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: the patient is a 78 year old gentleman with a past medical history of syringomyelia with residual left hemi-diaphragmatic paralysis and chronic obstructive pulmonary disease on home oxygen. he presents from an outside hospital after two days of worsening shortness of breath. by report, the patient had stopped his lasix two weeks prior to admission to the outside hospital and had begun home oxygen around the clock instead of at night only. on admission to the outside hospital, he was found to have a collapse of the left lung, initially thought secondary to mucus plugging, since he did improve with suctioning at that time. on , the patient was diagnosed with a right lower lobe pneumonia at the outside hospital and started empirically on vancomycin and zosyn. the patient was transferred to the intensive care unit there for respiratory failure on and intubated at that time. bronchoscopy was performed on which found a mass in the left medial basilar lobe, with intrinsic compression of other bronchi. biopsy done on that lesion came back as collagen, with a question of possible chondroma or bronchial cartilage. the patient was transferred to our hospital for a possible endobronchial intervention by dr. . on receiving the patient from the outside hospital, he was alert and responsive to voice. he was in restraints but denied any pain or discomfort. he was resting comfortably on the vent. past medical history: other past medical history of peptic ulcer disease, complicated by gastrointestinal bleeds. he has no known drug allergies. medications on transfer: zosyn 3.375 grams q. 8 hours, day 15. prevacid 30 mg p.o. q. day. theophylline 50 mg p.o. four times a day. albuterol. reglan. celexa 20 mg p.o. q. day. timolol eye drops. xalatan eye drops. dulcolax. milk of magnesia prn. social history: lives at home with his wife. physical examination: on admission, the patient was afebrile; blood pressure 101/65; heart rate of 65; respirations of 20; saturating 93% on the vent. in general, he was alert and appeared comfortable. he had dry oral membranes. his neck was supple. cardiovascular examination noted a normal s1 and s2, with no murmurs. his lungs were clear on the right. he had decreased breath sounds at the left base. abdomen had positive bowel sounds, was soft and nontender. extremities: warm and without edema. left upper extremity was somewhat atrophic with 1/5 strength. laboratory data: white count was 9.9; hematocrit was 29.8; platelets were 392. sodium was 139; potassium was 4.1; chloride 100; bicarbonate was 35; bun was 9; creatinine .6; glucose 115. liver function tests were all within normal limits. calcium, magnesium and phosphorus were all normal. chest x-ray showed complete white-out of the left lung. electrocardiogram showed sinus rhythm with frequent premature atrial contractions. rate was 65. he had a left axis deviation and early r wave progression but no acute st or t wave changes. hospital course: 78 year old gentleman with left hemi-diaphragmatic paralysis secondary to syringomyelia and chronic obstructive pulmonary disease, transferred from an outside hospital for further work-up and management of possible endobronchial lesion and left lung collapse. on hospital day number three, a rigid bronchoscopy was performed in the operating room which showed a distal lesion with granulation; question of a possible foreign body. an attempt at biopsy was aborted secondary to heavy bleeding. a rigid bronchoscopy was repeated on hospital day number five and a successful biopsy of the lesion was obtained and sent to pathology for further review. in terms of the patient's questionable pneumonia status, the patient had received 15 days of zosyn at the outside hospital and it was felt that the patient did not currently have a pneumonia; thus, the zosyn was discontinued on admission to our hospital. in terms of his chronic obstructive pulmonary disease, the patient was on a vent and got nebs and inhalers as needed. in terms of his hematologic status, the patient received two units of packed red blood cells on hospital day number six, after he had dropped his hematocrit. this was after the second bronchoscopy and he dropped his hematocrit to 20. his hematocrit following the two units increased to 35. he remained stable. in terms of his cardiovascular status, he had no known heart dysfunction and that remained stable. discharge condition: the patient had a tracheostomy performed on hospital day number six, along with a second rigid bronchoscopy. the patient was weaned off the ventilator for approximately two hours on hospital day number seven. he tolerated that well. the patient was placed back onto the ventilator, secondary to some desaturations into the high 80's, however, his respiratory rate remained at around 20. discharge status: back to hospital. discharge diagnoses: left endobronchial lesion, not otherwise specified. left upper lobe collapse. chronic obstructive pulmonary disease. anemia. discharge medications: acetaminophen 650 mg p.o. q. four to six hours as needed. albuterol neb, one neb q. six hours as needed. albuterol inhaler, two to four puffs every six hours as needed. celexa 20 mg p.o. q. day. docusate 100 mg p.o. twice a day. ipratropium bromide four puffs inhaled four times a day as needed. lantonoprost eye drops. lansoprazole oral solution, 30 mg p.o. q. day. lorazepam .5 to 2 mg p.o. every six hours prn. oxycodone 5 mg p.o. q. six hours prn. senna one tablet p.o. twice a day prn. theophylline 100 mg p.o. q. 8 hours. heparin 5000 units subcutaneous q. 8 hours. timolol eye drops. ipratropium bromide nebs, one neb q. six hours. follow-up plans: the patient should follow-up with his primary care physician following his discharge from hospital. , m.d. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified pulmonary collapse acute respiratory failure postinflammatory pulmonary fibrosis hemiplegia, unspecified, affecting unspecified side peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction syringomyelia and syringobulbia 

Answer: The patient is high likely exposed to