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, ?pneumonia major surgical or invasive procedure: rigid bronchoscopy attempted bronchial artery embolization stereotactic brain biopsy history of present illness: history of present illness: 66 yo male with h/o htn, glucose intolerance, recent dx of nsclc who presents as a transfer from for rigid bronchoscopy and possible embolization for hemoptysis. . briefly, he began coughing up small amounts of bright red blood roughly three month ago. he started noticing streaks of blood in his sputum which progressed to about nickel-sized bits of blood. he was then referred for a cat scan of his chest which revealed a large right upper lobe spiculated mass suspicious for malignancy. he has a history of copd; however, has not been severely affected by this and it does not seem to impede on his daily activites. he has a 100-pack-year history of smoking and has quit 10 years ago, and lost 25 lbs recently. . he was then referred for pet scan which was positive. subsequent bronch on at revealed path consistent with nsclc. he tolerated the procedure well, and then on he began to develop more hemoptysis. he decided to drive himself to the ed, where he presented in respiratory distress and was promptly intubated for airway protection. he became hypotensive in the setting of intubation and sedation, and was started on neosynephrine. . he was awaiting transfer to , and had imaging that showed the mass and a rll consolidation. he spiked a fever on , and was started on vancomycin and levofloxacin. he had a left ij central line placed. his neosynephrine was changed to levophed. his levofloxacin was changed to pip/tazo. his blood, urine, and sputum were cultured with no growth at the time of discharge. there was a question of adrenal insufficiency, and he was on decadron. his stim was showed a good response, so he was stopped today. . on arrival, he was sedated and intubated, without communicating any complaints. . review of systems: significant weight loss per records. past medical history: past medical history: hypertension hyperlipidemia glucose intolerance nsclc (dx via bronch) aaa s/p repair gerd social history: social history (per old records): he lives alone and is not married. he is retired and used to work in the camera department at the lechmere store. he occasionally uses alcohol. he has a 100-pack-year history of smoking but quit 10 years ago. he has no history of asbestos exposure. family history: family history (per old records): he has a father who died at the age of 61 from a massive stroke. his mother died at the age of 90 with lung cancer. his brother recently died at the age of 58 from sudden death. he has a sister who is 66 years old and has ovarian cancer and he has another brother who is living and otherwise healthy. physical exam: physical exam~ vs- 96.3 130/80 60 14 100% ac 500x16 peep 5 50% gen- intubated, sedated. heent- anicteric, pupils 1.5mm, reactive. neck- supple, no lad appreciated. cor- regular, brady, no murmur appreciated chest- decreased bs right base, ronchi left side, no wheeze abd- obese, midline surgical scar well-healed, decreased bowel sounds ext- mild clubbing, trace edema bilaterally neuro- sedated, spontaneously moving all extremities, not responding to commands skin- no rashes pertinent results: radiology: ct chest (): findings: the right upper lobe mass has grown from 2.8 x 4.2 cm to 4.3 x 5.7 cm, 2:14, with progressive invasion of mediastinal fat, up to the trachea, esophagus, and normal calibre, superior vena cava, and new occlusion of the right upper lobe bronchus, 2:18, 22. the right upper lobe pulmonary artery is more severely encased by the tumor and significantly narrowed but not occluded. new right upper lobe posterior segment consolidation and extensive ground glass involving most of the anterior segment of right upper lobe might represent post-obstruction pneumonia. lingular atelectasis has significantly progressed, although no endobronchial lesion is demonstrated, 3:33. new bilateral moderate nonhemorrhagic layering pleural effusion is accompanied by considerable bilateral relaxation atelectasis. heart size is normal, and there is no pericardial effusion. the imaged portion of the upper abdomen demonstrates normal liver, spleen, adrenals, tail of the pancreas and upper portion of the kidney. there are no bone lesions suspicious for malignancy. impression: 1. significant interval progression of the right upper lobe tumor size, mediastinal, occlusion of the right upper lobe bronchus obstruction and most likely obstructive pneumonia, conceivably hemorrhage. 2. new moderate, bibasilar pleural effusion and severe relaxation atelectasis. 4. mediastinal lymphadenopathy, not significantly changed. 5. coronary calcifications. 6. emphysema. . ct head (): there is a roughly 2.2 x 2.0 cm area of hypodensity (hounsfield units 21) in the right medial cerebellum. this area did not demonstrate fdg avidity on the recent pet ct. on the current study, although it is difficult to fully evaluate, there may be an 8-mm ring-enhancing nodule in the central portion of this larger lesion. for example, please series 6, image 7. no other areas concerning for enhancing lesions are identified within the brain. there is no hydrocephalus. there is no definite mass effect on the fourth ventricle. the major vascular structures appear unremarkable. note is made of calcifications within the cavernous carotid arteries bilaterally. no osseous lesions are identified. impression: 1. hypodensity in the medial right cerebellum, incompletely evaluated. an mri of the brain with gadolinium may be valuable in further characterization. . brain mri (): impression: 1. 0.9 x 0.9 x 0.7 cm enhancing lesion in the right cerebellar hemisphere, with some perilesional edema, mild mass effect on the adjacent portion of the fourth ventricle, representing metastatic focus. 2. increased signal in the internal auditory canals especially the left internal auditory canal on the post-contrast sequence (series 9, image 8) may partly be related to enhancement. hence, leptomeningeal enhancement cannot be excluded based on this appearance. to correlate with lp if necessary and attention to be paid to this on future followup scans. 3. significant amount of fluid versus mucosal thickening involving bilateral mastoid air cells. . bronchial artery embolization (): impression: thoracic aortogram demonstrates a diffusely enlarged and tortuous aorta. a selective right bronchial-intercostal arteriogram showed no abnormal blush or extravasation. several attempts were made to advance a microcatheter into this artery, but were unsuccessful brief hospital course: mr. was a 66-year-old man with a recent diagnosis of nsclc with mediastinal lymphadenopathy, who presented with hemoptysis and respiratory failure, underwent bronchoscopy with cauterization, was successfully extubated, and underwent unsuccessful attempt at bronchial artery embolization due to tortuous aorta. . # respiratory failure: patient was previously intubated for airwary protection at osh in setting of hemoptysis assumed to be from his known large lung mass. he was transferred to and underwent rigid bronchoscopy. showed significant amounts of clot in r bronchial tree, and he underwent removal of some clots and cauterization of bleeding areas. he was extubated . he was found to have a rul pna on ct scan , which was thought to be post-obstructive, and he was started on broad spectrum antibiotics (vanco/zosyn). he continued to have quarter size amount of hemoptysis with subjective sob requiring a nrb. on , ir tried bronchial artery embolization which was unsuccessful secondary to his tortuous aorta. he received spiriva and albuteral nebs prn. he was transferred out of the icu ot omed where he continued to improve clinically, requiring no supplemental oxygen by discharge. . # nsclc/hemoptysis: ct chest showed that the right upper lobe mass has grown from 2.8 x 4.2 cm on to 4.3 x 5.7. the right upper lobe pulmonary artery was more severely encased by the tumor and significantly narrowed but not occluded. rigid showed significant amounts of clot in r bronchial tree, and he underwent removal of some clots and cauterization of bleeding areas. ir attempted bronchial artery embolization which was unsuccessful secondary to his tortuous aorta. radiation oncology was consulted and recommended the patient be transferred from micu to for xrt after brain biopsy. the patient underwent palliative xrt initially but after his brain biopsy came back negative for malignancy by preliminary report, he had definitive xrt. he received one cycle of carboplatin/paclitaxil during this admission. . # post-obstructive pneumonia: ct chest showed rul pna, which was likely post-obstructive. wbc peaked at 17.0, and he was febrile at osh. bal culture had sparse growth of oropharyngeal flora. blood culture with ngtd. he was given a 12-day course of vancomycin and piperacillin-tazobactam for broad coverage of post-obstructive vs. hospital aquired pneumonia. . # mental status changes, likely brain metastasis: patient was awake, alert, oriented, but initially complained of visual hallucinations and had r eye ptosis with increased lacrimation. ct head on showed 2.2 x 2.0 cm area of hypodensity in the right medial cerebellum which did not demonstrate fdg avidity on the recent pet ct. a follow up brain mri showed 0.9 x 0.9 x 0.7 cm enhancing lesion in the right cerebellar hemisphere, representing a metastatic focus. leptomeningeal enhancement of l internal auditory canal could not be excluded. neurosurgery was consulted, and the patient underwent a stereotactic brain biopsy on which was negative for malignancy by preliminary report. . # hypotension->hypertension: patient was hypotensive at time of transfer, requiring levophed, however his blood pressure improved with cessation of sedation and extubation. he was not found to be adrenally insufficient at the outside hospital. his cvp transduced upon admission was 4. it was felt less likely that the patient had a sepsis from his pneumonia, and blood cx showed ngtd. since extubation, patient has become hypertensive with sbp 190-200. he was started on captopril for tighter blood pressure control, but by discharge he was restarted on lisinopril. amlodipine was held, however, and was to be added back by pcp when appropriate medications on admission: medications on transfer to : vancomycin 1g q12 zosyn 4.5 q8 fentanyl drip midazolam drip levophed drip lansoprazole . allergies: nkda discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis: non-small-cell lung cancer secondary diagnoses: hypertension, hyperlipidemia, gastroesophageal reflux disease discharge condition: stable. discharge instructions: you were transferred from an outside hospital to on with hemoptysis (coughing up blood). the hemoptysis was most likely due to your recently diagnosed lung cancer. you were intubated for airway protection but was extubated shortly after after your symptoms improved. you underwent radiation to the chest to control the bleeding. you also underwent a biopsy of a mass in a part of your brain called cerebellum. the biopsy did not show any cancer involvement, by preliminary report. you will receive chemotherapy and radiation as outpatient. please follow up with dr. (primary oncologist) and dr. (radiation oncologist) as instructed below. your medications have been changed. please take the new medications as instructed and do not take any old medication that is not on the discharge medication list. if you cough up blood again, develop shortness of breathness, fevers, chills, chest pain, or any other symptom that concerns you, please call your doctor or go to the nearest emergency room. followup instructions: please go to the following appointments: * radiation oncology: 8 am, friday, , basement radiation therapy department, , , ma. * dr. : 10 am, tuesday, , clinic, building , , , ma. . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation non-invasive mechanical ventilation arteriography of other intrathoracic vessels closed [percutaneous] [needle] biopsy of brain injection or infusion of cancer chemotherapeutic substance injection or infusion of cancer chemotherapeutic substance endoscopic excision or destruction of lesion or tissue of lung teleradiotherapy using photons diagnoses: pneumonia, organism unspecified other iatrogenic hypotension anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of tobacco use other and unspecified hyperlipidemia acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes other diseases of trachea and bronchus other disorders of ear 

Answer: The patient is high likely exposed to