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: zyban attending: chief complaint: stage iiib (t4) carcinoma of the right lung. major surgical or invasive procedure: s/p median sternotomy for mediastinal mass w/ gortex to svc. history of present illness: mr. is a 48-year-old gentleman with biopsy-proven t4 carcinoma of the right upper lobe presenting a superior vena caval syndrome. he received induction chemoradiotherapy with an excellent response and no evidence for distant disease. he had adequate functional reserve, and given his youth and good performance status, an aggressive approach to resect the disease and reconstruct his central veins was planned for this admission. past medical history: -stage iiib (t4) nsclca -s/p rul lobectomy en bloc w/ svc and brachiocephalic veins resection and -tex reconstruction of svc and brachiocephalic veins -s/p radiation and chemotherapy social history: history of 1ppd tobacco use. patient lives with his partner in . he works for a company that sells scientific research equipment. family history: notable for extensive cad in multiple relatives in their 50's, including his father, who had an mi at age 52. physical exam: general: well appearing anxious man in nad heent: notable for facial swelling consistant w/ svc syndrome. chest: cta bilat cor: rrr s1,s2. slightly distant heart sounds. abd: soft, round, nt, nd, +bs extrem: no le c/c/e neuro: intact pertinent results: cxr a single ap view of the chest is obtained at approximately 13:15 hours following the removal of a right sided pleural tube. the right sided hydropneumothorax is not significantly changed since the prior examination. minimal left costophrenic angle blunting may represent fibrosis or a small left pleural effusion. evidence of surgery in the right upper lobe. impression: stable appearances of the chest following chest tube removal. chest ct: impression: 1. no large fluid collection to explain hematocrit drop identified. expected area of dense atelectasis and probable hematoma noted within the surgical bed. 2. pneumomediastinum and right-sided hydropneumothorax with small air component. chest tube/drains appear appropriately positioned. 3. surgical chain sutures and vascular grafts/stents from recent right upper segmental resection and svc reconstruction. 4. consolidation noted within the medial right lower lobe may represent atelectasis or early aspiration pneumonitis. this may be followed up on subsequent imaging. 5. stable left back sebaceous cyst. wbc rbc hgb hct mcv mch mchc rdw plt ct 07:30am 7.3 3.05* 9.0* 27.3* 89 29.6 33.2 14.7 231 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 07:30am 231 chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:30am 103 9 0.7 136 4.2 101 26 13 brief hospital course: pt was admitted and taken to the or for bronchoscopy, median sternotomy, right upper lobectomy en bloc with superior vena cava and right and left brachiocephalic veins. mediastinal lymphadenectomy. -tex reconstruction of superior vena cava in both brachiocephalic veins. pt's post op course was unremarkable. a right apical and basilar chest tube were placed in the or and were removed on pod 2 and 3 respectively. he progressed well post operatively-pain was well controlled on pca then transitioned to po pain med. reg diet, and was ambulating indep on roomair. he was d/c'd to home on pod#6. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*75 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: s/p median sternotomy for mediastinal mass w/ gortex to svc. discharge condition: good discharge instructions: call dr. office if you develop fever, chills, chest pain, shortness of breath, redness or drainage from your incision site. followup instructions: call dr. office for a follow up appointment procedure: fiber-optic bronchoscopy resection of vessel with replacement, thoracic vessels division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells diagnoses: secondary malignant neoplasm of other specified sites secondary malignant neoplasm of pleura malignant neoplasm of upper lobe, bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes 

Answer: The patient is high likely exposed to