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: penicillins / heparin agents attending: chief complaint: transferred to for pulmonary stent major surgical or invasive procedure: bronchoscopy history of present illness: hpi: 86 year old male with cad s/p cabg, as s/p avr and cri presenting with a lung mass for a bronchoscopy at an osh. the patient is intubated at this time and history is obtained from the records. the patient was in his usual state of health until when he developed progressive dyspnea on exertion. he had a mechanical fall in or and a cxr was performed to evaluate for a rib fracture. xray demonstrated a right lung mass. ct chest done on demonstrated a spiculated, ill-defined mass in the rul, 6 cm, surrounding the rul bronchus and marked narrowing of the bronchus with lymphadenopathy. he underwent a scheduled bronchoscopy on which demonstrated marked airway tumor in the right upper lobe extending into the right bronchus intermidius. the airways were not completely obstructed, but there was reported marked narrowing with significant secretions. bronchial washings, brushings and biopsies of the lesion were done. he was transferred to for further management given the airway involvement. he remained intubated for transfer. cytology from the osh demonstrated squamous cell carcinoma. . upon arrival at , the patient was evaluated by the interventional pulmonary team. he had a repeat bronchoscopy performed which demonstrated right upper lobe mucosal thickening and friability as well as a probably neoplasm with endobronchial involvement. the airways were considered safe for extubation. biopsies, brushings and washings were repeated and the patient was prepared for extubation. past medical history: cad - s/p cabgx4(lima->lad, svg->d1, om, and pda) aortic stenosis htn chronic anemia osteoarthritis gout hypothyroidism hyperchol. bph asbestosis copd cri social history: lives alone, wife is in nursing home. cigs: long history and now smokes cigarettes/day etoh: 2-3 beers/day family history: unremarkable physical exam: vitals: 96.0, 140/60, 68, 17, 95%/ra gen: aox3 heent: unremarkable car: reg resp: ctab, decreased bs on right side abd:s/nt/nd/nabs ext: trace le edema, 2+ dp pulses pertinent results: 07:10am blood wbc-8.5# rbc-3.64* hgb-10.7* hct-33.9* mcv-93 mch-29.5 mchc-31.6 rdw-16.3* plt ct-219 07:10am blood glucose-85 urean-75* creat-2.6* na-142 k-4.2 cl-106 hco3-24 angap-16 07:10am blood calcium-9.1 phos-3.2 mg-2.1 11:27am blood type-art peep-5 fio2-50 po2-508* pco2-38 ph-7.44 caltco2-27 base xs-2 intubat-intubated comment-specimen i . chest xray 1. endotracheal tube and orogastric tube in standard position. 2. large right perihilar mass, reportedly a known finding, and concerning for lung neoplasm. 3. persistent small pleural effusions versus pleural thickening. . ct head w/o contrast 1. no evidence of metastatic disease on non-contrast ct scan, although mri remains more sensitive for this indication. 2. mild opacification of the right sphenoid sinus. brief hospital course: a/p: 86 year old male with cad, as, cri, copd, asbestos exposure with new squamous cell carcinoma of the right upper lobe. . #. lung cancer: squamous cell cytology from osh. all washings/brushings/biopsies repeated on bronchoscopy. airways patent based on interventional pulmonolgy evaluation. patient satting at 95%/ra postextubation. he will get further oncology evaluation at including a pet-ct scan for staging. he also has an ip appointment. . #. coronary artery disease: continue outpatient regimen of beta blocker, statin and can restart 81 mg aspirin. . #. anemia: at baseline; we did not continue his procrit as it can sometimes engance tumor growth. continuation of this medication to be discussed with oncologist. . #. prophylaxis: venodynes given history of thrombocytopenia related to heparin . # dispo: discharged to rehab medications on admission: synthroid 137 mg daily folate 1 mg daily lexapro 10 mg daily allopurinol 100 mg colace 100 mg daily aspirin 81 mg daily metoprolol 25 mg hytrin 5 mg daily bumex 1 mg senokot 1 mg po bid lipitor 40 mg po daily ambien 10 mg daily spiriva 1 inhh daily alphagan discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 3. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. levothyroxine 137 mcg tablet sig: one (1) tablet po once a day. 6. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). 7. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 8. atorvastatin 40 mg tablet sig: one (1) tablet po once a day. 9. ambien 10 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 10. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) inhalation once a day. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. bumetanide 0.5 mg tablet sig: two (2) tablet po bid (2 times a day). 13. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 14. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 15. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed. discharge disposition: extended care facility: lifecare discharge diagnosis: lung malignancy (squamous cell cancer) discharge condition: stable, afebrile discharge instructions: you were admitted to evaluate a mass in your lung. you did not require a stent. you did not have any oxygen requirement during your hospital course at . . please follow up with all your appointments and take all your medications. please do not use procrit until your oncology appointment. you can discuss about procrit with your oncologist. followup instructions: pet-ct (for initial staging) has been scheduled on at 10:30am. please call ( about your appointment. please follow the instructions from the instruction sheet and drink the contrast before the study. you have been given this sheet and contrast bottle. . oncology appointment: thoracic oncology program: . please call 1 day after your discharge to check the date or appointment. . interventional pulmonary: please call one day after discharge to check the date/time of appointment. . please make an appointment to see your primary care physician 2 weeks. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours closed [endoscopic] biopsy of bronchus closed endoscopic biopsy of lung diagnoses: anemia in chronic kidney disease pure hypercholesterolemia congestive heart failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified aortocoronary bypass status malignant neoplasm of upper lobe, bronchus or lung secondary malignant neoplasm of lung heart valve replaced by transplant asbestosis other diseases of trachea and bronchus 

Answer: The patient is high likely exposed to