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: statins-hmg-coa reductase inhibitors / dilaudid attending: chief complaint: t2 pathological collapse major surgical or invasive procedure: c7 to t4 posterior spinal fusion and thoracoscopic biopsy of the lung lesion history of present illness: he has known t2 pathologic fracture just picked up on ct. he also has lesions in his sternum as well as his lung. he has had radical neck dissection on the right side. this patient has been discussed with as well as dr. in person. he has multiple medical issues including a defibrillator. he has a low ejection fraction. he is on multiple medications including aspirin 325 mg. his history as well as his medications were reviewed. in terms of his physical examination, he is alert and oriented. affect is within normal limits. his gait is within normal limits. there is no evidence of myelopathy or hyperreflexia or balance disturbance. he has minimal to no tenderness to palpation, but does feel a difference in palpating his upper thoracic spine versus his lumbar, lower thoracic spine. he definitely has referred shoulder pain either from this sternal lesions or the lung lesions. imaging: a ct was performed today, which shows a pathologic fracture through the t2 vertebral body. this involves the posterior wall. at this point, given the nature of his fracture and a lytic lesion, i would recommend stabilization. this involves a minimum of c7-t4 posterior spinal fusion with perhaps some isolated decompression at t2. this can be combined in talking with dr. with his biopsy of his lung. we try to get this done on the same day. in terms of his anticoagulation, we spoke with his cardiologist so that he can be off his anticoagulation for seven days. this will come off five days preoperatively and two days postoperatively. he will be in the hospital for approximately four days. his wife was present with him today. we will schedule him hopefully on . he understands the risks of surgical intervention and not operating. there is both the risk of paralysis with leaving him alone as well as operative procedure. the risks are significant given his medical history. however, this will allow him to move forward with his care. an e-mail was also sent to his physicians outlining the plan. past medical history: stage iii melanoma, right neck, s/p excision with sentinal ln biopsy (positive ) , right modified neck dissection . cad icd -ef 35-40% (per patient on most recent echo last week) myocardial infarctions- 's and . ischemic cardiomyopathy dyslipidemia hypertension r knee surgery r rotator cuff repair r ulnar nerve release r cataract l percutaneous coronary intervention at hospital, in anatomy as follows: coronary arteriography revealed an occluded circumflex artery but no other significant obstructive coronary artery disease. patient had an mi in treated with lytics. icd implantation for primary prevention. (st. model 7001 active fixation icd electrode and a st. v 193 single chamber icd pulse generator. icd lead revision repetitive icd firing and probable insulation breech on icd icd lead revision : inappropriate icd firing suggestive of lead dislodgement. on the passive fixation lead was removed and a new active fixation lead placed. infected icd lead extraction and explantation social history: lives in with his wife. retired. nonsmoker, drinks 2 etoh daily. family history: he has a half-brother who has melanoma in situ and a father who had some form of skin cancer. he has a brother who had basal cell cancer on his nose. there are no other cancers in the family. there is no family history of sudden death. his father had an mi while in his 50s. he is retired from the phone company and has about 2 drinks per night. physical exam: see hpi pertinent results: 05:50am blood hct-33.8* 04:50am blood wbc-11.3* rbc-3.56* hgb-11.7* hct-34.3* mcv-97 mch-32.9* mchc-34.1 rdw-14.0 plt ct-151 02:50pm blood wbc-6.5 rbc-3.32* hgb-10.9* hct-32.3* mcv-97 mch-32.9* mchc-33.8 rdw-14.1 plt ct-178 04:50am blood plt ct-151 05:50am blood glucose-120* urean-19 creat-1.0 na-138 k-4.4 cl-103 hco3-29 angap-10 04:50am blood glucose-117* urean-17 creat-1.0 na-135 k-4.4 cl-99 hco3-27 angap-13 02:13am blood glucose-102* urean-19 creat-1.2 na-139 k-4.2 cl-104 hco3-25 angap-14 02:50pm blood glucose-113* urean-23* creat-1.3* na-141 k-4.3 cl-106 hco3-22 angap-17 04:50am blood calcium-9.3 phos-2.7 mg-1.6 02:13am blood calcium-9.2 phos-3.5 mg-1.6 02:58pm blood type-art po2-128* pco2-42 ph-7.35 caltco2-24 base xs--2 12:06pm blood type-art rates-/10 tidal v-600 peep-3 fio2-39 po2-182* pco2-34* ph-7.41 caltco2-22 base xs--1 intubat-intubated vent-controlled 11:18am blood type-art po2-142* pco2-35 ph-7.38 caltco2-22 base xs--3 intubat-intubated 02:58pm blood glucose-105 lactate-1.0 na-138 k-4.1 cl-106 12:06pm blood glucose-126* lactate-1.3 na-137 k-4.2 cl-105 11:18am blood glucose-145* lactate-1.5 na-138 k-4.2 cl-104 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the above procedure. refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were continued for 24hrs postop per standard protocol. initial postop pain was controlled with a pca. diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. physical therapy was consulted for mobilization oob to ambulate. pt transferred to ticu for post op observation. and extubated after 24 hours chest tube discontinued by thoracic service with normal post removal cxr hvac drain and foley d/c patient had two episodes of vomiting with abdominal distention. kub showed few dilated bowel loops suggestive of paralytic ileus on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: omez, 40', benazepril 40', exetimibe 10', fenofibrate 54', metformin 500'', niacin 1000'', tamsulosin 0.4', aspirin 325', carvedilol 12.5'' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: 1-2 tablets po qhs (once a day (at bedtime)). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 5. lactobacillus acidophilus 100 million cell capsule sig: one (1) capsule po tid (3 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 8. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 9. niacin 100 mg tablet sig: one (1) tablet po bid (2 times a day). 10. benazepril 10 mg tablet sig: four (4) tablet po once a day (). 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 12. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*120 tablet(s)* refills:*0* 15. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 16. fenofibrate micronized 48 mg tablet sig: one (1) tablet po once a day (). discharge disposition: home with service facility: vna of discharge diagnosis: metastatic melanoma t2 collapse and lung lesion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: immediately after the operation: - activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. - rehabilitation/ physical therapy: o 2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. you can walk as much as you can tolerate. o limit any kind of lifting. - diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. - wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. - you should resume taking your normal home medications. - you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - follow up: o please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x-rays and answer any questions. we may at that time start physical therapy. o we will then see you at 6 weeks from the day of the operation and at that time release you to full activity. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. weigh yourself every morning, md if weight goes up more than 3 lbs. physical therapy: see discharge instructions treatments frequency: see discharge instructions followup instructions: provider: , : date/time: 1:40 provider: , md phone: date/time: 9:00 procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges biopsy of bone, other bones other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae thoracoscopic excision of lesion or tissue of lung diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction paralytic ileus automatic implantable cardiac defibrillator in situ secondary malignant neoplasm of lung personal history of malignant melanoma of skin secondary malignant neoplasm of bone and bone marrow pathologic fracture of vertebrae other digestive system complications 

Answer: The patient is high likely exposed to