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: past medical history: 1. hypertension. 2. hypercholesterolemia. 3. head and neck cancer. 4. per the patient, there is a question of a lung nodule on a recent ct scan. family history: mother with copd. social history: he is currently unemployed. he is a pipe designer. he has also worked in ship yards before. he lives in . he is married and has three children. he smoked three packs per day of tobacco for 20 years but quit 33 years ago. he is also reported to have abused alcohol until he quit in . physical examination on admission: vital signs: on , the temperature was 98.4, pulse 90s, blood pressure 90s-150s/60s, respiratory rate 30s, 02 saturation 88-94% on 100% nonrebreather, 80% on room air. general: the patient was a very pleasant, obese man, markedly tachypneic. heent: the oropharynx was dry. neck: jvp 7-8 cm, no palpable lymphadenopathy. chest: velcro-like crackles one-quarter up bilaterally, otherwise clear to auscultation bilaterally with decreased air movement. there was a hematoma in the left superior anterior chest. it is mobile and about the size of a small chicken egg. cardiovascular: regular rate and rhythm, normal s1, s2, no murmur. abdomen: soft, nontender, nondistended, with positive bowel sounds. extremities: warm without edema. there were chronic venostasis changes noted at the right ankle. laboratory/radiologic data: wbc 14.3, hematocrit 36.6, platelets 271,000. the differential revealed neutrophils 81%, bands 0%, lymphs 11%. sodium 134, k 3.9, cl 93, c02 28, bun 12, creatinine 0.6, glucose 112. troponins upon admission were initially greater than 50, then 81. the cks were 608, 467, and 409. chest x-ray on admission showed diffuse alveolar and reticular infiltrates bilaterally, greatest at the bases. hospital course: the patient is a 68-year-old man with head and neck cancer diagnosed with three vessel coronary artery disease as well as myocardial infarction on admission to the hospital. on arrival to the floor, he was noted to be markedly tachypneic. the tachypnea and dyspnea did not improve even with 2.5 liters of lasix diuresis. he was transferred to the medical intensive care unit for closer observation on . on , he was noted to be in increased respiratory distress and thus was electively intubated. a ct of the chest was performed. it showed multiple nodules throughout the lungs as well as interstitial disease, especially at the bases. there were diffuse ground glass opacities in both lungs. this clinical picture at this time was consistent with respiratory failure secondary to likely a previously undiagnosed interstitial lung disease vs. progressive lymphangitic carcinomatosis. while he was intubated, he remained difficult to oxygenate. he also developed hypotension and required neo-synephrine and two days later vasopressin in order to maintain a mean arterial pressure of 60 mmhg. he also ruled in for myocardial infarction again on . he was started on heparin on given the myocardial infarction with ekg changes in the inferior leads. throughout his icu course, the patient's oxygenation was tenuous. his oxygen saturation was difficult to maintain at 90% even with increasing his positive end-expiratory pressure. likewise, his hypotension did not show any improvement during his icu course. given these clinical findings, the overall impression was that his prognosis was very poor, especially given the interstitial lung disease seen on ct scan. on , he was noted to have pupils that were fixed and dilated as well. there was no oculocephalic reflex noted and he was also unresponsive even when he was off sedation. given the patient's extremely poor prognosis, especially with the metastatic head and neck cancer, the interstitial lung disease, and the multiple myocardial infarctions, as well as other comorbidities, his family elected that he would be made comfort measures only on . his pressors were stopped and he was extubated. he expired several hours later. discharge diagnosis/procedures: 1. myocardial infarction times two. 2. cardiac catheterization, with attempted percutaneous transluminal coronary angioplasty of coronary artery. 3. interstitial lung disease. 4. hypoxia. 5. respiratory failure requiring intubation. 6. shock, requiring pressor support. disposition: the patient expired on in the afternoon. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension acute respiratory failure pneumonitis due to inhalation of food or vomitus malignant neoplasm of base of tongue 

Answer: The patient is high likely exposed to