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: pulmonary secretions, dyspnea major surgical or invasive procedure: bronchoscopy x3 with stent revision. upper endoscopy. history of present illness: 62 year old male with stage iv nsclc c/b tracheoesophageal fistula with y stent and esophageal stent placement in transferred from osh with hypoxia and pneumonia. patient is followed by oncology at and is receiving /taxol chemotherapy, most recently one week prior to admission. on , patient tried to eat a grilled cheese and was unable to swallow; reports choking sensation. he has had dysphagia since then, but denies odynophagia. patient states that he has had to crush pills prior to swallowing. on , patient became more short of breath with increased secretions and went to where he was admitted to the icu and treated for aspiration and nosocomial pneumonia with vanc/ceftazadime/clindamycin. . on , patient was transferred to as he had y stent and esophageal stents placed here. past medical history: metastatic lung cancer (t9 met) tracheoesophageal fistula s/p y stent and esophageal stent with stent revision hypertension small/stable pericardial effusion social history: lives with wife. former tobacco ppd x 25 yrs, quit 12 years ago and quit etoh. family history: there is no family history of breast, ovarian, uterine, or lung cancer. his father died at age 65 and had cancer. he also believes a paternal grandfather had cancer. his mother aged 78 died of emphysema. he has no siblings. physical exam: t 98.4f hr 113 bp 127/71 rr 20 98%/4l n.c. gen: awake, alert, sitting upright in bed, nad heent: perrl, eomi, anicteric, op clear, mmm, cheeks flushed cv: s1, s2, rrr pulm: crackles left base abd: (+) bs, soft, nd/nt, no rebound or guarding ext: warm, well-perfused, no edema pertinent results: 10:06pm glucose-86 urea n-14 creat-0.5 sodium-134 potassium-3.4 chloride-99 total co2-21* anion gap-17 10:06pm calcium-8.9 phosphate-2.9 magnesium-1.0* 10:00pm wbc-9.4 rbc-2.49*# hgb-7.9* hct-22.5*# mcv-90 mch-31.7# mchc-35.1* rdw-18.1* 10:00pm neuts-91.8* bands-0 lymphs-4.5* monos-3.0 eos-0.4 basos-0.3 10:00pm plt smr-low plt count-91*# 10:00pm pt-13.3* ptt-25.7 inr(pt)-1.2* . chest (portable ap) impression: increased consolidation of the left base and patchy right lower lobe opacities, which may be due to aspiration or developing pneumonia. . egd the previously placed ultraflex stent was completely patent. there was no evidence of any tumour ingrowth. . echo conclusions: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 60%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. there is an anterior space which most likely represents a fat pad. there are no echocardiographic signs of tamponade. no right atrial or right ventricular diastolic collapse is seen. a calcified spherical mass (2.6 by 2.6 cm) is present in the para-aortic region abutting the posterior wall of the left atrium. . video oropharyngeal swallow findings: an oral and pharyngeal swallowing video fluoroscopy study was performed in collaboration with the speech and swallow department. varying consistencies of barium were administered under constant fluoroscopic video guidance. patient demonstrated aspiration with continuous straw sips of thin liquids. otherwise, no evidence of aspiration was identified with other consistencies of barium.. . chest (portable ap) impression: interval increased consolidation of the left base with persistent right lower lobe patchy opacities. . chest (pa & lat) impression: pa and lateral chest compared to and : pneumonia in the right lower lobe has worsened since . severe left lower lobe atelectasis and a small left pleural effusion are unchanged. esophageal and left bronchial stents are stable in position relative to . heart is normal size. no pneumothorax. elevation of the left hemidiaphragm is mild with respect to the right and less pronounced since . . 9:29 am bronchoalveolar lavage lt. lower lobe. staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s penicillin------------ =>0.5 r . 9:28 am bronchial washings lms bronchus. klebsiella pneumoniae | ampicillin/sulbactam-- 4 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 2 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s imipenem-------------- <=1 s levofloxacin----------<=0.25 s meropenem-------------<=0.25 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s . labwork on discharge: 09:50am blood wbc-3.4* rbc-2.94* hgb-9.3* hct-26.8* mcv-91 mch-31.5 mchc-34.6 rdw-17.3* plt ct-140* 05:10am blood glucose-111* urean-8 creat-0.8 na-136 k-4.0 cl-101 hco3-25 angap-14 brief hospital course: a/p: 62 yom with stage iv nsclc complicated by tracheoesophageal fistula s/p stents transferred from osh with likely aspiration pneumonia and dysphagia. transferred from micu . . 1. pneumonia. the patient was empirically treated with vancomycin and zosyn for aspiration and hospital-acquired pneumonia. the patient was discharged on levofloxacin per interventional pulmonology recommendations to complete a 14-day course when sensitivities returned on the bronchoalveolar cultures as above. the patient was given supplemental oxygen and continued on nebulizers, guaifenesin and tessalon perles as needed. interventional pulmonology followed the patient throughout hospitalization. . 2. dysphagia. upper endoscopy showed patent stent as above. the patient was followed by gastroenterology and speech and swallow during hospitalization. video swallow performed with results as above. the patient was instructed not to use straws. . 3. lung cancer. staging/treatment, tracheoesophageal fistula as above. the patient was followed by his oncologist during hospitalization. interventional pulmonology followed the patient throughout hospitalization. the patient received three bronchoscopies with successful stent placement. the patient was continued on pain control as needed. the patient was scheduled for follow-up with oncology on discharge. the patient will return in weeks for repeat bronchoscopy to assess stent position. . 4. shortness of breath. improved on discharge. likely multifactorial secondary to lung cancer, pneumonia, and anemia. treatment as above. . 5. anemia. likely secondary to chemotherapeutic agents and anemia of chronic disease. the patient was continued on epogen. iron studies were not able to be performed prior to blood transfusion. hemolysis and dic panels were negative. the patient was transfused one unit packed red blood cells prior to transfer from the osh and was transfused one unit during this hospitalization two days prior to discharge. the patient's hematocrit bumped appropriately and remained stable. . 6. thrombocytopenia. most likely secondary to chemotherapeutic agents. stable. the patient was followed by his oncologist during hospitalization. . 7. pericardial effusion per osh echo. hemodynamically stable. likely secondary to cancer and chemotherapeutic agents. small/stable per echocardiogram prior to discharge as above. . full code confirmed with patient while in intensive care. medications on admission: percocet discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*qs one* refills:*2* 2. codeine-guaifenesin 10-100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. disp:*qs ml(s)* refills:*0* 3. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for cough. disp:*30 capsule(s)* refills:*0* 4. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 5. oxycodone 5 mg/5 ml solution sig: 5-10 mg po q4-6h (every 4 to 6 hours) as needed. 6. fentanyl 100 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 7. ipratropium bromide 17 mcg/actuation aerosol sig: 1-2 puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*qs one* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: primary: aspiration pneumonia . secondary: metastatic lung cancer (t9 met) tracheoesophageal fistula s/p y stent and esophageal stent with stent revision hypertension small/stable pericardial effusion discharge condition: afebrile, vital signs stable. discharge instructions: please contact a physician if you experience increased shortness of breath, chest pain, or any other concerning symptoms. . please take your medications as prescribed. you should take levofloxacin, an antibiotic, for ten days. you have been given prescriptions for albuterol and ipratropium inhalers and cough suppressents as needed. . please keep your follow-up appointments as below. followup instructions: follow-up with oncology: provider: ,hem/onc hematology/oncology-cc9 phone: date/time: 1:00 provider: , md phone: date/time: 1:00 . follow-up with your primary care doctor, dr. , on at 11:20am. please call if you need to reschedule. . you should call interventional pulmonology at about returning in weeks for repeat bronchoscopy to reevaluate stent placement. md procedure: other endoscopy of small intestine other intubation of respiratory tract other intubation of respiratory tract closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: unspecified essential hypertension unspecified disease of pericardium acute and chronic respiratory failure pneumonitis due to inhalation of food or vomitus antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use malignant neoplasm of other parts of bronchus or lung secondary malignant neoplasm of bone and bone marrow anemia in neoplastic disease tracheoesophageal fistula 

Answer: The patient is high likely exposed to