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: hemoptysis major surgical or invasive procedure: bronchoscopy interventional radiology embolization history of present illness: 63yo m tob smoker with no significant pmhx (because he never goes to the doctor) was in his usual state of health until this pm when he had an episode of hemoptysis. the hemoptysis was described as approximately a tea spoonful of bright red blood which was coughed up through mouth and nose. the pt subsequently had 10 episodes of hemoptysis within 30 min. the pt was subsequently taken to via ambulance where he continued to have hemoptysis all day. the pt denies any previous episodes of hemoptysis or nose bleeds. the pt denies any trauma. the pt also denies any past jail time or ivdu. the only significant travel outside the us is to the carribean. the pt reports he has never been homeless in the past. the pt denies any cp, palpitations, sob, cough, sputum production, night sweats, trauma. the pt believes he weights 127lbs and denies any recent weight loss. the pt reports good appetite and energy levels. he is unable to give any conclusive thoughts re: fatigue or exercise tolerance. past medical history: club foot as child social history: the pt lives with his wife in and does not have any children. the pt denies any exposure to toxins, heavy metals, leads, asbestos. the pt was previously a postal worker where he handled mail. he is currently retired. 1. tob: 1ppd x 44years 2. etoh: denies 3. illicit drug use: denies lives with mentally retarted wife, he cares for her, in federal housing. family history: 1. father: recently deceased from lung ca (+ remote tob) 2. mother: a+w 3. brother: muscular dystrophy? currently wheel chair bound. physical exam: vs: 97.5, 98, 130/80, 14, 97% ra gen: cachectic appearing elderly male in nad. conversing fluently in full sentences. heent: perrl, eomi, + temporal wasting, op clear, mmm neck: supple lymph node: no posterior auricular, posterior cervical, anterior cervical, supraclavicular, or axiallary lymph nodes appreciated on palpation chest: . bs with diffuse rhonchi, pectus excavitum with flat, erythematous rash over midline chest cv: rrr, s1, s2, no m/r/g abd: soft, nt, nd, bs+, no rebound, guarding back: no cva tenderness ext: wwp, no c/c/e pertinent results: 09:05pm pt-12.1 ptt-25.1 inr(pt)-1.0 09:05pm wbc-7.8 rbc-5.06 hgb-15.2 hct-44.0 mcv-87 mch-30.1 mchc-34.6 rdw-14.1 plt count-265 09:05pm neuts-75.3* lymphs-19.5 monos-2.9 eos-1.8 basos-0.5 . cxr: no acute cardiopulmonary abnormalities identified. . chest ct at : emphysema, rml peripheral opacities, lll cavitary lesion . high-res ct: brief hospital course: 63m with history of tobacco abuse admitted for hemoptysis, now post ir embolization and extubation. . #hemoptysis: patient underwent bronchoscopy that showed active bleeding in the right upper lobe. he was intubated and taken to ir where an embolectomy stopped the blood flow. a follow-up bronchoscopy showed old blood without active bleeding and no obvious lesion. afb neg on bal. bal was also negative for malignant cells and infection. chest ct at osh showed some ground glass but was poor quality so a high-resolution. high resolution ct was done to look for bronchiectasis and it showed resolving hemorrhage and minimal right apical bronchiectasis. recoommended follow up ct in 2 months. pt continued to have small amounts of hemoptysis throughout his hospital stay but his hct was stable in the low 30s and he remained hemodynamically stable. on discharge, he has no further hemoptysis . #leukocytosis: pt was admitted with an elevated wbc likely reaction to blood in lung. pt remained afebrile and no antibiotics were started. . #anemia: baseline hct of 40 which dropped to 30 following the hemoptysis. it remained stable around 30 without the need for transfusion. medications on admission: none discharge medications: 1. nicotine 14 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*30 patch 24hr(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: 1. hemoptysis 2. tobacco abuse secondary diagnosis 1. club foot discharge condition: good discharge instructions: please go to all follow-up appointments (see below) please call your pcp or go to the ed if you experience any of the following symptoms: coughing up more blood, dizziness, chest pain or anything else that concerns you. followup instructions: please make an appointment to see orthopedics to be fitted with orthodics to help you walk. call ( to make an appointment. provider: cc2 pulmonary lab-cc2 date/time: 10:00 this is pulmonary function test. you need to have that before you are seen in pulmonary clinic provider: scan phone: date/time: 11:00. this is a follow up ct of your chest. please do not have any food 3 hours prior to the test pulmonary clinic will be giving you a call within the next 2 weeks. you will be scheduled to see dr. . if you do not hear from them, please call ( procedure: other endoscopy of small intestine arteriography of other intrathoracic vessels closed [endoscopic] biopsy of bronchus other endovascular procedures on other vessels diagnoses: tobacco use disorder acute posthemorrhagic anemia moderate intellectual disabilities 

Answer: The patient is high likely exposed to