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: this is a 76-year-old man brought into emergency department after an unwitnessed syncopal episode. the patient recalled going for a walk in the afternoon and then no memory of events until he was brought to the emergency room on . he was reportedly found down by bystanders on the sidewalk "confused". ems was called and they found the patient alert with stable vital signs, unremarkable exam and no complaints. in the emergency department, exam was remarkable only for systolic murmur which was old. electrocardiograms were unchanged from prior. a head ct with and without contrast, however, revealed a large left frontal parietal mass presumed to be metastases given his history of small cell lung cancer. he was given then dilantin 300 mg p.o. and solu-medrol 85 mg intravenous. he initially presented with the right lower lobe lung nodule in and a cough with weight loss. in addition, he had postobstructive pneumonia. a bronchoscopic biopsy revealed small cell lung cancer. bone scan and head ct in were negative. he was billed as a limited stage and underwent four cycles of carboplatin and etoposide between and , resulting in resolution by radiologic studies at least of his mass. subsequent surveillance chest x-rays every three months have all been negative. the last one was on . past medical history: 1. type 2 diabetes x30 years 2. hypertension x10 years 3. status post stroke 10 years ago with loss of his left peripheral vision 4. left upper extremity weakness 5. dysphagia 6. benign prostatic hypertrophy 7. hypercholesterolemia 8. peripheral vascular disease 9. hypertension 10. penile prosthesis 11. small cell lung cancer as described above allergies: the patient has no known drug allergies. medications from old discharge summary: 1. lasix 20 mg b.i.d. 2. toprol xl 50 q.d. 3. aspirin 325 q.i.d. 4. ramipril 5 mg b.i.d. 5. pravachol 20 q.d. 6. flomax 0.4 7. insulin 70/30 10 units in the a.m., 12 units q p.m., now 15 units q p.m. as per patient review of systems: no chest pain, no palpitations, no bowel or bladder incontinence, no nausea, vomiting or shortness of breath. no acute bloody stools. s social history: married. he is a retired accountant. he smokes three packs a day for 35 years and he does drink. family history: significant for diabetes. exam on admission: vital signs: temperature 97.6??????, pulse 70, pressure 100/58, respirations 17, 97% on room air. general: he is a pleasant man in no acute distress. head, ears, eyes, nose and throat: normocephalic, atraumatic. mucous membranes moist, anicteric. no evidence of tongue laceration. neck: supple, no lymphadenopathy, no carotid bruits. cardiovascular: regular rate and rhythm, 2/6 systolic murmur in the left upper sternal border. chest: clear bilaterally. abdomen: soft, nontender, nondistended, positive bowel sounds, no palpable hepatosplenomegaly. he was guaiac negative. extremities: no cyanosis, clubbing or edema. neurologic: alert and oriented to person, place, but not time. he said it was . motor extensors, left upper extremity wrist , otherwise. light touch was grossly intact. cranial nerves ii through xii grossly intact with a left homonymous hemianopsia which is old. finger to nose, heel to shin slow but intact. no pronator drift. deep tendon reflexes were symmetric and toes were downgoing bilaterally. laboratories and imaging: white count 4.5, hematocrit 37, platelet count 133. his chem-7 was significant for a creatinine of 1.7. his baseline is between 1.2 and 1.6. electrocardiogram was not changed from prior and a head ct on admission showed a 4.1 x 3.7 cm enhancing mass in the left frontal lobe extending to the frontal of the left ventricle with effacement of sulci on the right consistent with metastatic disease, new since the exam. in addition, a chronic right occipital infarct which is unchanged. hospital course: the patient was admitted to the o-med service. he was ruled out by cks, continued on aspirin and beta blockers. in addition, he was started on intravenous steroids and put on seizure precautions, as well as given dilantin. the patient, in addition, his p.o. intake was encouraged and his creatinine returned to baseline. in conjunction with his oncologist, neurosurgery was consulted in addition radiation oncology was consulted, as well. the patient underwent work up to determine extent of his metastatic disease, including an mri of his head which was again consistent with metastatic disease as well as a ct of his lung, abdomen and pelvis, which showed no metastatic disease in the abdomen or pelvis. no liver lesions, adrenal lesions, however his lung mass appeared to have increased in size. in conjunction with oncology, radiation oncology and neurosurgery, it was decided that the patient would go for resection of the brain metastasis. he was transferred to the neurosurgical service on and underwent craniotomy on with resection of the left frontal brain lesion. surgery proceeded without any complications. a surgical drain was put in which was left there and the drain was pulled . the patient continued to do well and transferred from the intensive care unit to the floor where he remained stable neurologically. at that time, the patient remained alert and awake, arousable, oriented to person with good strength in all extremities, no pronator drift, looking in all directions. on the floor, had some problems with pressure control. his toprol was changed to lopressor 75 t.i.d., did well with that. he was seen by physical therapy and the plan was to discharge this patient with inpatient rehabilitation. discharge diagnoses: 1. brain metastases of small cell lung cancer 2. status post resection mass discharge medications: 1. decadron 0.5 mg po q8h x1 day 2. lopressor 75 mg po t.i.d. 4. insulin 70/30 15 units subcutaneous q a.m. 5. boost shakes b.i.d. 6. regular insulin sliding scale 7. dilantin 100 mg po t.i.d. 8. zantac 150 mg po b.i.d. 9. lasix 20 mg po b.i.d. 10. ramipril 5 mg po b.i.d. discharge condition: stable discharge status: discharge to rehabilitation follow up in brain clinic , m.d. dictated by: medquist36 procedure: pulmonary artery wedge monitoring lobotomy and tractotomy extracapsular extraction of lens by linear extraction technique diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled secondary malignant neoplasm of brain and spinal cord malignant neoplasm of bronchus and lung, unspecified unspecified disorder of kidney and ureter syncope and collapse 

Answer: The patient is high likely exposed to