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: left upper lobe lung cancer. major surgical or invasive procedure: left thoracotomy, left upper lobectomy with pulmonary patch arterioplasty, intercostal muscle flap buttress and mediastinal lymph node dissection. direct laryngoscopy and injection of left vocal cord with gelfoam. history of present illness: mr. is a 68-year-old gentleman with a locally advanced non-small cell lung cancer. his initial mediastinal staging via mediastinoscopy was done at an outside institution and was negative for any mediastinal metastatic nodal disease. he was initially thought to be unresectable due to mediastinal involvement with the proximal central tumor but he had a marked response to chemo radiation and therefore presented for resection. his restaging with pet and head mri was negative for advance disease. past medical history: non-small cell lung cancer, treated with chemotherapy and radiation, htn, copd, depression, anxiety social history: married, lives with family, ex-smoker 40-60pack year quit 8yrs ago, family history: mother - osteomyelitis father - angina siblings - brother - prostate cancer physical exam: vs: t: 98.2 hr: 85 sr bp: 122/71 sats: 93% ra general: gen: nad, nl resp effort, no stridor. hoarse voice. card: rrr resp: clear lung sounds, thoracotomy incision erythematous but no s/s of infection, c/d/i gi: benign extr: warm, no edema pertinent results: wbc-10.1 rbc-2.76* hgb-9.8* hct-29.0* plt ct-275 wbc-8.3# rbc-2.72* hgb-9.5* hct-28.1* plt ct-259 wbc-5.5 rbc-2.88* hgb-10.2* hct-29.4* plt ct-240 k-4.4 glucose-96 urean-19 creat-0.8 na-136 k-4.8 cl-102 hco3-25 glucose-121* urean-15 creat-0.9 na-139 k-4.5 cl-108 hco3-25 blood mg-1.7 cxr: heart size is normal. the mediastinum is shifted to the left due to left upper lobe lobectomy. no obvious pneumothorax has been demonstrated. the post-surgical changes of left ribs are expected. there is interval decrease in subcutaneous air collection. small amount of right pleural effusion is unchanged. : one of the two left chest tubes has been removed and there is no ptx seen. the residual more medially placed left chest tube has been pulled back somewhat, with its tip just above the level of the aortic knob. subcutaneous emphysema is identified. right pleural effusion is seen as was noted previously. there are some increased interstitial markings but no new consolidation : there is no appreciable left pleural air or fluid. two apical pleural tubes unchanged. mild atelectasis at the base of the right lung has recurred. :interval worsening in the left apical pneumothorax without signs of tension. brief hospital course: 68 year old male diagnosed stage iii nsclc in that was deemed un-resectable prior to chemort, s/p chemotherapy x5 and radiation treatment x16. he was brought to the or on for thoracotomy, left upper lobectomy, pulmonary artery patch angioplasty, intercostal muscle flap buttress and mediastinal lymph node dissection. during the procedure the left vagus nerve appeared involved in the tumor and was sacrificed. ent was consulted and found the left tvc to be immobile in the paramedian position. the right true vocal fold is wnl and mobile. pt is s/p gelfoam injection with good midline approximation. since that time, he has worked with voice therapy as well as the speech and swallow team and was approved for a regular diet and has done quite well with respect to po intake and strengthening of his voice. his ct was removed on and post pull cxr demonstrated no ptx and good lung volumes. mr. has worked hard to rehab himself on the floor, taking several walked each day. from pod his o2 requirement has decreased from 4l to ra at rest and with 83% with activity, therefore he was discharged to home with oxygen 1-2l for ambulation, titrate to off as tolerates. he continued to make steady progress and was discharged to home with a visiting nurse. he will follow-up with dr. , dr. and his pcp for further coumarin management. medications on admission: citalopram 40, lovenox 70'', advair 250/50 2puffs , lisinopril 5, lorazepam 1'', metoclopramide 10, omeprazole 20, zolpidem discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. warfarin 2 mg tablet sig: one (1) tablet po as directed. disp:*60 tablet(s)* refills:*2* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 5. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 6. citalopram 40 mg tablet sig: one (1) tablet po once a day. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 8. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. enoxaparin 80 mg/0.8 ml syringe sig: 0.7 mg/ml subcutaneous every twelve (12) hours: until inr > 2.0. disp:*20 * refills:*2* 11. ambien 10 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 12. ativan 1 mg tablet sig: one (1) tablet po once a day as needed. 13. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for ha. 14. home oxygen home oxygen lpm continuous via nasal cannula conserving device for portability discharge disposition: home with service facility: , discharge diagnosis: left upper lobe lung cancer. s/p neoadjuvant chemo/xrt left vocal cord paresis. discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -incision develops drainage, -chest tube site remove dressing wednesday night cover with a bandaid should site begin to drain cover with a clean dressing and change as needed to keep site clean and dry. -you may shower wednesday evening: no tub batihng or swimming for 6 weeks -no driving while taking narcotics. take stool softners with narcotics -warfarin for pulmonary embolism take as directed by dr. to maintain inr 2.0-3.0 stop lovenox when inr > 2.0 warfarin 1st dose 04/07 2mg, 2mg home oxygen liter with ambulation to maintain sats > 92% followup instructions: follow-up with dr. 2:30pm on the clinical center . report to the radiology department for a chest x-ray 45 minutes before your appointment. follow up with dr. thursday for further warfarin dosing. fax: follow-up with dr. ent 9:30am in the building , procedure: other bronchoscopy laryngoscopy and other tracheoscopy graft of muscle or fascia division or crushing of other cranial and peripheral nerves regional lymph node excision repair of blood vessel with tissue patch graft injection of larynx other lobectomy of lung diagnoses: esophageal reflux unspecified essential hypertension chronic airway obstruction, not elsewhere classified secondary malignant neoplasm of other specified sites dysthymic disorder malignant neoplasm of upper lobe, bronchus or lung long-term (current) use of anticoagulants personal history of venous thrombosis and embolism personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health secondary malignant neoplasm of other parts of nervous system unilateral paralysis of vocal cords or larynx, partial 

Answer: The patient is high likely exposed to