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: transfer for hemoptysis major surgical or invasive procedure: bronchial artery embolization history of present illness: and a bronch was done. bronch showed bleeding in the left lung and a large clot. interventional pulmonary was consulted for further treatment. . past medical history: oncologic hx: - in the pt noted an anal mass. work-up with colonoscopy/endorectal us/ct chest showed mass in the rectum about 8 cm from the anal verge (t3 n0 mo). biopsy pos for adenocarcinoma. he had endorectal ultrasound, which confirmed the mass along the left anterolateral rectal wall. - treated with neoadjuvant xrt and 5-fu/leucovorin starting (neoadjuvant therapy). underwent abdominoperineal resection in c/b urethro-pelvic fistula. - bilateral pulmonary lesions c/w met dz noted on ct in . - started xeloda in for increasing pulm mets in rising cea to 3.2. - course complicated by hand/foot syndrome --> decrease xeloda to 1500 mg b.i.d. which he has tolerated well. currently in the midsts of cycle 9 of xeloda. . past medical history: as above colostomy no diabetes, heart disease. social history: never smoked. no etoh. worked as an electrician in a cigarrette factory in . lives with his wife. retired from resaurant a few 6 months ago. came to the us from in . walks in the am. family history: parents: both lived to their 80s. no known significant medical problems. physical exam: pe: t hr bp rr o2 sat gen: well appearing male in nad heent: anicteric sclera neck: supple cardio: rrr, nl s1 s2, no m/r/g pulm: cta b/l abd: soft, nt< nd, + bs, colostomy in place ext: no edema neuro: a&ox3 pertinent results: 10:36pm hct-32.7* 05:44pm type-art po2-146* pco2-35 ph-7.44 total co2-25 base xs-0 05:24pm hct-33.3* 04:04pm type-art po2-109* pco2-42 ph-7.41 total co2-28 base xs-1 03:37pm urine color-straw appear-clear sp -1.015 03:37pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:37pm urine rbc-18* wbc-3 bacteria-few yeast-none epi-0 03:06pm glucose-107* urea n-16 creat-0.9 sodium-141 potassium-3.8 chloride-108 total co2-25 anion gap-12 03:06pm ck(cpk)-135 03:06pm calcium-8.5 phosphate-3.9 magnesium-1.7 03:06pm tsh-0.98 03:06pm free t4-1.1 03:06pm wbc-6.0 rbc-3.32* hgb-12.1* hct-34.5* mcv-104* mch-36.4* mchc-35.1* rdw-16.3* 03:06pm plt count-101* 03:06pm pt-12.1 ptt-25.8 inr(pt)-1.0 03:05pm type-art temp-39.9 rates-20/ tidal vol-500 o2-50 po2-136* pco2-50* ph-7.32* total co2-27 base xs-0 -assist/con intubated-intubated 01:42pm type-art po2-98 pco2-48* ph-7.33* total co2-26 base xs--1 12:35pm type-art rates-16/0 tidal vol-550 peep-5 o2-100 po2-302* pco2-56* ph-7.27* total co2-27 base xs--1 aado2-368 req o2-64 -assist/con intubated-intubated 09:05am type-art po2-395* pco2-64* ph-7.24* total co2-29 base xs--1 09:05am lactate-1.4 08:35am glucose-113* urea n-18 creat-1.0 sodium-142 potassium-4.1 chloride-110* total co2-27 anion gap-9 08:35am alt(sgpt)-21 ast(sgot)-31 ld(ldh)-188 alk phos-97 amylase-95 tot bili-0.9 08:35am lipase-36 08:35am albumin-3.4 calcium-8.3* phosphate-3.7 magnesium-1.9 08:35am wbc-4.6 rbc-3.32* hgb-11.6* hct-35.0* mcv-106* mch-34.9* mchc-33.1 rdw-15.6* 08:35am plt count-131* 08:35am pt-13.2* ptt-28.1 inr(pt)-1.2* 08:35am fibrinoge-251 05:08am hct-40.1 01:10am glucose-122* urea n-19 creat-1.2 sodium-140 potassium-4.0 chloride-105 total co2-27 anion gap-12 01:10am calcium-9.8 phosphate-4.3# magnesium-2.3 01:10am wbc-4.0 rbc-3.85* hgb-14.0 hct-40.1 mcv-104* mch-36.4* mchc-35.0 rdw-16.3* 01:10am neuts-49.0* lymphs-39.6 monos-7.4 eos-3.7 basos-0.4 01:10am anisocyt-1+ macrocyt-3+ 01:10am plt count-134* 01:10am pt-12.0 ptt-26.7 inr(pt)-1.0 cxr : again seen are multiple nodular opacities corresponding to the patient's known pulmonary metastases, the largest of which is seen in the left mid lung zone. no consolidative opacities are identified. no pleural effusions or pneumothorax is seen. the pulmonary vasculature is within normal limits. the heart is at the upper limits of normal. the mediastinal contours are within normal limits. the soft tissue and osseous structures are unremarkable. . cx r consolidation at the right base has improved and represent clearing of some aspiration. left lower lobe consolidation is stable. vascular congestion.surrounding the partially cavitated metastasis in the left mid lung is unchanged. there is no appreciable pleural effusion. heart size normal. no pneumothorax. nasogastric tube passes into the stomach and out of view. abd ct history: 66-year-old male with colon ca and known lung metastases. evaluate for interval staging. comparison is made to prior ct torso dated . technique: non-contrast and contrast enhanced axial ct imaging of the chest, abdomen and pelvis was reviewed. ct chest with contrast: there are numerous bilateral pulmonary nodules, the largest measuring 2.5 x 2 cm, slightly diminished from prior examination where it measured 2.2 x 3 cm within the left upper lobe. many of the nodules appear slightly increased in size and there is new appearance of large nodules in the right lower lobe and abutting the left major fissure. there are new bilateral pleural effusions, left greater than right with some consolidation or atelectasis of the left lower lobe abutting the pleural effusion. there is dependent atelectasis within the right lower lobe. there is a grossly unchanged appearance to subaortic lymphadenopathy measuring 18.7 x 8.6 mm on today's examination. no pathologic axillary nodes are identified and the heart and great vessels appear normal. ct of the abdomen with and without contrast: the liver enhances homogenously and again identified is a small 6 mm hypodensity in the left lobe (segment iii), unchanged from prior examination and a larger well defined hypodensity within the inferior tip of the right lobe measuring approximately 11 x 15 mm on current examination, previously measuring 21 x 14 mm which are concerning for metastases. the gallbladder, pancreas, spleen, adrenal glands, and kidneys are unremarkable. there are multiple dilated loops of small bowel with a questionable transition zone within the left lower quadrant followed by distal decompressed loops, concerning for small bowel obstruction. no oral contrast is identified distal to this point. there is a mild- moderate amuont of ascites surrounding the liver. there is no free air or pathologic mesenteric or retroperitoneal lymphadenopathy identified. ct pelvis with iv contrast: the patient is status post diverting colostomy. a previously mentioned increased soft tissue density in the presacral area is again identified unchanged from prior examination, likely representing postsurgical changes versus stable recurrent tumor. multiple surgical clips are again identified. the distal ureters and bladder appear normal. bone windows: no suspicious osteolytic or sclerotic lesions are identified. impression: 1. new and increased size of bilateral pulmonary nodules with mild decrease in size of most dominant nodule. bilateral pleural effusions, left greater than right. 2. unchanged left lobe lesion with better definition of right inferior lobe hypoattenuating lesion, concerning for metastasis. 3. dilated loops of small bowel with questionable transition zone within left lower quadrant. likely represents partial small bowel obstruction, coorelation with clinical symptoms suggested brief hospital course: upon arrival to the ed the pt was noted to be hypertensive. he had no hemoptysis and was hemodynamically stable, so he was transferred to the oncology service. . on , pt started having further hemoptysis. he coughed up cups of bright red blood over the course of 5 minutes. he received part of a bag of prbcs during that time. his sats and blood pressure remained stable during this time. he was transferred to the for further monitoring. in the , he had further small amounts a hemoptysis. he was electively intubated (r mainstem intubation to avoid the bleeding area) and a bronch was done, revealing a l mainstem bronch clot with sorrounding blood oozing. interventional pulmonary was consulted, pt transferred to micu for planned rigid bronchoscopy in or. during transfer, pt had several episodes of hypotension requiring levophed. patient was transfered to , bronchoscopy with ablation of bleeding lingula. later, recurrent bleeding post procedure and elevated bp requiring labetalol. underwent left bronchial artery embolization on . patient was extubated on . post-extubation c/b emesis, ngt was placed, kub showed no evidence of obstruction. he was also on labetalol drip for htn until then transition to bb po. he was discharged on metoprolol 50 , with plans to titrate up as necessary. . hct was stable after embolization. he did have e/o obstruction on later kub and he was not able to take pos, for which he required 2 dys of npo. nausea reolved and pt. was able to take pos, after which he was discharged. . pneumonia: patient with fevers and leukocytosis and was treated for a 7d course of zosyn/vanco for post-obstructive pna. - blood cx still negative to date . thromboccytopenia: pt. also had stable thrombocytopenia ~150 throughout stay, likely metastatic dz. medications on admission: none discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: hemoptysis partial small bowel obstruction rectal cell carcinoma with metasisis pneumonia anemia thrombocytopenia hypertension discharge condition: good discharge instructions: please continue to take all your medications and follow up with your appointments as below. if you have any further episodes of caughing up blood, nausea, vomiting, fever or any new symptoms please return to the emergency room or contact your oncologist. followup instructions: you have an appointment setup with your oncologist as below: provider: , md phone: date/time: 10:00 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other endovascular procedures on other vessels endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: thrombocytopenia, unspecified malignant neoplasm of liver, secondary acute kidney failure, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of lung unspecified intestinal obstruction colostomy status personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus 

Answer: The patient is high likely exposed to