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: shortness of breath, fever, increased cough major surgical or invasive procedure: placement of central venous line r ij history of present illness: mr. is a very nice 48 yo -speaking gentleman with nsclc, chronic hbv, h/o positive ppd coming with productive cough and fever. he received his routine chemotherapy on of his cycle 6, day 1 of taxotere. he was in his prior state of health until around friday ~2-3 days ago when he noticed subjective fever, prodcutive cough with yellowish sputum and worsening shortness of breath. his wife reports noticing that he also was cold/chills starting a few days prior to the fever. he took his temperature on the day of admission and found it to be 101.4 f. he acknowledges chest pain only with cough, some difficulty urinating and occassional low leg pain which has been assoicated w/getting his chemo therapy. he denies any sick contacts, palpitations, dizziness, abdominal pain, sore throat, otalgia, joint pains or skin rashes. of note, he is chemo/radiation therapy for lung cancer and is schueduled for his next session next week. . in the ed his initial vs were: t 98.1 f, hr 128, bp 112/73 mmhg, rr 20 x', spo2 98%ra. on exam he was tachypneic, mentating well with difficult exam in the lungs with poor air movement. he had labs that showed wbc 6.5, hct 40.1, plts 281, na 136, k 4.2, cl 99, co2 24, bun 18, creat 0.9, gluc 133, lactate:2.5. blood cultures were drawn. cxr showed new rll consolidates compatible with pna and stable masses in rul and rml. throught his stay int he ed he spiked up to 103 and received tylenol and vanco and cefepime as well as a dose of hydrocort. he underwent cvl placement (rij). he initially received 4 l ns without much improvement in blood pressure and therefore was admitted to the . his vs prior to transfer are: 93 30 87/56 100.3. access: 20 g. rij . on the floor, vs were 95.6 hr 84 110/81 rr 25 97% ra. pt was not using accessory muslces, generally appeared ill but not toxic. pt's bp had returned to baseline bp after ivf and levophed was turned off. pt denied pain currently. noted he only had pain w/cough but was not currently coughing. . past medical history: chest x-ray on 4cm mass right infrahilar region ct scan right upper lobe, 3.5 x 3.3 cm, multiple mediastinal pathologically enlarged lymph nodes were noted in the right upper paratracheal area (12mm), the right lower paratracheal area (11 mm), and the subcarinal area (12 mm). thoracentesis on negative for malignanc cells single atypical cell, cannot further characterize. abundant lymphocytes and scattered mesothelial cells. repeat thoracentesis was performed, and on right vats procedure with pleural biopsy and talc pleurodesis as well as placement of a pleur-x catheter. status post 3 cycles of carboplatin,paclitaxel, bevacizumab, and anamorelin hcl/placebo as part of dfhcc 07-369. started second line erlotinib on . dose increased to 50 mg/day on . continues on therapy and will now add alimta. --continued progression will add to the alimta and tarceva. --continued progression--will begin taxotere. recent bx of lung consistent with nsclca. past medical history: 1. advanced nonsmall cell lung cancer as above. 2. history of positive ppd. per report treated with short course of inh several years ago. 3. chronic hepatitis b. on tenofovir. it reactivated with chemotherapy. 4. hyperlipidemia 5. helicobacter pylori infection social history: 30-pack-year history of smoking. quit one year ago. no recent alcohol use. denies illicits. lives with wife. speaking family history: mother died this past week. father died at age 70 with a history of hypertension. no reported family history of cancers or blood disorders. physical exam: vs: 95.6 hr 84 110/81 rr 25 97% ra general - ill appearing man but nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear, no exudate neck - supple, no thyromegaly, no jvd, no carotid bruits, no lad lungs - resp unlabored, no accessory muscle use, decreased breath sounds in upper right consistent w/known masses, also crackles at base of right, left clear heart - rrr, no mrg appreciated at this time, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding. extremities - wwp, no edema, 2+ peripheral pulses (radials, dps), no tenderness to palplation of legs although pt reports legs sore after chemo skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, gait not tested. discharge exam: pertinent results: admission labs: 05:50am blood wbc-6.5 rbc-5.00 hgb-13.4* hct-40.1 mcv-80* mch-26.8* mchc-33.4 rdw-17.7* plt ct-281 03:41am blood wbc-5.7 rbc-4.39* hgb-11.8* hct-34.5* mcv-79* mch-26.9* mchc-34.2 rdw-17.7* plt ct-264 05:50am blood neuts-39* bands-2 lymphs-32 monos-26* eos-0 baso-0 atyps-1* metas-0 myelos-0 03:41am blood neuts-53 bands-0 lymphs-31 monos-15* eos-0 baso-0 atyps-1* metas-0 myelos-0 05:50am blood plt smr-normal plt ct-281 03:41am blood pt-14.3* ptt-29.6 inr(pt)-1.2* 03:41am blood plt smr-normal plt ct-264 05:50am blood gran ct-2535 05:50am blood glucose-133* urean-18 creat-0.9 na-136 k-4.2 cl-99 hco3-24 angap-17 03:41am blood glucose-124* urean-15 creat-0.9 na-140 k-3.4 cl-106 hco3-27 angap-10 05:50am blood alt-44* ast-60* ld(ldh)-484* alkphos-104 totbili-0.7 03:41am blood alt-31 ast-43* ld(ldh)-356* alkphos-84 totbili-0.4 05:50am blood albumin-3.2* 03:41am blood calcium-7.7* phos-2.0*# mg-1.9 05:50am blood cortsol-20.8* 01:04pm blood lactate-1.4 micro: pending imaging: chest (pa & lat) study date of 5:58 am frontal and lateral views of the chest: again seen is the large right upper lobe and right middle lobe masses consistent with known cancer. multiple other small nodules are also seen throughout the right lung including the right lower lobe, unchanged. an area of increased subtle density at the right lower lobe base appears slightly more prominent when compared to the recent scout radiographs of the chest ct of , even given differences in technique. there is a small right-sided pleural effusion, stable. the left lung remains clear. impression: 1. large right upper lobe and right middle lobe masses with small pulmonary nodules noted in the left lower lobe. stable small right-sided pleural effusion. 2. although comparison to the recent chest ct is difficult given differences in technique, an area of increased subtle opacity at the right lung base could potentially represent an early pneumonia. ct chest w/contrast study date of 3:47 pm ct chest: mdct imaging was performed from the thoracic inlet to the upper abdomen after the uneventful intravenous administration of contrast. sagittal and coronal reformats were prepared. comparison: chest radiograph , ct chest . findings: in the right upper lobe is a 7.6 x 7.2 x 7.6 cm mass, which has increased in size since the previous examination. there is increased ground-glass opacity in the periphery of this mass (2:17). this mass extends medially, invading into the mediastinum and causing obliteration of the right upper lobe apical bronchi, unchanged. the azygos vein is obliterated as well as the pulmonary artery supplying the right upper lobe, stable. within the right middle lobe is a 5.8 x 3.6 cm mass, increased in size since the prior examination. multiple subcentimeter size nodules within the right lower lobe are grossly stable to somewhat increased in size. a small pleural effusion on the right is larger. there remains areas of linear enhancement along the pleura concerning for pleural metastatic invasion. a 1.9 x 1.6 cm node along the right anterior mediastinum (2:20) has increased in size. subcentimeter nodules in the left lung (3:18, 29) appear stable. the thoracic aorta appears normal. the main pulmonary artery is enlarged measuring 3.6 cm, somewhat increased. however, apart from the obliteration of the right upper lobe pulmonary artery due to the mass there is no evidence for pulmonary embolus. no pericardial fluid is present. there is a small left effusion. there is fluid within the esophagus which is only somewhat distended. there is extensive soft tissue within the mediastinum (2:19) in an area of invasion. a 4-mm prevascular lymph node (2:19) is present. there is no significant axillary lymphadenopathy. limited views of the upper abdomen appear within normal limits. bone windows: again noted is a sclerotic focus within a right anterior seventh rib, unchanged since . there is slight thickening of the posterior cortex of the right clavicle, (4:4), stable since . impression: 1. increased size of right upper, and right middle lobe pulmonary masses. the right upper lobe mass invades into the mediastinum causing obliteration of the right upper lobe bronchi, and right apical pulmonary artery. 2. increased size of a right pleural effusion with pleural enhancement concerning for pleural invasion. 3. some areas of increased ground-glass opacity, particularly in the periphery of the large pulmonary masses. while this most likely is due to tumor extension, pneumonia is not entirely excluded. 4. small left effusion with stable subcentimeter left-sided pulmonary nodules. 5. enlarged main pulmonary artery, but no evidence for pulmonary embolism. brief hospital course: pt is a 48 yo -speaking gentleman with nsclc, chronic hbv, h/o positive ppd p/w pneumonia pt was admitted to the because of hypotension requiring pressors. cxr with e/o pna with rul and rll infiltrates in addition to known masses, also with fever and cough with sputum production. started cefepime, vancomycin and levofoxacin and blood cx were drawn prior to starting abx. a ct chest was done that showed worsening tumor, but no evidence of pe or clear infiltrate. symptoms were managed with tylenol and guaifenisin. hypotensive in the ed, this improved with ivf, was also briefly on norepinephrine but this was quickly weaned off. home lasix was held in setting of hypotension. dr. , his outaptient oncologist, was contact and recommended holding terceva. home tenofovir was continued. he was noted to have urinary retention and abd pain, so foley was placed and drained 700+ ml of retained urine. foley was discontinued prior to transfer to floor due to patient request.on the floor pt remained afebrile and hemodynamically stable not requiring supplemental o2.iv antibiotics were discontinued and patient remained on levoflox with plan to complete a 10 day course. on discharge pt instructed to restart tarceva as there is recent evidence that discontinuation of tarceva at time of progression can cause a flare of the cancer disease. pt is scheduled for f/u with dr . blood and sputum cxs were negative. medications on admission: viread 300 mg po daily tarceva 25 mg tab po daily dexamethasone 4 mg po bid after chemo tylenol 325 mg iophen c-nr 10 mg-100 mg/5 ml po q4-6 hrs prn clindamycin 1% gel lasix 20mg every other day (stopped taking in setting of fever, acute illness) discharge medications: 1. nebulizer nebulizer machine 2. tarceva 25 mg tablet sig: one (1) tablet po once a day. 3. levofloxacin 750 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*30 day* refills:*0* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 8. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 9. codeine-guaifenesin 10-100 mg/5 ml syrup sig: ten (10) ml po bid (2 times a day) as needed for cough. disp:*30 day* refills:*0* discharge disposition: home discharge diagnosis: pneumonia non small cell lung cancer cough discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr you were admitted with fever and cough and diagnosed with pneumonia. you were first admitted to the intensive care unit because of low blood pressure and when this stabilized you were transferred to the oncology floor. you were treated with antibiotics and will need to complete a course of oral antibiotics at home. during your hospital stay on the oncology floor you remained afebrile, oxygenating well adn not requiring supplemental oxygen. changes in medications; levofloxacin albuterol neb inh. as needed guaifenesin/codeine as needed hold lasix followup instructions: department: hematology/oncology when: tuesday at 10:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: tuesday at 11:00 am with: , rn building: sc clinical ctr campus: east best parking: garage department: liver center when: friday at 10:40 am with: building: lm campus: west best parking: garage procedure: venous catheterization, not elsewhere classified diagnoses: pneumonia, organism unspecified retention of urine, unspecified malignant neoplasm of other parts of bronchus or lung fever, unspecified chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta personal history of antineoplastic chemotherapy other specified hypotension 

Answer: The patient is high likely exposed to