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: penicillins / adhesive tape attending: chief complaint: tachypnea and mental status changes major surgical or invasive procedure: none history of present illness: 65 yo man with chf, dvt, esrd on hd, metastatic poorly differentiated ca, likely nslca recently discharged after hospitalization for cauda equina syndrome treated with xrt. this afternoon, noted to be very tachycardic and tachypnic en route to after hd, so ems brought pt to ed. . in the ed, he was given 750mg iv levofloxacin for possible lll airspace disease, though progression of metastatic malignancy more likely and ct chest did not show consolidation. past medical history: #. onc hx: pre-renal transplant ct scan chest noted enlarged rml nodule, w/ subcentimeter fdg avid scattered lymph nodes. developed neck pain and found to have c2 pathological fracture, cytology demonstrated poorly differentiated carcinoma. likely non-small cell lung carcinoma, with rml mass and metastasis to the cervical and sacral spine. the only manifestation of his disease currently is cervical neck pain, s/p pathologic fracture and posterior cervical arthrodesis c1-c3 and palliative xrt. #. left common femoral dvt: small non-occlusive, possibly chronic dvt and started on coumadin for a goal inr in #. cad s/p angioplasty d1 and stents to om2/3 in #. esrd secondary to fsgs on hd (mwf) #. hypertension #. lle peroneal nerve palsy gsw to l leg #. thalassemia trait #. h/o substance abuse (heroin/cocaine); reports none since #. chf w/ ef 35% in , ef 25-30% on #. mr - 2+ on in ; now found to be 3+ mr #. pathological c2 fx s/p c1-3 fusion #. parotiditis - (levo/flagyl) #. cdiff - #. hcv - grade 1 inflammation and stage 0 fibrosis on bx social history: he lives with his partner but they are not legally married, has 2 sons. used to work in construction, + smoker 1 ppd for many years quit recently, rare etoh, no drugs. recently has been living in rehab. family history: brother with cad, and kidney disease requiring hemodialysis physical exam: gen: obese, lethargic male heent: at, nc, perrla, eomi, no conjuctival injection, anicteric, op clear, mmm, neck supple, no lad, no carotid bruits cv: rrr, nl s1, s2, no m/r/g pulm: ctab, no w/r/r with good air movement throughout abd: soft, nt, nd, + bs, no hsm ext: warm, dry, +2 distal pulses bl, no femoral bruits neuro: alert & oriented, cn ii-xii grossly intact, 5/5 strength throughout. no sensory deficits to light touch appreciated. no asterixis psych: appropriate affect pertinent results: 09:38pm wbc-22.3* rbc-3.01* hgb-7.6* hct-23.9* mcv-80* mch-25.3* mchc-31.9 rdw-20.4* 09:38pm neuts-95.6* bands-0 lymphs-1.0* monos-2.0 eos-1.3 basos-0 09:38pm hypochrom-2+ anisocyt-1+ poikilocy-2+ macrocyt-normal microcyt-2+ polychrom-occasional ovalocyt-1+ target-1+ teardrop-occasional 09:38pm plt smr-normal plt count-292 09:38pm pt-44.9* ptt-35.3* inr(pt)-5.0* 09:38pm ck-mb-notdone ctropnt-0.45* 09:38pm ck(cpk)-28* 09:38pm glucose-80 urea n-33* creat-1.8*# sodium-140 potassium-4.1 chloride-98 total co2-31 anion gap-15 cxr: multifocal bilateral parenchymal opacities are similar in appearance to previous studies, although there is slightly increased opacity seen at the left base. most likely, these represent the patient's known bilateral metastatic disease, though it is difficult to exclude an underlying pneumonia at the left base. there is no significant pleural effusion. there is no pneumothorax. left basilar atelectasis is slightly improved. cta chest: impression: 1. no pulmonary embolism. no aortic dissection. 2. unchanged appearance of innumerable bilateral spiculated pulmonary nodules, most consistent with metastatic disease. 3. unchanged appearance of low-attenuation foci within the liver, which may represent metastatic disease. 4. unchanged appearance of multiple osseous metastatic lesions. ct head: impression: no enhancing mass lesions. stable head ct examination relative to with no acute intracranial process. brief hospital course: a/p: 65 yo m with metastatic poorly differentiated ca which likely nslca, chf, dvt, esrd on hd, recent cauda equina syndrome treated with xrt and dexamethasone discharged returned with hypotension, mental status change. no specific etiology was identified for his deterioration, which was likely multifactorial due to his widely metastatic cancer and multiple medical co-morbitities. the patient, in his more lucid moments, was clear that he did not want to return to rehab and would prefer to go home with hospice care; however, owing to a complex social situation at home and his family's different opinions of whether they would be able to keep him comfortable at home, this was not considered feasible. while ongoing discussions with his partner, his two sons, and various members of his extended family about possible disposition plans that would allow him to leave the hospital without returning to an extended care facility were underway, the patient continued to worsen in terms of mental status and respiratory status. his multifactorial hypotension precluded intermittent hd, so this was discontinued. his respitory status particularly worsened, with several likely aspiration events and additionally several episodic oxygen desaturations unrelated to obvious aspiration. since he had indicated his wish for hospice care, and the palliative care team was following, he was not intubated for this respiratory distress. his family was called and advised to come to his bedside. he expired on . medications on admission: clopidogrel 75 mg po daily simvastatin 20 mg po daily gabapentin 300 mg po qhd b complex-vitamin c-folic acid 1 mg po daily sevelamer hcl 1600 mg po tid w/meals (3 times a day with meals). acetaminophen 500 mg po q6h 7docusate sodium 100 mg po bid lisinopril 10 mg po daily fentanyl 50 mcg/hr patch 72 hr transdermal q72h polyethylene glycol 3350 17 gram (100 %) po once a day. aspirin 162 mg po daily metoprolol succinate 12.5 mg po daily omeprazole 20 mg po once a day. fentanyl citrate (pf) 50 mcg/ml solution sig: twenty five (25) mcg injection q2 hours as needed for pain. dexamethasone 0.5 mg tablet sig: taper as follows po every six (6) hours: 2mg po q6hr for 3 days, then 1mg po q6hr for 3 days, then 0.5mg po q6hr for 3 days, and then discontinue. discharge medications: n/a discharge disposition: home with service facility: hospice of and greater area discharge diagnosis: poorly differentiated metastatic cancer end-stage renal disease coronary artery disease discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: hemodialysis transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease alkalosis other emphysema chronic systolic heart failure long-term (current) use of anticoagulants personal history of venous thrombosis and embolism chest pain, unspecified tachycardia, unspecified secondary malignant neoplasm of bone and bone marrow malignant neoplasm of middle lobe, bronchus or lung tachypnea 

Answer: The patient is high likely exposed to