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: - recurrent l malignant pleural effusion metastatic gastric cancer major surgical or invasive procedure: - thoracentesis - pleurodesis - placement of chest tube history of present illness: 62 m with metastatic gastric cancer now with c/o shortness of breath and recurrant pleural effusion past medical history: pmh: gastric adenoca-s/p chemo, htn, mpe, ^lipidemia social history: non-contrib family history: non-contrib physical exam: on discharge vitals: 99.1 106 126/69 24 97% 2.5 l (needs to be updated) wd, cachectic, nad alert and oriented, moves all extremities tachy, regular rate/rhythm bilateral slight decrease bs at bases, cta otherwise soft, nt, nd, nabs no c/c/e; bilateral lower extrem warm pertinent results: 12:30pm blood wbc-8.2 rbc-3.06* hgb-9.3* hct-28.0* mcv-92 mch-30.5 mchc-33.3 rdw-17.3* plt ct-336 12:30pm blood neuts-80.9* lymphs-5.5* monos-9.2 eos-4.3* baso-0.1 12:30pm blood plt ct-336 05:38pm blood pt-14.6* ptt-29.5 inr(pt)-1.3* 12:30pm blood glucose-92 urean-14 creat-0.9 na-137 k-3.8 cl-98 hco3-32 angap-11 04:55am blood alt-10 ast-18 04:55am blood probnp-428* 12:30pm blood calcium-8.4 phos-3.9 mg-1.9 04:55am blood albumin-2.4* calcium-8.2* . radiology final report chest (pa & lat) 2:47 pm history of pleural effusion with pleurodesis and chest tube removal. since the previous study of , the left chest tube has been removed. there is consistent small left pleural effusion and loculated hydropneumothorax anteriorly in the left lower hemithorax, unchanged since the prior film. the diffuse bilateral interstitial densities and right pleural effusion are also unchanged. dr. approved: wed 4:15 pm brief hospital course: the pt. was admitted to the oncology service on with complaints of recurrant pleural effusions related to his metastatic gastric cancer. for the past week prior to admission the pt. had been suffering from progressive shortness of breath. a cxr was done on admission showing and expanding pleural effusions. the ip team was contact and the pt. was set up for pleurodesis and pleurex catheter placement. on hd 2 the pt. went to the ip suite and pleurodesis was attempted. the pt. became bradycardic to the 20s and a code was called. the pt. was immediately intubated and bronched -> a large mucous plug was extracted and the patient's vitals immediately improved. with the pt. intubated the pleurodesis was completed. a left side chest tube was placed and the pt. was transferred to the icu. the pt. was extubated overnight and transferred to the floor with telementry. the pt. did well for the next several days. on ppd2 the pt. had an aspiration event during which his o2 sats dropped briefly and he became tachycardic. this resolved with nebulizers, cough medicine, and lopressor. the pt. did well for the next two days. his chest tube remained on suction until ppd3 at which time it was placed to water seal. a post-water seal cxr was unchanged and on the morning of ppd 4 the ct was clamped. a four hour post cxr showed no change and the chest tube was pulled. post pull cxr was again stable with no evidence of a new pneumothorax. by hd 11 the pt. was doing well post pull and ready for discharge. he was still requiring supplemental oxygen and arrangements were made for a vna to visit and check the pt.s oxygen saturation as well as chest tube site. he was tolerating a regular diet, was given instructions regarding follow-up appoinments, medications, and post-procedure care. he understood this information well and was ready for discharge. medications on admission: compazine zofran ativan hyzaar lipitor discharge medications: 1. guaifenesin 600 mg tablet sustained release sig: two (2) tablet sustained release po bid (2 times a day). disp:*120 tablet sustained release(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain: - do not drive while taking this medication. disp:*30 tablet(s)* refills:*0* 8. megestrol 40 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 9. lorazepam 1 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. disp:*5 tablet(s)* refills:*0* 11. zofran 4 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: - metastatic gastric cancer - malignant pleural effusion - s/p pleurodesis and chest tube placement discharge condition: - good discharge instructions: - you may shower; no soaking in a bath tub, swimming pool, or hot tub for several weeks - you should eat a regular diet as tolerated - you should take pain medications as needed - do not drive while taking pain medications - every day you take pain medication you should take a stool softener: colace, senna, or dulcolax are all good options - you should continue to use supplemental oxygen during the day - the chest tube site dressing may come off on saturday morning - please call the interventional pulmonology clinic at if t>101.5, nausea, emesis, redness or smelly drainage from chest tube site, shortness of breath, swelling in your extremities, or any other concern. followup instructions: **it is very important that you call to confirm the following appointments** provider , md, phd: date/time: 1:00 . provider , rn phone: date/time: 2:00 . provider , .d. phone: date/time: 2:00 . provider: , md phone: date/time: 2:30 md procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube fiber-optic bronchoscopy thoracentesis transfusion of packed cells diagnoses: unspecified essential hypertension secondary malignant neoplasm of pleura other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus personal history of malignant neoplasm of stomach foreign body in main bronchus inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to