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: shortness of breath major surgical or invasive procedure: cath pulmonary stent history of present illness: 44yo gentleman with h/o recently discovered pulmonary malignancy presenting with dyspnea x 2 days. the patient reports that he has had several weeks of air hunger. symptoms are worse with exertion and not particularly noticable at rest. two days ago, he woke up in the morning and was feeling much more trouble breathing. although he has reported chest pressure to other interviewers, he is currently denying recent chest pain or pressure. he has not had a cough or hemoptysis. he denies orthopnea or pnd. no weight gain, though he has had le edema that comes and goes. he denies fevers/chills. of note, he has had sweats and weight loss of 25 pounds over the last 6 weeks. in the ed the patient had the following vital signs: 97.4 117/73 130 26 96%ra. patient was found to have st elevations and borderline q waves in v4-v6 and i and avl. pt also with subtle st elevations in v2-v3. the patient underwent cta, which preliminarily was negative for pe or aortic pathology. a bedside echo was done, which preliminarily revealed mild regional left ventricular systolic dysfunction (ef 40-45%) with hypokinesis of the mid inferospetal and apical septal walls as well as moderate global free wall hypokinesis. the patient was given asa 325mg po once, heparin gtt, nitro gtt, integrillin, and plavix 600mg. the patient was then rushed to the cath lab, where he was found to have completely clean coronary arteries. the cath was also notable for marked pulmonary hypertension with pa pressures of 60/27. because of the marked pulmonary pressures and clean coronaries, a pulmonary angiogram was done, which was also negative for obvious pulmonary embolism, but subsegmental pe could not be excluded. because of the patient's anemia, he was given 1 unit of prbcs and transferred to the ccu for intensive monitoring. in the ccu, the patient feels mildly short of breath and appears in mild respiratory distress. he is mainly complaining of back pain, which is chronic and from metastatic disease per the patient. on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: malignancy with mass in lung and spine--prelim diagnosis is adenocarcinoma cardiac risk factors: no diabetes, dyslipidemia, or htn cardiac history: none -cabg: none -percutaneous coronary interventions: see below -pacing/icd: none outpatient cardiologist: none oncologist: ; ( cancer center) pcp: (nebh) social history: -occupation: works as a financial analyist -tobacco history: never smoked tobacco, smoked marijuan a few weeks ago for medicinal purposes but stopped after realized it didn't help. -etoh: occasional alcohol use, no heavy drinking -illicit drugs: none family history: no family history of early mi, heart disease, blood clots. physical exam: vs: t=98.2 bp=119/84 hr=110 rr=22 o2 sat=95%5lnc general: obese, pale gentleman in mild distress. alert, oriented x3. mood, affect appropriate. heent: ncat. pallor of sclera but anicteric. neck: supple, obese, jvp not discernible cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 sem. no r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi anteriorly (had to lie flat for post-cath). abdomen: obese, soft, ntnd. no hsm or tenderness. normoactive bs. extremities: no c/c/e. cool extremites, cap refill wnl skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: 05:40pm blood wbc-41.2* rbc-3.23* hgb-10.4* hct-28.3* mcv-88 mch-32.1* mchc-36.7* rdw-18.9* plt ct-331 07:46am blood wbc-16.8* rbc-1.98* hgb-6.3* hct-18.5* mcv-94 mch-32.0 mchc-34.1 rdw-20.6* plt ct-39* 07:40am blood pt-17.4* ptt-31.4 inr(pt)-1.6* 05:40pm blood pt-13.8* ptt-26.4 inr(pt)-1.2* 09:21am blood fdp-80-160* 04:28am blood fibrino-412* 01:49am blood fibrino-403* 07:35am blood fibrino-409*# 02:25am blood fibrino-243 01:49am blood ret man-7.6* 05:16pm blood glucose-163* urean-38* creat-0.7 na-145 k-3.9 cl-122* hco3-15* angap-12 05:40pm blood glucose-219* urean-24* creat-0.6 na-121* k-4.3 cl-89* hco3-20* angap-16 04:28am blood ld(ldh)-1783* 01:49am blood alt-27 ast-24 ld(ldh)-* alkphos-347* totbili-1.2 07:35am blood alt-27 ast-30 ld(ldh)-2560* alkphos-426* amylase-33 totbili-1.3 01:52am blood alt-28 ast-44* ld(ldh)-3820* alkphos-581* totbili-1.9* dirbili-0.5* indbili-1.4 02:25am blood alt-30 ast-56* ld(ldh)-3420* ck(cpk)-139 alkphos-643* totbili-1.5 02:25am blood ck-mb-9 ctropnt-0.18* 05:40pm blood ctropnt-0.23* 05:40pm blood ck-mb-17* mb indx-7.9* probnp-9576* 05:16pm blood calcium-5.1* 04:28am blood calcium-7.9* phos-4.7* mg-2.7* uricacd-5.2 05:40pm blood calcium-8.4 phos-2.9 mg-2.2 12:30pm blood d-dimer-* 11:23am blood caltibc-218* ferritn-greater th trf-168* 01:49am blood triglyc-129 04:21pm blood osmolal-270* 05:55am blood tsh-0.40 11:23am blood free t4-1.3 08:17am blood freeca-1.06* 07:26pm blood freeca-1.11* 12:46pm blood freeca-1.08* 05:28pm blood type-art temp-37.2 peep-5 po2-16* pco2-49* ph-7.19* caltco2-20* base xs--11 intubat-intubated vent-spontaneou 08:31pm blood type-art po2-163* pco2-34* ph-7.51* caltco2-28 base xs-4 radiology ct abdomen/pelvis w/contrast 1. l4 pathological fracture, with mild-to-moderate loss of vertebral height and 4 mm retropulsion into the central canal. if the patient presents with neurologic signs and symptoms, mri lumbar spine can be performed to further assess. 2. bilateral adrenal nodules, incompletely assessed in the current study. ill-defined right hepatic hypodensity lesion, also incompletely assessed. dedicated mr ct study could be performed for further characterization. 3. no intra-abdominal lymphadenopathy. 4. new small left pleural effusion. interval subtotal lll and partial rll atelectasis. new rml ground-glass opacity concerning for infectious process. radiology mr head w & w/o contras impression: no evidence of parenchymal metastases. predominantly right-sided pachymeningeal thickening of uncertain etiology. this could be seen in the setting of recent lp. differential diagnostic considerations include neoplastic or inflammatory etiologies. multiple tiny presumed bilateral acute and subacute embolic infarcts predominantly supratentorially, although a few cerebellar lesions are also seen. none of these lesions has significant mass effect. cardiology echo the left atrium is normal in size. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef= 35 %) secondary to extensive anteroapical akinesis. the basal segments of the left ventricle are hyperdynamic. there is a mild resting left ventricular outflow tract obstruction. right ventricular chamber size is normal. with focal hypokinesis of the apical free wall. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. cytology mediastinal mass most probably benign - consistent with a mixed micro- and macrofollicular lesion of mediastinal thyroid with cystic degeneration. cellular specimen with follicular cells in sheets, macro-follicles and groups. some macrophages are present. some colloid is present in variably-sized fragments. radiology ct head w/o contrast impression: 1. no evidence of acute intracranial hemorrhage given recent iv contrast administration for chest cta. 2. right periventricular hypodensity, likely represents chronic small vessel ischemic change. ill-defined low density in the left basal ganglia may also represent chronic small vessel ischemic change, although a small underlying lesion cannot be entirely excluded given history of cancer. findings can be further characterized on brain mri if there is no contraindication. radiology cta chest w&w/o c&recon impression: 1. no acute aortic pathology or pulmonary embolism. pulmonary hypertension. 2. large pleural based mass extending into the left upper lobe, found to likely represent non-small carcinoma per outside hospital () biopsy report. a smaller left posterior apical opacity is concerning for a second mass lesion. 3. multifocal rul ground-glass opacities, non-specific but could represent infection, inflammation, or neoplastic process. 4. enlarged, thyroid containing large thyroid nodules extending into the anterior mediastinum, substernally. if these findings have not previously been further evaluated, further work-up is suggested. 5. 2.3 cm ill-defined hypodense segment vii hepatic lesion. 2.4 cm right adrenal nodule. recommend mri for further characterization. cardiology c.cath 1. coronary arteries are normal. 2. mild diastolic ventricular dysfunction. 3. moderate primary pulmonary hypertension. cardiology echo lv systolic function appears depressed (ejection fraction 30 percent) secondary to severe hypokinesis of the septum and anterior free wall, and extensive apical akinesis. the basal inferior and posterior walls are hyperdynamic. right ventricular chamber size is normal with focal hypokinesis of the apical free wall. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. cardiology ecg , sinus tachycardia. anterolateral myocardial infarction with st-t wave configuration consistent with acute process. consider inferior myocardial infarction of indeterminate age although is non-diagnostic. no previous tracing available for comparison. brief hospital course: 44 year old gentleman with newly diagnosed lung mass admitted with sob likely secondary to compression of airway by lung mass. intially had st changes on ekg, underwent cath and found to have clean coronaries but notable for takosutbos cardiomyopathy. he then underwent pulmonary stent and biopsy of mass by interventional pulmonology. osh biopsy came back with nsclc. he underwent two rounds of xrt. however, he had to be intubated for respiratory distress and altered mental status. after which he was noted to be in dic which was thought to be secondary to his tumor load. he was provides supportive care. he developed bradycardia then lost his pulse and went into asystole. he underwent cardiopulmonary resusitated for 20 mins, which was unsuccessful. medications on admission: medications (confirmed with patient) -acetaminophen 1000mg po q8h prn pain -hydromorphone 4mg po q3h prn pain -ibuprofen 800mg po q6h prn pain -prilosec dosage unknown -patient no longer taking dexamethasone 6mg po daily discharge disposition: expired discharge diagnosis: pea/asystole nsclc dic respiratory failure anemia takotsubo leukocytosis anemia sinus tach fever nos discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube other bronchoscopy other intubation of respiratory tract closed [endoscopic] biopsy of bronchus other operations on trachea arteriography of pulmonary arteries cardiopulmonary resuscitation, not otherwise specified other radiotherapeutic procedure closed [percutaneous] [needle] biopsy of mediastinum diagnoses: thrombocytopenia, unspecified anemia, unspecified other chronic pulmonary heart diseases other specified forms of chronic ischemic heart disease acute respiratory failure other specified cardiac dysrhythmias malignant neoplasm of other parts of bronchus or lung lumbago other disorders of neurohypophysis secondary malignant neoplasm of bone and bone marrow anemia in neoplastic disease neoplasm related pain (acute) (chronic) other diseases of trachea and bronchus pathologic fracture of vertebrae takotsubo syndrome benign neoplasm of mediastinum cyst of thyroid 

Answer: The patient is high likely exposed to