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: right lower lung mass found incidentally on chest xray major surgical or invasive procedure: bronchoscopy, right thorocotomy, right video assisted thorocoscopy right lower lobe superior segmentectomy history of present illness: mr. is a 68-year-old gentleman with a considerable comorbidity who presents for evaluation of a lung abnormality seen on chest x-ray and confirmed with ct scan. the patient has substantial underlying obstructive lung disease as well as vascular disease and has recently progressed to end-stage renal disease requiring the institution of dialysis. he has an extensive 2-pack per day over 40 year smoking history and quit three years ago. as part of his chronic dyspnea, a chest x-ray was obtained, which showed a new right lower lobe lesion, which has persisted since . a ct scan showed a 9-mm lesion with some eccentric calcification. a pet scan was obtained, which showed a low-level uptake at or just below the level of the mediastinal blood pool. past medical history: pmh: chronic hypertension, congestive heart failure, cerebral vascular disease with a history of stroke with 70% known carotid stenosis, and atrial fibrillation which began in of this year, institution of hemodialysis began in of this year, diverticulitis first diagnosed in of this year, peptic ulcer disease, benign prostatic hypertrophy, and an incisional hernia. psh: repair of an abdominal aortic aneurysm and creation of a left arm av fistula for dialysis along with a tonsillectomy social history: 80-pack-year smoking history and quit in physical exam: vital signs: temperature 97.5, blood pressure 98/52, pulse 59 and irregular, respirations 20, and room air saturation is 96%. heent: he has no scleral icterus or palpable adenopathy. neck: he has a loud bruit in the right neck. lungs: clear to auscultation with no focal wheezing and equivalent air entry. heart: irregular rhythm but a controlled rate. abdomen: soft and nontender. extremities: he has a prominent thrill over the left av fistula. pertinent results: 10:10am blood wbc-10.0 rbc-4.26* hgb-12.7* hct-38.1* mcv-90 mch-29.9 mchc-33.4 rdw-22.1* plt ct-167 10:10am blood pt-12.4 ptt-27.0 inr(pt)-1.0 10:10am blood plt ct-167 10:10am blood glucose-83 urean-69* creat-9.1*# na-140 k-5.2* cl-98 hco3-24 angap-23* 03:28pm blood calcium-8.7 phos-5.3* mg-1.8 hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 08:00am 25.4*# 3.34* 10.1* 29.2* 87 30.2 34.6 20.4* 432 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 08:00am 432 06:40am 20.0* 2.8 chemistry renal & glucose glucose urean creat na k cl hco3 angap 08:00am 122* 69* 8.8*# 133 4.8 94* 221 22* 1 note updated reference range as of chemistry totprot albumin globuln calcium phos mg uricacd iron 08:00am 9.8 4.6* 2.2 lab use only redhold 11:40am hold radiology final report chest (pa & lat) 8:06 pm reason: please get x-ray at 6pm r/o pneumothorax medical condition: 68 year old man with lung mass s/p left upper lobectomy now s/p removal of chest tube reason for this examination: please get x-ray at 6pm r/o pneumothorax indication: 68-year-old man with lung mass status post upper lobectomy, now status post removal of chest tube, rule out pneumothorax. pa and lateral chest x-ray of , is compared to the previous chest x-ray of . there has been removal of the basal chest tube. there is no pneumothorax. there is improved aeration in the right lower lung. left lung remains clear. heart size and mediastinum are stable. right supraclavicular central venous catheter in standard placement. impression: no pneumothorax visualized. brief hospital course: pt admitted sda for above procedure. patient tolerated procedure well, extubated and trasferred to pacu in stable condition w/ right sides chest tubes x2 to suction. pain control w/ dilaudid iv pca. pacu course:uncomplicated, o2 sat 97% on 4l,renal consulted for esrd care. pod#1; pain control cont w/ pca w/ good pain control; ct right x2> sx; cxry>; oob to chair, is. nsr. coumadin restarted 2.5mg given pm, resumed from home regimen for atrial fibrillation. home meds restarted. o2 sat at rest 4l 96%,albuterol nebs and inhalers cont. hemodialysis done and to cont m-w-f, anuric. diet advanced. pod#2- pain control w/ pca cont. physical therapy consult- o2 sat @ rest- 93%- 5l, activity- 88%-4l, recovery 89-96%-4-5l. ambulate -tid. nsr. ct> w/s, no leak. coumadin 2.5mg. taking po's well.coumadin 2.5. pod#3-hemodialysis done; pca transitioned to percocet w/ good effect; nsr; right ct- d/c w/o complication, ct remains> w/s. pt- rest 93%- 4l; activity-84% ra, 91%-3l, 88%-2l, recovery-95%-4l.po intake good- bm today.coumadin 2.5 pod#4- ct to sulb sx; sr- 1 avblock; 2.5-4l nc sat 94%. dispo planning; ct site draining ser/sang drainage- dsd change qd; cont to drain ser/sang drainage. pod#5- bale ct removed w/o complication. pod#6- hemodialysis done, cont ambulation, is, inhalers w/ bs course bilat; o2 sat 98% 2l. pod#7- cont ambulation w/ o2 wean to 2l 95%. inr 2.8, coumadin heldx2 days- plan inr check in 2 days. pod#8-hemodialysis done. pt stable for discharge to extended care facility for conditioning, inr monitoring, wound care and management, esrd - dialysis. pod#9-patient found to have profound leukocytosis to 38 with complaints of abdominal pain. vancomycin, levofloxacin, and flagyl started as emperic therapy. ct scan of abdomen obtained, though no acute pathology was noted. pod#10-c. difficile sample sent, which eventually came back positive. general surgery consult sought. inr found to be 6.7. 1 unit ffp given, with correction of coagulopathy to inr 2.4. pod#-inr checked and found to be 3.0. antibiotics continued. patient complained of persistent llq abdominal pain. patient found to be in distress that evening in the bathroom. he was transferred to his bed, where he became unresponsive. the patient was coded, with initial vtach rhytym to asystole to junctional escape rhythm. after pushing epinepherine, atropine, bicarbonate, calcium, and amiodarone, a pulse was established. patient was transferred to the cardiac surgery icu, where his pulse was lost. he expired on at 2:30am medications on admission: lisinopril, lasix, norvasc, flomax, coumadin, amiodarone, and lipitor discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*qs tablet, chewable(s)* refills:*2* 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours). disp:*qs * refills:*2* 6. nicotine 14 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*qs patch 24hr(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. sevelamer 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). disp:*qs tablet(s)* refills:*2* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). disp:*qs capsule, sust. release 24hr(s)* refills:*2* 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: extended care discharge diagnosis: right lower lobe lung mass, hypertension, congestive heart failure, cerebral vascular accident, 70% carotid stenosis, atrial fibrillation, end stage renal disease on hemodialysis diverticulitis, peptic ulcer disease, benign prostatic hypertrophy, incisional hernia lung mass discharge condition: deceased procedure: fiber-optic bronchoscopy hemodialysis transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified transfusion of other serum diagnoses: end stage renal disease mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) sepsis occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease intestinal infection due to clostridium difficile other emphysema long-term (current) use of anticoagulants malignant neoplasm of lower lobe, bronchus or lung 

Answer: The patient is high likely exposed to