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: 1. embolization of left upper bronchial artery 2. intubation 3. right ij central venous line placement history of present illness: 67 yo m h/o cad, chf, presented to the ed with hemoptysis. he was initially c/o sob and saw his pcp 10 days prior. he was empirically started on levofloxacin after a cxr showed concern for pna. 5 days prior to presentation he began to cough dark blood. he saw his pcp who set him up for a chest ct. this has not been performed yet. his hemoptysis progressively worsened to the point of coughing up blood continously. since he wasn't feeling well, he decided to go to the ed. in , intial vital signs were 98.7 92 18 80/53 91% which decreased to 88% on ra, ultimately placed on a non-rebreather with improvement of his oxygenation. his hct was 39.9. in ed vs were 98.6 97/64 90 24 99% on non-rebreather which was ultimately weaned down to 3 liters. he became hypotensive with sbp in the 90s and was started on levophed. hct was 31.5. a right ij was placed. he was transfused 2 units of prbcs. he was started on cefepime and azithromycin. non-con ct showed extensive consolidation involving the left upper lobe. left hilar adenopathy. small airway impaction with secretions. no definite mass seen was seen. vs prior to transfer: 98.5 119/78 25 95% 3l on the floor, patient is complaining of left sided chest pain that is sharp and worse with inspiration. it developed after coughing. mildly relieved with iv morphine. 1 sl ntg did not help. no ekg changes. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: -cad s/p inferior mi -ischemic cardiomyopathy: last tte ef 35%, moderate regional lv systolic dysfunction with evidence of an extensive inferior infarction -hypercholesterolemia -hypertension -gout -internal hemorrhoids social history: married, quit smoking in , >50 pack year smoking history. drinks two large drinks of scotch daily. physical exam: admission physical exam: vs:97 88 126/79 17 93% 3l ga: aox3, nad heent: perrla. mmm. no lad. no jvd. neck supple. cards: pmi palpable at 5/6th ic space. no rvh. rrr s1/s2 heard. no murmurs/gallops/rubs. pulm: ctab no crackles or wheezes abd: soft, nt, +bs. no g/rt. neg hsm. neg sign. extremities: wwp, no edema. dps, pts 2+. skin: neuro/psych: cns ii-xii intact. 5/5 strength in u/l extremities. dtrs 2+ bl (biceps, achilles, patellar). sensation intact to lt, pain, temperature, vibration, proprioception. cerebellar fxn intact (ftn, hts). gait wnl. pertinent results: admission labs: 05:30pm hct-30.7* 04:59pm hgb-11.1* calchct-33 04:56pm glucose-114* urea n-36* creat-1.6* sodium-138 potassium-4.5 chloride-111* total co2-19* anion gap-13 04:56pm alt(sgpt)-10 ast(sgot)-18 alk phos-105 tot bili-0.2 04:56pm lipase-62* 04:56pm albumin-3.2* calcium-7.5* phosphate-2.9 magnesium-2.0 04:56pm wbc-9.6 rbc-3.44* hgb-10.3* hct-31.5* mcv-92 mch-29.9 mchc-32.7 rdw-15.1 04:56pm neuts-89.9* lymphs-5.6* monos-3.5 eos-0.6 basos-0.4 04:56pm plt count-261 04:56pm pt-13.1 ptt-24.0 inr(pt)-1.1 cytology: bronchial washings: bronchial washings, left upper lobe, anterior segment: negative for malignant cells. hemosiderin-laden alveolar macrophages. no fungal organisms identified. micro: bronchial washings: left upper lobe segment. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): fungal culture (preliminary): no fungus isolated. ekg: sinus rhythm at rate of 86. normal axis. q waves in inferior leads c/w old inferior mi. normal intervals. ct chest w/o contrast: 1. extensive consolidation involving the left upper lobe with reactive mediastinal and left hilar lymphadenopathy. these findings have progressively worsened since the earlier chest radiograph of and are highly concerning for pneumonia. no definite masses are detected on this non-contrast study. recommended continued followup until resolution. 2. small left pleural effusion. 3. bilateral apical predominant centrilobular emphysema. cxr: 1. the right internal jugular central venous catheter tip terminates in the svc. 2. findings concerning for left upper lobe pneumonia. 3. suboptimal study for assessing for pneumothorax as the lung apices are excluded from the field of view. cxr: as compared to the previous radiograph, the patient has been intubated. there is complete intubation of the right main bronchus. subsequent volume loss of the left lung, where the pre-existing perihilar opacity has not changed. however, there is now extensive retrocardiac opacity. newly appeared parenchymal opacity at the bases of the right upper lobe, potentially related to volume loss. bilateral lower extremity ultrasound: no evidence of dvt. left cyst. brief hospital course: 67 year-old man who presented with hemoptysis and transient hypotension with concern for lung mass. # hemoptysis: his hematocrit at , where he initially presented, was 39.9 with a blood pressure of 80/53. he was transferred to , ultimately received 2 units of prbcs, central line was placed and transiently started on levophed which was quickly weaned off after volume resuscitation. he required no further blood products. he underwent rigid bronchoscopy, biopsy performed and could not stop the bleeding. he was sent to ir from ip suite and is s/p embolization of left upper bronchial artery branches. he remained right mainstem intubated after bronch overnight. a repeat flex bronch was performed bedside the following morning and no signs of active bleeding were present. the tube was pulled back to trachea and he was quickly extubated the same day without incident. he continued to have a profound cough with scant amounts of rusty colored sputum. this was controlled with po codeine and lidocaine nebulizers. he also required supplemental oxygen with a shovel mask initially, which was weaned down to 5 liters nc prior to transfer to the floor. over the course of the next several days, he was weaned down to room air. with ambulation, he was noted to have desaturations to ~88%, quickly resolving after rest. nevertheless, it was felt best to discharge him with home oxygen as a temporizing measure - until he is able to clear his airways fully of old blood and secretions. he was empirically treated with ceftriaxone and azithromycin for presumed cap. he completed a five-day course of azithromycin in house and will take two more days of cefpodoxime. (as a note, pulmonary embolism was considered as an etiology for his hemoptysis and hypoxia - during this admission, lower extremity dopplers were done which were negative for dvt. furthermore, his oxygenation improved rapidly after transfer from the intensive care unit - in tandem with resolution of hemoptysis and clearing of secretions/old blood. cta was deferred even after his renal function improved because of his improving clinical status. furthermore, he would not be a candidate for anticoagulation given the recent episode of massive hemoptysis.) we have asked that he schedule an appointment in pulmonary clinic in two weeks. he will need repeat ct imaging to assess for underlying cause for the bleeding. # acute renal failure: felt to be secondary to pre-renal azotemia in setting of blood loss. initially cr was 1.6, which quickly resolved to 1.0 after receiving ivfs and prbcs. # chest pain: pleuritic in nature and tender to palpation occuring after coughing. ekg not c/w ischemia. felt to be secondary to muscle strain. treated with tylenol and lidocaine patches with good relief. # hypertension: hypotensive on presentation requiring brief use of levophed and phenylephrine (as above). initial anti-hypertensives held, and continue to be held at admission. his blood pressures were well-controlled off of medications. we have asked that he follow-up with his primary care physician, can restart the medicines later this week if necessary. # coronary artery disease: patient continued on home atorvastatin and zetia. #code: full code medications on admission: zetia 10 mg daily atorvastatin 80 mg daily lisinopril 20 mg daily atenolol 25 mg daily effexor 225 mg daily allopurinol flonase (new med) claritin (new med) cardizem daily (? new med) discharge medications: 1. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 3. venlafaxine 75 mg capsule, sust. release 24 hr sig: three (3) capsule, sust. release 24 hr po daily (daily). 4. allopurinol oral 5. cefpodoxime 100 mg tablet sig: two (2) tablet po q12h (every 12 hours) for 2 days. disp:*8 tablet(s)* refills:*0* 6. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 7. claritin 10 mg tablet sig: one (1) tablet po once a day. 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for chest. disp:*30 adhesive patch, medicated(s)* refills:*0* 9. home oxygen 2l oxygen titrate to maintain oxygen saturation greater than 90%. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnoses: 1. hemoptysis 2. community-acquired pneumonia secondary diagnoses: 1. hypertension 2. coronary artery disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were admitted to the hospital with coughing up blood. you were admitted to the icu and given blood and intravenous fluids. you had an embolization procedure to stop the bleeding in your lungs. you had a ct scan of the lungs that showed you might have a pneumonia. you were treated with antibiotics. the following medications were changed during this admission: --we added cepodoxime; please take for two more days for pneumonia --we added lidocaine patch for pain --we added oxygen, which you can use at home to make your breathing comfortable as you recover from the pneumonia --we stopped atenolol, lisinopril, and cardizem (all medicines that can affect your blood pressure) - these can be restarted by your primary care physician after you in clinic please continue all other medications you were on prior to this admission. followup instructions: please follow-up with the following appointments: --please call your primary care physician to an appointment later this week. --please call the pulmonary clinic at to arrange for an appointment in 2 weeks. the number to schedule an appointment is procedure: venous catheterization, not elsewhere classified insertion of endotracheal tube fiber-optic bronchoscopy arteriography of other intrathoracic vessels closed [endoscopic] biopsy of bronchus other endovascular procedures on other vessels diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified gout, unspecified other specified forms of chronic ischemic heart disease hypotension, unspecified malignant neoplasm of prostate chronic systolic heart failure hypovolemia alcohol abuse, continuous internal hemorrhoids without mention of complication swelling, mass, or lump in chest 

Answer: The patient is high likely exposed to