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: clindamycin / keflex attending: chief complaint: hemoptysis/post-obstructive pneumonia major surgical or invasive procedure: ir embolization of bleeding pulmonary site history of present illness: mr. is a 61 year old male smoker with 50 pack year history, copd, hemachromatosis, and multiple invasive squamous cell carcinoma/basal cell carcinoma who is being transferred to the icu for post-procedural monitoring following rigid bronchoscopy for hemoptysis and likely post obstructive pneumonia. . he initially presented who had an episode of hemoptysis and shortness of breath in the early am prior to presenting to the osh. patient reports that he had 2 episodes of hemoptysis of approximately oz. there, he underwent a ct scan that showed a mass obstructing the left main stem bronchus with a post obstructive pneumonia on the left. the patient was started on cap coverage with ctx/azithromycin, to which flagyl was added. patient denies and fevers, chills, sweats. patient reports a diminished appetite, and 25 weight loss of the past 6-8 weeks. patient reports that he has difficulty walking greater than 50 feet before he becomes short of breath and develops calf pain. . of note, he has a major history of numerous squamous cell carcinomas of the bilateral frontal and parietal scalp, probably due to excessive sun exposure. he receives dermatologic care here at from dr. is to see dr. for a mohs procedure of a recurrent left temporal lesion. he believes that he has melanoma of the left temporal region though this was not demonstrated by recent pathology. he also believes he has melanoma of the lip. . he was initially admitted to the general medicine floor in stable condition. his oxygen saturations intermittently fell to 88-89% and he coughed up a few teaspoons of frank hemoptysis. with a cxr demonstrating major left lower lobe collapse and likely obstruction of the lmsb, decision was made to go directly to or for rigid bronchoscopy with subsequent micu admission for observation. . his bronchoscopy revealed a large blood clot in the left main stem bronchus with a malignancy of 10% stenosis behind it. there were multiple tumors in the airways of both lul and lll, each of which were cauterized with good effect. distal slow oozing was seen in smaller airways not amenable to bronchoscopic intervention. ip recommended ir for angiography/embolization in the am. . upon return from the micu, his initial vitals were:bp:150/65 p:76 r:18 o2:100% 2lventuri mask. he was comfortable without complaints, though was still drowsy from anesthesia and a ros could not be ellicited past medical history: -hemochromatosis -copd -pvd -htn -lymphedema of lue, rle -ibs -anxiety -invasive squamous cell carcinoma of left temple. -multiple squamous cell carcinomas of frontal and temporal scalp social history: lives at home. he has a 50+py smoking history with continued use. major previous sun exposures. etoh intake ranges beers per day. family history: mother: cad, dm father siblings : dm, cad physical exam: admission exam vitals: t: bp:150/65 p:76 r:18 o2:100% 2lventuri mask general: patient is fatigued-appearing and weak. heent: sclera anicteric, mm dry, dried blood on lip with lower lip lesion. multiple scaling lesions over the frontal and parietal scalp bilaterlly, with an ulcerated lesion over the left temple. neck: supple, jvp not elevated cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: decreased breath sounds on the left with rhonchi, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, asymmetric 2+ pitting edema with l arm >> r, and r leg >> left. neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact discharge exam: deceased pertinent results: admission labs 01:32am blood wbc-23.4*# rbc-3.22* hgb-9.9* hct-30.0* mcv-93 mch-30.7 mchc-32.9 rdw-14.4 plt ct-439 01:32am blood neuts-97.5* lymphs-1.6* monos-0.8* eos-0.1 baso-0 05:20pm blood glucose-103* urean-20 creat-0.6 na-139 k-4.1 cl-108 hco3-20* angap-15 04:20am blood alt-12 ast-11 ld(ldh)-139 alkphos-65 totbili-0.1 05:20pm blood calcium-7.7* phos-3.8 mg-1.7 . discharge labs: labs stopped being drawn, as patient made . . studies . pathology report of lung mass specimen submitted: right lower lobe endobronchial bx. procedure date tissue received report date diagnosed by dr. . /vf diagnosis: lung, right lower lobe, endobronchial biopsy: squamous cell carcinoma, moderately differentiated. note: the patient's history of cutaneous squamous cell carcinoma is noted. although the endobronchial tumor may represent metastasis from a cutaneous primary, a primary lung squamous cell carcinoma cannot be excluded. . ct head there is no evidence of hemorrhage, infarction, shift of midline structures, or mass effect. the ventricles and sulci are normal in size and configuration. the visible paranasal sinuses show small amount of fluid within the right maxillary sinus. several tiny calcifications in the left frontal lobe (2:18, 2:11)and right frontal lobe (2:14) may be sequelae of old infection. impression: no acute intracranial process, including large metastasis. if metastasis continue to be a clinical concern, then an mr is recommended for further evaluation. . lenis no dvt in the right lower extremity. mild subcutaneous edema and calcifications within the arterial vessels. . cxr single frontal view of the chest demonstrates marked opacification of the left middle and lower lung with significant volume loss as evidenced by marked leftward cardiomediastinal shift. as correlated to the preceding reference ct from hospital of the same day, there is significant endobronchial material obstructing the left main bronchus. there is likely a combination of consolidation, bronchial wall thickening, and pleural effusion in the left lung as well as volume loss, producing the overall opacification. the right lung remains relatively well aerated. there is evidence of underlying emphysema, without radiographic evidence of pneumothorax. findings consistent with left main bronchial obstruction with left middle and lower lobe collapse, in addition to consolidation, bronchial wall thickening, and large left pleural effusion. overall constellations are highly concerning for malignancy, although supervening infection and/or aspiration may be present. . embolization procedure 1. single bronchial artery visualized supplying the left lung with visualized tumor blush, embolized utilizing 500-700 micron embospheres. 2. post-embolization arteriogram did not demonstrate any bronchial arteries either originating from the aorta or the internal mammary artery supplying the left lung. despite the suggestion that there is an additional left bronchial arterial branch on the ct, this could not be found despite using a number of different catheter shapes. impression: successful uncomplicated embolization of left bronchial artery utilizing 500-700 micron embospheres. . cxr in comparison with the study of , there has been some re-aeration of the left lung following bronchoscopy. however, extensive opacification persists and there is still shift of the mediastinum to the left with hyperexpansion of the right lung. hazy opacification at the right base raises the possibility of some atelectasis and effusion. brief hospital course: mr. is a 61yom with multiple squamous cell skin cancers who presents with hemoptysis and a lll post obstructive pneumonia. . # hemoptysis: cxr and ct suggested tumor burden in the left mainstem bronchus, and this likely explained his hemoptysis. he was brought for rigid bronchoscopy, which showed a large tumor burden with distal oozing not amenable to bronchoscopic engagement. pathology report from this procedure showed this tumor to be squamous cell, although could not differentiate between metastasis from skin squamous cell cancer vs primary lung squamous cell cancer. he underwent an ir angio/embolectomy, which was successful in reducing his total amount of hemoptysis. however, he did continue to have intermittent hemoptysis, and overall felt very poorly and mildly sob. meeting with patient and family was held, and it was decided that he would not want any further intervention, and just wanted to be made comfortable. he was made and transferred to the general medicine floor. . on the general medicine floor, pall care continued to follow the patient. his pain control was morphine drip initially, and then he was later transitioned to a fentanyl patch and po pain control. the patient was made as comfortable as possible. he was going to be transferred to outpatient hospice, but the patient ultimately passed overnight. . # community acquired pneumonia (?post-obstructive): his imaging showed complete collapse of the lll with a mass compromising the left mainstem bronchus as well as likely consolidation of the inferior lul. osh labs show concerning bandemia to 25%. his sputum cultures grew out moraxella + s. pneumo. he initially was covered broadly, but now that culture data are back he will be treated with a 7 day total course of antibiotics, now on just levofloxacin. although he is , pt and family would like to treat pna. his bandemia improved and he remained afebrile. the patient was on a levofloxacin course when he passed. . # squamous cell carcinoma: he has an invasive left temporal scc and possible airway metastases. he is now , and ultimately ended up passing while in the hospital, prior to discharge to outpatient hospice. . # peripheral artery disease: plavix was stopped; the only medications that were continued were those that ensured the patient's comfort. . # copd: from ongoing smoking, now and passed during this hospitalization. . # hypertension: anti-htn meds held, pt now and ultimately passed during hospitalization. . # chronic lymphedema: asymmetric upper and lower extremity from unclear source. medications on admission: -percocet -plavix -trazodone -diovan -spiriva -ventolin discharge medications: pt passed away discharge disposition: expired discharge diagnosis: primary diagnosis: obstructing mass in airway basal cell/squamous cell carcinoma secondary diagnosis: copd discharge condition: expired discharge instructions: patient was made and expired on at 7:45am. brother and were present. autopsy was declined by all siblings. followup instructions: n/a procedure: arteriography of other intrathoracic vessels closed [endoscopic] biopsy of bronchus aortography other endovascular procedures on other vessels endoscopic excision or destruction of lesion or tissue of bronchus central venous catheter placement with guidance diagnoses: tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified anxiety state, unspecified loss of weight encounter for palliative care do not resuscitate status pneumococcal pneumonia [streptococcus pneumoniae pneumonia] atherosclerosis of native arteries of the extremities, unspecified malignant neoplasm of lower lobe, bronchus or lung other and unspecified alcohol dependence, continuous neoplasm related pain (acute) (chronic) other diseases of trachea and bronchus anorexia other lymphedema other hemochromatosis hemoptysis, unspecified squamous cell carcinoma of scalp and skin of neck squamous cell carcinoma of skin of other and unspecified parts of face basal cell carcinoma of skin of other and unspecified parts of face exposure to visible and ultraviolet light sources 

Answer: The patient is high likely exposed to