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: no known allergies / adverse drug reactions attending: chief complaint: hemoptysis major surgical or invasive procedure: ir angiogram with stent placement rigid bronchoscopy history of present illness: 65 yo male diagnosed with small cell lung cancer s/p chemo and radiation therapy with increasing tumor burden and left main obstruction, s/p left mainstem stent placement , presenting today with submassive hemoptysis. patient was recently admitted for elective rigid bronchocscopy, found to have pulsus, and had pericardiocentesis for pericardial effusion with tamponade. patient then had left main stem stent placed via ip and discharged on . . per wife, patient was doing well following discharge. today, just after eating breakfast, patient's wife (who is providing history) heard patient coughing in kitchen. wife then found patient had coughed up bright red blood, covering plate, with coffee mug half-filled with blood. patient then asked wife to call 911. patient had some lightheadedness, no syncope, no other symptoms. . patient was then transferred to osh, where patient received 750 cc ns at osh and tylenol for headache, and was then transferred to ed given recent history. in the ed, vitals were 97.4 106 113/80 22 100% 4l nc. he felt well, although continues to cough teaspoons to tablespoons of bright red blood and clots. he denied dyspnea, fever, chills or chest pain. at baseline on 2 liters supplemental o2, requirements unchanged. patient went to the or from ed for rigid bronchoscopy and cauterization with apc. . in or, patient received lr 700 cc, propofol, midazolam 2 mg, fentanyl 200 mcg, phenylephrine, and rocuronium. bronch showed left main stem medial wall is completely eroded, unclear if changed from prior bronch. lll patent, but with tumor burden distal to stent. lul remains collapsed. fresh clot was noted at carina, no signs of active hemorrhage. patient was then transferred to icu for further management and angiography, possible embolization vs. vascular stent. . patient arrived in icu inubated and sedated. history provided by wife. past medical history: -sclc: - sclca diagnosed, had etoposide/carboplatin with 6th cycle given (good tolerance). and : rt done : showed regression in most areas. : reduction in mass, persistent subtotal central occlusion of lul bronchus, reduction in constriction of pulmonary artery to the lul and reduction in central adenopathy, reexpansion of lul. : last chemo : pet showed reduction in all areas, no new areas. : hemoptysis of teaspoon 5cc brb. ct scan noted for new infiltrate showing encasement of artery to lul and subtotal occlusion of the bronchus to the lul. smoking was continued at this point 2ppd. bronchoscopy by dr was suspiciuous for tumor. : continued worsening of hoarseness, paroxysmal cough, left anterior chest dsicomfort, increased dyspnea, no other pain or headache, no addtional bleed. ct: increasing central adenopathy, narrowing of left mainstem bronchus to of the right bronchus, complete obliteration of the lul bronchus with collapse of lul with compromise of left pulmonary artery. bronchus to lll, lingular were compromised. started on: etoposide and carboplatin - 2 cycles, progressive disease noted, has a pericardial effusion. - continued to be symptomatic dyspnea, no dysphagia, continued anorexia. presented for paliative treatment. hyperlipidemia pacemaker h/o hep c untreated ivdu 30 yrs ago spontaneous ptx cigarette addiction significant alcohol intake tendon repair 4th finger on the right hand social history: 2 drinks daily, smoke ppd or more till , started a nicotine patch. married to . working 12-14 hr days. family history: father: died in 50's, emphysema mother: dies in 100's, natural causes sister 1: 68 yrs sister 2: 66 yrs has two grown children physical exam: gen: comfortable, nad, intubated and sedated heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l, dimished breath sounds in left axillae cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: pupils 3 mm, minimally responsive to light, but react equally pertinent results: 04:47am blood wbc-10.3 rbc-2.75* hgb-9.0* hct-26.5* mcv-96 mch-32.7* mchc-33.9 rdw-16.1* plt ct-150 04:47am blood glucose-169* urean-9 creat-0.5 na-138 k-3.4 cl-104 hco3-30 angap-7* cxr: there is an endotracheal tube whose distal tip is 5 cm above the carina. a left-sided tracheal stent is again seen and without complications. pacemaker wires are seen. there is again seen volume loss on the left with increased density within the left upper lobe. this is unchanged. the right lung is clear. no pneumothoraces are present. no pneumomediastinum is identified. overall, there has been no change. brief hospital course: mr. is a 65 yom with hld, hcv ivdu, sclc complicated by left main stem obstruction and recent pericardial tamponade presenting with hemoptysis now s/p ir stending of pa. 1. hemoptysis: patient admitted intubated. he underwent rigid bronchoscopy with no intervention performed, as well as ir angiogram with placement on the first night of admission. hct stable s/p ir stenting of pa. per discussion with ip and ir, no further interventions possible at this time if patient rebleeds. discussed overal situation with patient, confirmed dnr/dni status prior to discharge. 2. sclc: scheduled for outpatient onc visit on , with intent to begin palliative chemotherapy on . 3. post-obstructive pneumonia- patient had been discharged on course of levofloxacin for 8 days, completed yesterday. no evidence of excessive sputum production on on . code: dnr/dni medications on admission: guiatuss ac 10-100 mg/5 ml liquid sig: ten (10) ml po prn: cough levofloxacin 750 mg tablet sig: one (1) tablet po q24h 8 days mucinex 600 mg tablet sustained release q6h prn cough megace es 625 mg/5 ml suspension sig: five (5) ml po tid with meals hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po qhs prn colace 100 mg capsule sig: one (1) capsule po bid prn constipation home oxygen 2 liters continuously, pulse-dose system discharge medications: 1. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day. disp:*30 patches* refills:*0* 2. benzonatate 100 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*0* 3. tylenol-codeine #3 300-30 mg tablet sig: one (1) tablet po every six (6) hours for 7 days. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: angels at home discharge diagnosis: primary - small cell lung cancer hemoptysis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were transferred to due to an episode were your coughed up blood after being evaluated at another hospital. you underwent a rigid bronchoscopy with stenting of your left pulmonary artery (procedure where a camera takes a look into your lungs). you completed a course of antibiotics for a pneumonia. you have had no further episodes of coughing up blood. you need to stop smoking, given your oxygen at home and your bleeding risk. please follow up closely with your previously scheduled appointments with your oncologist and pcp this week. you need to stop smoking. please discuss this with your primary doctor. medication changes: - added nicotine patch to be applied to the skin daily - added benzonatate to be taken for cough - tylenol with codeine to be given for cough followup instructions: please follow up with your oncologist and primary care doctor. you stated you already had appointments with them this upcoming week. your pcp is . phone number: . procedure: angioplasty of other non-coronary vessel(s) other bronchoscopy insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of pulmonary arteries transposition of cranial and peripheral nerves insertion of two vascular stents procedure on single vessel diagnoses: tobacco use disorder chronic hepatitis c without mention of hepatic coma pulmonary collapse other and unspecified hyperlipidemia cardiac pacemaker in situ bronchopneumonia, organism unspecified malignant neoplasm of main bronchus 

Answer: The patient is high likely exposed to