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: mr. is a 41-year-old male transferred from with hemoptysis in the setting of large cell lung cancer invading into his airway. at , the patient had presented on the with sudden shortness of breath and hemoptysis. he just had radiation treatment that day. he had decreasing o2 saturations and chest x-ray showing right upper lobe cavitary lesion with surrounding opacification. the patient was intubated. at the intensive care unit, the patient ran temperatures up to 101 and white count up to 23. he was treated with levofloxacin and flagyl for postobstructive pneumonia. the patient also had a hematocrit drop from 32 to 23 and was transfused packed red blood cells and fluid resuscitated. bronchoscopy at showed the right main stem mass extending into the trachea with large clot distally. he was transferred to for repeat bronchoscopy and stent placements. past medical history: 1. ppd positive from , however, he has had negative acid-fast smears presumably secondary to a vaccination in europe. 2. large cell lung cancer presented in with hemoptysis. 3. xrt and chemotherapy. 4. the patient has metastasis to the left humerus based on previous bone scan. medications on admission: 1. versed drip. 2. morphine prn. 3. fentanyl drip. 4. levofloxacin. 5. flagyl. 6. zantac. 7. albuterol and atrovent nebulizers. allergies: no known drug allergies. social history: the patient is not married. lives with his brother and kids, although recently is living on his own. he is a smoker since the . family history: he came to the us from poland in . admission physical examination: temperature 98.8, blood pressure 112/66, heart rate 101, respiratory rate 25, pulse oximetry is 100%. the patient was sedated in no apparent distress. the pupils are constricted and reactive bilaterally. bilateral breath sounds anteriorly with rhonchi invented sounds. cardiac regular, rate, and rhythm, tachycardic, no murmur. abdomen is positive bowel sounds, soft, nontender, nondistended. he is guaiac negative per emergency department. extremities: the patient was moving all extremities and no edema. multiple dark brown 1 cm round lesions were noted on his anterior legs and right shoulder. neurologic examination is nonfocal. laboratories on admission: sodium of 138, potassium 4.1, chloride 105, bicarb 21, bun 10, creatinine 0.5, and glucose 96. white count was 12.1, hematocrit 25.8, platelet count of 394. coags were normal. electrocardiogram: the patient was in sinus rhythm with a tachycardia, no acute st changes. the patient was maintained in the micu on the ventilator with fentanyl and versed sedation. he was stable status post transfer. the patient then underwent high resolution lung ct scan and airway tracheal ct scan prior to interventional pulmonology procedure. on monday, the , the patient was taken to the operating room by the interventional pulmonary team, his larynx was examined to be within normal limits. tumor tissue was visualized in the distal trachea on the right lateral wall with narrowing of the lumen to about 50%. no endobronchial lesions in the left lung airway were noted. there was extensive tumor tissue in the right lung airways with narrowing of the lumen to 20-30%. a cavitary lumen opens into the right mainstem bronchus. a dynamic y-stent mm in size was placed in the distal trachea during the procedure of less than 50 ml of blood were lost. the patient tolerated the procedure without complications. the evening following the procedure, the patient was extubated without any difficulty. the patient had no complications overnight and on tuesday, , the patient was stable. his family was present and talking with the patient. he did complain of some anxiety and was given some ativan. the patient is to be transferred back to for definitive home care and further oncological treatments. condition on discharge: stable. discharge status: to . discharge diagnosis: nonsmall cell lung cancer invading into airway. discharge medications: 1. flagyl. 2. levofloxacin. 3. famotidine. 4. tylenol prn. 5. ativan prn. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other bronchoscopy other intubation of respiratory tract diagnoses: acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung secondary malignant neoplasm of bone and bone marrow bronchopneumonia, organism unspecified secondary malignant neoplasm of other respiratory organs 

Answer: The patient is high likely exposed to