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: mr. is a 52 year old male with a history of squamous cell carcinoma of the right tongue who underwent a tracheostomy and placement of brachytherapy catheters on . he has plans to undergo chemotherapy in the future. he underwent brachytherapy during this hospital stay. past medical history: hypertension, cardiomyopathy with diastolic dysfunction, home oxygen, pulmonary hypertension, mitral and tricuspid valve regurgitation, chronic renal insufficiency with a baseline creatinine of 2.5. medications at home: norvasc 10 mg po qd, lasix 40 mg po bid, coreg 12.5 mg po bid and lisinopril 5 mg po qd. hospital course: mr. his operative procedure well. for the full details of this procedure, please see the dictated operative report. he spent two nights in the icu and then was transferred to the step-down unit. he had brachytherapy in house. by system, his hospital course is as follows: neuro: his pain was well controlled on subcutaneous morphine. he is going to be transitioned to roxicet elixir. his mental status has been within normal limits. cardiovascular: his postoperative ekg was normal. he has similar right bundle branch block to his previous ekgs. he was on continuous monitoring. he had some infrequent pvcs. his electrolytes were repleted prn. he was hemodynamically stable throughout his hospital stay. respiratory: he was maintained on continuous o2 sat monitoring. his trach was down-sized to a portex no. 6 nonfenestrated, noncuffed trach on postoperative day 4 before discharge. he this procedure well. he is to have trach care prn and to be taught to care for his trach. he will likely be decannulated in one week. he is breathing comfortably with his new trach. gi: he was tolerating nepro tube feeds at 45 with 30 gm of protein qd. he was seen by nutrition and this was determined to be his goal. he was also seen by speech and swallow. he had a video swallow on which showed a very small amount of aspiration which was easily expelled with cough. his po diet was recommended to be thin liquids with advancement to puree diet. if he tolerates this, he can advance to soft solids only if he wears his dentures. with every bite, he must do swallow, cough, swallow. his abdomen is soft, nontender and nondistended. his g tube is in place. gu: mr. is making good urine. his creatinine is his baseline 2.3-2.5. his electrolytes were repleted prn. id: he was kept on ancef and flagyl while brachytherapy catheters were in place. these catheters were removed on postoperative day 3. he is currently on no antibiotics. his white blood cell count is normal and he is afebrile. oncology: he is to follow up with his radiation oncologist. he has an appointment. he did get brachytherapy treatment while in house. the brachytherapy catheters were removed, as mentioned, on postoperative day 3. pt: was seen by pt and ot while in house and he will continue while in rehab. disposition: mr. was discharged to rehab in stable condition on . discharge medications: amlodipine 5 mg and 10 mg po qd, carvedilol 12.5 mg po bid, lisinopril 5 mg po qd, lansoprazole 30 mg po qd, furosemide 40 mg po bid, subcu heparin 5000 units and roxicet prn for pain. , m.d. procedure: enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy temporary tracheostomy implantation or insertion of radioactive elements diagnoses: other primary cardiomyopathies mitral valve disorders unspecified essential hypertension primary pulmonary hypertension diseases of tricuspid valve malignant neoplasm of other sites of tongue 

Answer: The patient is high likely exposed to