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: right lower lobe lung nodule major surgical or invasive procedure: operations: 1. right video-assisted thoracic surgery (vats) converted to right thoracotomy, superior segmentectomy of right lower lobe. 2. mediastinal lymph node dissection. history of present illness: mr. is an 84 year old gentleman who was admitted into the hospital for surgical management of a right lower lobe mass. he had a chest ct scan on that showed a 24 x 28 mm noncalcified nodule in the superior segment of right lower lobe. he denied any shortness of breath prior to admission. he did admit to intermittent productive cough prior to admission, but no persistent hemoptysis. he was admitted following a right video assisted thoracostomy superior segmentectomy. past medical history: copd (last pfts fev1/fvc 98%, fev1 55) coronary artery disease chf (last echo showed preserved ef >55%, diastolic dysfunction) bph osteoarthritis bilateral hips s/p right total hip replacement hypercholesterolemia atopic dermatitis cervical spondylosis s/p tonsillectomy social history: lives with his wife, retired plumbing/heating tob: smoked x60yrs, quit etoh: "very little" illicits: denies family history: mother d. 56yrs mi, father d. 71 mi, brothers with mi in 70s physical exam: discharge vital signs: t: 99.1 hr 68-70 bp: 110-116/58 20 93% on 3l of nasal cannula wt: 104 kg discharge physical exam: gen: 84 year-old in no apparent distress heent: normocephalic, mucus membranes moist cv: rrr normal s1, s2 ii-iii/vi sem resp: decreased breath sounds with faint crackles right 1/3 up, left no crackles abd: obese, bowel sounds positive, abdomen soft non-tender extr: warm tr edema incision: right thoracotomy site with hematoma, no erythema, no discharge neuro: awake, alert oriented. moves all extremities pertinent results: imaging: : the pre-existing opacity at the right lung base is smaller than on the previous examination. areas of right basal atelectasis have clearly decreased in size. overall, the right lung appears much better ventilated than before. unchanged size of the cardiac silhouette. mild decrease in extent of pre-existing left lower lobe atelectasis. no newly appeared parenchymal opacities. no pulmonary edema. no pneumothorax. chest x-ray impression: two views. comparison with the previous study done on . bibasilar consolidation, more pronounced on the right and right pleural fluid and/or thickening persists. a very small right apical pneumothorax is redemonstrated. there is streaky density at the bases consistent with subsegmental atelectasis as before. the heart and mediastinal structures are unchanged. the bony thorax is grossly intact. chest x-ray impression: there is interval increase in right pleural effusion. there is small amount of right apical pneumothorax better appreciated on the current view and seen at the apex and along the mediastinum. the loculation of the air in the basal pleura is also seen. mediastinum is at the central position. left lung is essentially clear except for minimal basal atelectasis. calcifications surrounding the right humeral head most likely located within the joint are redemonstrated and most likely consistent with synovial osteochondromatosis. ct chest scan impression: 1. no evidence of pulmonary embolism. 2. loculated right hydropneumothorax status post right lower lobe superior segmentectomy. 3. 2.9 cm low-density collection with multiple foci of air noted within the subcarinal space. given its location, these findings likely represent the sequelae of mediastinal lymph node biopsy. however, differential diagnosis includes abscess. if the patient is stable, a followup chest ct in three months is recommended for further evaluation. if the patient is not stable, a repeat study may be obtained in one week for further assessment. 4. bibasilar consolidations with marked secretions within the right bronchus intermedius and basal segmental bronchi. findings are concerning for aspiration and atelectasis. however, superimposed infection cannot be excluded. 5. mild enlargement of the mediastinal and right hilar lymph nodes, possibly reactive in nature. 5. enlargement of the main pulmonary artery, consistent with pulmonary artery hypertension. echo : the left atrium is mildly dilated. the right atrium is moderately dilated. there is symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. labs: wbc-6.8 rbc-3.85* hgb-10.8* hct-33.8 plt ct-279 wbc-13.9* rbc-4.27* hgb-11.9* hct-37.2 plt ct-165 wbc-9.8# rbc-4.57* hgb-13.2* hct-39.1* plt ct-164 glucose-115* urean-23* creat-0.8 na-136 k-5.0 cl-98 hco3-30 glucose-149* urean-18 creat-0.7 na-136 k-4.0 cl-101 hco3-30 ck(cpk)-291 ck-mb-4 ctropnt-0.03* calcium-8.8 phos-3.4 mg-2.2 brief hospital course: mr. was taken to the operating room by dr. on where he underwent vats converted to open right thoracotomy rll superior segmentectomy for a right lower lung fdg avid lung nodule. the patient was kept intubated overnight in the icu. pod 1 he was extubated. an epidural was placed by acute pain service which was discontinued pod 2. the following is a systems review of the hospital course: neuro: the patient remained neurologically intact throughout his stay. he was sedated initially on propofol while intubated, then received paravertebral block with bupivacaine, along with iv dilaudid. this was dc'd pod 1, and the patients pain was controlled well with ibuprofen, tylenol and oxycodone. pulmonary: aggressive pulmonary toilet was encouraged. the chest tube was on wall suction, then to water seal pod 2, then dc'd pod 3. his oxygen requirements increased. a cta was done on to rule out pe given rapid fib and need for oxygen. this was negative for pe, but revealed a pneumonia process. aggressive pulmonary toilet, mucolytic nebs and incentive spirometer were continued. oxygen saturations were 77-83% on room air, with ambulation, 93-95% on liters via nasal cannula. cv: the patient remained hemodynamically stable until the eve of pod 2, at which time he went into rapid fib which was not converted after lopressor 5mg iv x 2 and diltiazem 10mg iv push and 10mg/hr gtt. cardiology consulted am, and recommended amiodarone, and echo (see report). amiodarone 150mg iv bolus and gtt started, and the pt cardioverted around 1500 to nsr. he was converted to po amiodarone 200 mg daily. on while ambulating he had another episode of afib 140's which converted to sr with iv lopressor and po lopressor was started. he was seen by cardiology again who recommended increasing his amiodarone to 400 mg daily and stopping toprol and home with an event monitor. dishcarge heart rhythm sinus 60-70. blood pressure stable 100-120. abd: diet advanced and tolerated. stool softeners given. gu: foley was placed intra op and dc'd after paravertebral block dc'd on pod 2. he voided small frequent amounts. a bladder scan revealed 800 residual therefore a a foley was placed. his home bph medications were restarted the foley was removed 24 hours later and he voided large amount without difficulty. pod 3 he was gently diuresed. his renal function remain within normal limits. heme: warfarin was started 5 mg for atrial fibrillation inr goal 2.0-3.0 then 2 mg daily since on amiodarone and levofloxacin. pt/inr on friday with vna and call or fax results to his pcp . . endocrine: fingerstick blood sugars remained less than 200. id: vancomycin and zosyn started empirically for a pneumonia seen on ct. sputum cultures were unable to be obtained during his hospitalization and he was switched to levaquin to empirically treat his pneumonia. prophylaxis: heparin sq and scd's placed for vte prophylaxis. dispo: the patient was evaluated by pt who recommended home with services for pulmonary rehab. he continue to make steady progress and was discharge to home on with his family, vna, home oxygen and pt. he will follow-up with dr. , dr. and his pcp . as an outpatient. medications on admission: lipitor 10 mg a day, finasteride 5 mg daily, advair 500/50 , lasix 20 mg daily, terazosin 5 mg daily, and spiriva daily. discharge medications: 1. levaquin 750 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 2. amiodarone 200 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*1* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 2 weeks. disp:*28 capsule(s)* refills:*0* 4. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours). 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 7. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. multivitamin tablet sig: one (1) tablet po daily (daily). 9. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 10. terazosin 5 mg capsule sig: one (1) capsule po once a day. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation for 2 weeks. disp:*24 tablet(s)* refills:*0* 12. lasix 20 mg tablet sig: one (1) tablet po once a day. 13. oxycodone 5 mg tablet sig: .5 - 1 tablet po q4h (every 4 hours) as needed for pain for 40 doses. disp:*40 tablet(s)* refills:*0* 14. home o2 supplementation please dispense home oxygen supplement and supplies. 15. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 16. warfarin 1 mg tablet sig: two (2) tablet po once a day: take as directed to maintain inr 2.0-3.0. disp:*100 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: right lower lobe lung nodule aortic stenosis- moderate to severe on echo hyperlipidemia hypertension bph discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough or chest pain -incision develops drainage (soft hematoma at incision site stable) -steri-strips remove in 10 days or sooner should they come off -shower daily. wash incision with mild soap and water, rinse, pat dry -chest tube site with bandaid. should site drain cover with a clean dressing and change as needed -no tub bathing or swimming for 6 weeks daily weights: (wt: 229 lbs)keep a log. call your dr. with 3-4 pounds weight gain take amiodarone daily. follow-up with your cardiologist dr. regarding these medications. call dr. should you have any questions regarding your heart rate or rhythm. warfarin for atrial fibrillation. inr goal 2.0-3.0 take 2 mg nightly followup instructions: followup with , md phone: date/time: 10:00 on clinical center chest x-ray 30 minutes prior to your appointment on the radiology department 2. please follow up with your cardiologist, , md. at 10:00 . 3. please follow up with your primary care physician, . , in week after discharge. procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision other and unspecified segmental resection of lung diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders personal history of tobacco use atrial flutter hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction long-term (current) use of anticoagulants retention of urine, unspecified family history of ischemic heart disease malignant neoplasm of lower lobe, bronchus or lung thoracoscopic surgical procedure converted to open procedure chronic diastolic heart failure hip joint replacement cervical spondylosis without myelopathy other atopic dermatitis and related conditions 

Answer: The patient is high likely exposed to