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 major surgical or invasive procedure: rigid bronchoscopy with cautery () history of present illness: mr. is a 46 year-old man with a history of morbid obesity, obstructive sleep apnea, and depression who presented to an outside hospital yesterday with massive hematemesis. he was in his usual state of health until yesterday morning when he suddenly began coughing up large volumes of liquid bright red blood and one large, solid clot of blood. this persisted for approximately 45 minutes before resolving spotaneously while he was in the ambulance in transit to hospital. at the outside hospital, his hematocrit was reportedly 38.7 and an ng lavage was positive. his hemoptysis then recurred (approx hours after initial event) and he was transferred here for emergent bronchoscopy. he was intubated in the ed in preparation for bronchoscopy. on presentation here, his hematocrit was noted to be 34.8 and a cxr showed clear lungs. . ros: denies fevers, chills, change in weight/appetite, dysuria, n/v/d, hematuria, hematochezia, melena, headaches, visual changes. past medical history: - depression: reports recent worsening with intermittent passive si and some preliminary plan formation; denies hi; denies any ah/vh in the past but does report some paranoid delusions - obstructive sleep apnea: on cpap at home - morbid obesity: has worsened over past year - lymphedema - psoriasis social history: has not left his house in >1 year due to depression and now worsening obesity; lives with his sister. formerly smoked 1 ppd up until 3 yrs ago. was a binge drinker in his 20s, but no longer drinks. distant marijuana and intranasal cocaine use. denies ivdu. family history: father with 2 in his 50s but still living in his 70s currently. mother with schizophrenia. physical exam: t 100.4 bp 107/75 hr 94 rr 20 sat 99% on ra weight: 550 lbs height: 6'2" gen: morbidly obese, no acute distress, breathing comfortably heent: no icterus, op clear, mmm neck: no carotid bruits, no cervical/clavicular lymphadenopathy, unable to assess jvp due to neck size chest: diffuse faint expiratory ronchi, no wheezes/rales cv: regular rate/rhythm, distant hs, no murmurs heard abd: morbidly obese, nontender, nondistended, normal bs, unable to palpate liver/spleen edge due to obesity extr: massive firm ruggated hyperpigmented edema in both legs, 2+ pitting edema in both feet with 1+ bilateral dp pulses skin: numerous scattered patches of scaling plaques on arms, torso, back neuro: a&o x3, cn 2-12 intact pertinent results: 04:45pm wbc-11.7* rbc-3.94* hgb-12.6* hct-34.8* mcv-89 mch-31.9 mchc-36.1* rdw-14.7 04:45pm neuts-90.5* lymphs-6.9* monos-2.0 eos-0.5 basos-0.2 04:45pm ctropnt-<0.01 04:45pm glucose-157* urea n-18 creat-0.8 sodium-140 potassium-4.5 chloride-107 total co2-22 anion gap-16 brief hospital course: he underwent an emergent rigid bronchoscopy upon admission to the ed which showed a large amount of fresh blood. he was found to have a lll medial wall arterial "" gushing fresh blood, which was cauterized. he also had a large cast of clot/tissue/tumor in the lll which was removed and sent for pathology. he was sent to the sicu post-procedure where he remained hemodynamically stable and was extubated without difficulty. he was sent to the medicine floor team at this point where he remained hemodynamically stable with no evidence of recurrent bleeding. because of his morbid obesity, he could not undergo any further imaging (ct, mri, etc) to evaluate for potential causes of his massive hemoptysis. the tissue sent from his bronchoscopy returned as clot only, and cytology on the bronchial brushings was negative. he was arranged to have follow up with interventional pulmonology for a repeat bronchscopy in weeks. for his sleep apnea, he was continued on nightly bipap per his home regimen. his sister brought in his bipap machine fromhome (since he didn't tolerate the hospital's machine) and it accidentally fell and broke while in-house. he was set up to have a new machine delivered to his home immediately after discharge. due to this bleeding and lack of documented cad, his aspirin was held while in-house and he was advised to continue holding it, unless directed otherwise by his pcp. for his depression, he was started on effexor 225mg daily (he had previously been on this dose before running out and never refilled his prescriptions). a social work consult saw the patient and referred him to the disabled persons protection commission and gave him the phone number for commission homemaker services for assistance due to his morbid obesity. he was set up with pcp follow up for the day after discharge since he hadn't seen his pcp in over year. medications on admission: aspirin 81mg daily lubriderm prn discharge medications: 1. venlafaxine 75 mg capsule, sust. release 24hr sig: three (3) capsule, sust. release 24hr po daily (daily). disp:*90 capsule, sust. release 24hr(s)* refills:*3* 2. calcipotriene 0.005 % ointment sig: one (1) appl topical (2 times a day). disp:*1 tube* refills:*3* 3. triamcinolone acetonide 0.025 % ointment sig: one (1) appl topical twice a day: apply thin layer to affected areas twice daily. disp:*1 tube* refills:*3* discharge disposition: home discharge diagnosis: primary diagnosis: massive hemoptysis secondary diagnosis: obesity, obstructive sleep apnea, depression, psoriasis discharge condition: stable discharge instructions: you were admitted to the hospital after coughing up large amounts of blood. you emergently underwent a bronchoscopy which showed an artery pumping blood into one of your major airways. this blood vessel was cauterized and the bleeding stopped. you had a breathing tube placed down your throat to protect your airway during this event. you were taken off the breathing tube without difficulty and remained stable when transferred to the floor. we do not yet have an explanation for why you had this large episode of bleeding, so you need to follow up with our pulmonologists (as scheduled below) for a repeat bronchoscopy. please attend all follow-up appointments as scheduled. please take all medications as prescribed. if you experience chest pain, shortness of breath, high fevers, loss of consciousness, coughing up of blood, or any other concerning symptoms, you need to seek medical attention. followup instructions: primary care physician . ( hospital): friday at 11:15 am; pulmonology for repeat bronchoscopy (dr. : ; arrive at 7:30 am to 8 day care unit; you cannot have any food or drink (except for medications) after midnight the evening before the procedure. you should not take aspirin for the five days prior to the procedure because it thins the blood. provider: ,nine day care 8 date/time: 7:30 provider: ,ip proc ip procedures date/time: 8:30 procedure: closed [endoscopic] biopsy of bronchus endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: obstructive sleep apnea (adult)(pediatric) acute respiratory failure morbid obesity other psoriasis 

Answer: The patient is high likely exposed to