inr(pt)-1.1 glucose-93 urean-14 creat-0.5 na-143 k-3.4 cl-105 hco3-33 glucose-93 urean-13 creat-0.6 na-143 k-3.4 cl-104 hco3-32 glucose-91 urean-7 creat-0.6 na-140 k-4.3 cl-105 hco3-26 calcium-8.5 phos-3.3 mg-1.8 cxr: : there is background copd. the patient is status post sternotomy and placement of prosthetic valve, with cardiomegaly and a relatively transverse orientation of the heart. there is bibasilar patchy opacity -- this most likely represents atelectasis, though small pneumonic consolidation would be difficult to exclude. there are small bilateral effusions and/or pleural thickening. no chf. a focal rounded area of relative lucency is seen along the right heart border in the cardiophrenic region -- this likely represents artifact due to surrounding opacity, but attention to this area on followup films is recommended. compared with at 5:48 a.m. and allowing for technical differences, there has been possible minimal improvement at the left base and slight interval decrease in the degree of upper zone redistribution. otherwise, i doubt significant interval change. brief hospital course: mr. was taken to the operating room on by dr. for cervical tracheal resection and reconstruction, flexible bronchoscopy with bronchoalveolar lavage, and sternothyroid muscle flap buttress. he was transferred to the icu intubated on pressors. pressors were weaned off overnight. pod 1 he was started on lasix which continued until , when he was able to extubate. bedside bronchoscopy was done prior to extubation for thick secretions. he transferred to the floor . below is a systems review of his hospital course: pulm: after extubation he continued use of incentive spirometry with nebulizers. he was able to mobilize secretions. he remained afebrile without wbc count on the floor. flexible bronchoscopy was performed in the or on revealing patent airway and intact anastomosis. guard suture was removed. home oxygen 2 liters, he titrated down to 1.5 l with oxygen saturations of 96-97%. cv: he remained in rate controlled atrial fibrillation 70-80's. hemodynamically stable 120-140. gi/nutrition: the patient failed initial swallow evaluation and remained npo. repeat swallow on . he was started on a soft solid, thickened puree diet. small frequent meals. medications, small pills swallowed whole with applesauce, larger pills crushed in applesauce or split in half. home medications were resumed once taking po's. aggressive bowel regime with good results. gu: his was placed after surgery, dc'ed and replaced that day due to urinary retention. flomax was started. his was dc'ed midnight flomax was increased to he voided. renal: renal function within normal limits. home diuretics were continued with good urine output. electrolytes were replete as needed. endo: insulin sliding scale with blood sugars to maintain blood sugars < 150 heme: coumadin 4mg resumed without bridge. inr 1.3 for goal inr 2.0-2.5 for chronic atrial fibrillation. pain: well control with iv dilaudid transition to po oxycodone. brief episodes of anxiety responded well to his home dose of prn lorazepam. disposition: he was followed by physical therapy who recommended rehab. he continued to make steady progress and was discharged to on xxx. he will return for flexible bronchoscopy with dr. and dr. . medications on admission: albuterol sulfate - (prescribed by other provider) - 2.5 mg/0.5 ml solution for nebulization - 1 trach q 2h as needed esomeprazole magnesium - (prescribed by other provider) - 40 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth every 6 hours fluticasone-salmeterol - (prescribed by other provider) - 500 mcg-50 mcg/dose disk with device - 1 inh po once a day furosemide - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth twice a day lorazepam - (prescribed by other provider) - 1 mg tablet - 1 tablet(s) by mouth q 4h as needed spironolactone - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth daily tamsulosin - (prescribed by other provider) - 0.4 mg capsule, ext release 24 hr - 1 capsule(s) by mouth at bedtime tiotropium bromide - (prescribed by other provider) - 18 mcg capsule, w/inhalation device - 1 inh po once a day warfarin - (prescribed by other provider) - 4 mg tablet - 2 tablet(s) by mouth qpm loperamide - (prescribed by other provider) - 2 mg tablet - 1 tablet(s) by mouth q 6h as needed miconazole nitrate - (prescribed by other provider) - dosage uncertain discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : three (3) ml inhalation q6h (every 6 hours) as needed for sob. 3. fluticasone-salmeterol 500-50 mcg/dose disk with device : one (1) disk with device inhalation (2 times a day). 4. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) cap inhalation daily (daily). 5. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler : two (2) puff inhalation q6h (every 6 hours) as needed for wheezing. 6. furosemide 20 mg tablet : two (2) tablet po once a day: daily weight adjust dose accordingly. 7. spironolactone 25 mg tablet : one (1) tablet po daily (daily). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. lorazepam 1 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for anxiety. 10. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation. 11. tamsulosin 0.4 mg capsule, ext release 24 hr : one (1) capsule, ext release 24 hr po twice a day. 12. warfarin 2 mg tablet : two (2) tablet po once daily at 4 pm: dose to maintain inr 2.0-25. for afib. 13. oxycodone 5 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for pain. 14. loperamide 2 mg tablet : one (1) tablet po every six (6) hours as needed for loose stools. 15. acetaminophen 325 mg tablet : 1-2 tablets po every six (6) hours as needed for fever or pain. discharge disposition: extended care facility: - discharge diagnosis: tracheal stenosis s/p tracheal resection and reconstruction copd on o2 2l x 6yr, coronary artery disease s/p cabg x3/avr (tissue) atrial fibrillation s/p multiple dccv on coumadin hypertension rle osteo etoh abuse (sober x 6 mos) psh: back surgery spinal decompression tracheostomy ( - decannulated ), replacement of tracheostomy () discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: call dr. office at if you experience: -fevers greater than 101.5, chills -increased shortness of breath, stridor, chest pain or cough -neck incision develops increased redness or drainage activity: -shower daily. wash incisions with mild soap & water, rinse pat dry -no tub bathing until incision healed followup instructions: follow-up with dr. for flexible bronchoscopy. please report to the clinical center at 9:00 for a 10:30 procedure nothing to eat or drink after midnight for flexible bronchoscopy procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy closed [endoscopic] biopsy of bronchus revision of tracheostomy diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation aortocoronary bypass status other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of anticoagulants heart valve replaced by transplant other diseases of trachea and bronchus other dependence on machines, supplemental oxygen mechanical complication of tracheostomy 

Answer: The patient is high likely exposed to