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: hemoptysis/hematemesis and altered mental status major surgical or invasive procedure: interventional radiology - embolisation intubation history of present illness: 67yo m with cad(s/p distant mi), hld, gout, osa was called in to micu after being bronched (which identified oozing blood in left upper lobe. he was found to be altered, and as per thoracics he had altered mental status prior to the procedure, but unclear for how long before that. he was recently () admitted to for massive hemotpysis underwent bronchoscopy and bronchial artery embolization with interventional radiology. however, when he was d/c home, he continued to cough up dark clots and small streaks of blood. he is followed as an outpt by dr. . . he presented this time with sob and dysphagia, which started this afternoon occuring mutliple times per hour. he initially presented to his primary care physician who sent him to the ed for evaluation. there are no factors that exacerbate or relieve his symptoms. he is able to eat and drink without problem, but he intermittently experiences shortness of breath and inability to swallow which resolves in a few seconds without intervention. he reports no fevers, chills, nausea or vomitting, lightheadedness or weakness. . on the floor, he was responsive to voice commands, opened eyes spontaneously, moved extremities, but was somnolent and would not answer questions directly at times. . review of systems: unobtanable. . past medical history: -cad s/p inferior mi -ischemic cardiomyopathy: last tte ef 35%, moderate regional lv systolic dysfunction with evidence of an extensive inferior infarction -hypercholesterolemia -hypertension -gout -internal hemorrhoids social history: tob: quit: 2yrs, previous 40 pack-yrs etoh: heavy use per wife until recent hospitalization then none occupation: accountant marital status: married. lives w/ family family history: family history: mother had mi in 50's and died in 80's of unknown cause. father died in 80's of unknown cause. no cancer family history physical exam: general: disoriented, trying to get out of bed, responds to name heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: decreased breath sounds on the left cv: tachycardic, normal s1 + s2,no discernable murmurs abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cranial nerves intact, hard to asses mental status as it was waxing and , oriented to name only. pertinent results: 09:41pm pt-12.1 ptt-25.1 inr(pt)-1.0 09:41pm plt count-233 09:41pm neuts-82.6* lymphs-10.3* monos-4.7 eos-1.8 basos-0.6 09:41pm wbc-8.8 rbc-3.56* hgb-10.5* hct-32.0* mcv-90 mch-29.6 mchc-32.9 rdw-17.0* 09:41pm glucose-93 urea n-38* creat-1.3* sodium-137 potassium-4.3 chloride-103 total co2-23 anion gap-15 09:41pm glucose-93 urea n-38* creat-1.3* sodium-137 potassium-4.3 chloride-103 total co2-23 anion gap-15 10:15pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-50 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 10:15pm urine color-yellow appear-clear sp -1.017 03:31pm pt-12.7 ptt-23.2 inr(pt)-1.1 03:31pm plt count-211 03:31pm wbc-7.5 rbc-2.89* hgb-8.8* hct-26.1* mcv-90 mch-30.3 mchc-33.5 rdw-17.1* 03:31pm haptoglob-70 03:31pm albumin-3.9 calcium-8.9 phosphate-3.6 magnesium-2.1 03:31pm lipase-45 03:31pm alt(sgpt)-20 ast(sgot)-33 ld(ldh)-327* alk phos-87 amylase-94 tot bili-0.5 03:31pm glucose-111* urea n-33* creat-1.0 sodium-139 potassium-4.2 chloride-107 total co2-25 anion gap-11 05:55pm o2 sat-79 carboxyhb-1 05:55pm lactate-1.5 05:55pm type-art po2-46* pco2-29* ph-7.48* total co2-22 base xs-0 intubated-not intuba 06:43pm plt count-173 06:43pm wbc-9.3 rbc-2.81* hgb-8.4* hct-25.2* mcv-90 mch-29.9 mchc-33.4 rdw-17.1* 06:43pm ethanol-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:43pm calcium-8.7 phosphate-2.5* magnesium-1.8 06:43pm glucose-106* urea n-32* creat-0.9 sodium-141 potassium-4.3 chloride-109* total co2-21* anion gap-15 06:52pm hgb-8.1* calchct-24 o2 sat-53 carboxyhb-1 met hgb-1 06:52pm lactate-2.1* na+-136 cl--105 06:52pm type- po2-32* pco2-38 ph-7.42 total co2-25 base xs--1 intubated-not intuba cxr: in comparison with the study of , there is continued opacification in the anterior portion of the left upper lobe. given the clinical history of bronchial artery embolization and hemoptysis, this most likely represents pulmonary hemorrhage. however, the possibility of supervening pneumonia can certainly not be excluded. ct biopsy study date of 11:25 am:. successful ct-guided core biopsy of largest inferior right hepatic segment v mass. 2. successful ct-guided core biopsy of large presumed right adrenal metastasis. ct head:there are multiple large supra- and infratentorial masses with a hyperdense rim and associated surrounding edema. the largest mass is in the right temporal lobe measuring approximately 2.7 x 2.6 cm (2:10). hyperdensity may represent enhancement related to recent administration of contrast; however, intralesional hemorrhage cannot be excluded. ventricles and sulci are normal in size and appearance. the basilar cisterns are preserved. there is mucosal thickening in the bilateral ethmoid, right greater than left, and sphenoid sinuses. the remainder of the visualized paranasal sinuses and mastoid air cells are well aerated. no osseous abnormality is identified. impression: multiple supra- and infratentorial masses with a hyperdense rim, which could represent enhancement, but underlying intralesional hemorrhage cannot be excluded. differential diagnosis includes metastatic disease or infection. findings were discussed with dr. at 2:10 a.m. on . procedure date tissue received report date diagnosed by dr. . brown/aas?????? diagnosis: a. liver, needle core biopsy:hepatic parenchyma and necrotic material. no viable cells are present for evaluation in the necrotic area. multiple levels have been examined. b. adrenal biopsy:poorly differentiated carcinoma, the tumor cells are large with abundant cytoplasm. no features of small cell carcinoma are seen. tumor cells stain strongly for ck7 and do not stain for ck20. this pattern is not specific, but is typical in lung carcinoma. tumor cells do not stain for ttf-1, but large cell lung carcinomas typically do not stain with this marker. brief hospital course: mr was admitted to the micu with altered mental status following bronchoscopy by thoracics. while in the micu he was intubated for airway protection and he continued to have hemoptysis into the tube. he was emergently sent for ir embolization of the arteries, which appeared to be in the same region as the ones previously (left upper lobe). given acute changes in his mental status we did an extensive workup for possible offending agents and infectious causes, as well as obtained a ct of his head, which showed large number of masses most consistent with metastatic disease. a ct of his chest was performed and showed possible primary lung pathology as well as extensive metastatic disease in hte liver as well as adrenal glands. biopsies under ct guidance were obtained from liver and the adrenal gland. pathology of these came back as poorly differentiated carcinoma, the tumor cells are large with abundant cytoplasm.no features of small cell carcinoma were seen.tumor cells stained strongly for ck7 and do not stain for ck20. this pattern is not specific, but is typical in lung carcinoma. tumor cells did not stain for ttf-1, but large cell lung carcinomas typically do not stain with this marker. the patient had recurrent hemoptysis on the morning of . he was unable to obtain adequate oxygen saturations despite maximal ventilation settings. the patient died at 11:27am on . medications on admission: allopurinol 100 mg by mouth daily atenolol 25 mg tablet by mouth daily ezetimibe 10 mg - 1 tablet(s) by mouth daily venlafaxine 100 mg three times a day discharge medications: none discharge disposition: expired discharge diagnosis: hemoptysis respiratory failure metastatic nonsmall cell carcinoma discharge condition: died discharge instructions: none followup instructions: none md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances closed (percutaneous) [needle] biopsy of liver injection or infusion of other therapeutic or prophylactic substance arterial catheterization arteriography of pulmonary arteries closed [percutaneous] [needle] biopsy of adrenal gland central venous catheter placement with guidance diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery malignant neoplasm of liver, secondary congestive heart failure, unspecified acute posthemorrhagic anemia gout, unspecified personal history of malignant neoplasm of prostate other specified forms of chronic ischemic heart disease acute respiratory failure secondary malignant neoplasm of brain and spinal cord cerebral edema old myocardial infarction malignant neoplasm of other parts of bronchus or lung enlargement of lymph nodes other and unspecified alcohol dependence, unspecified secondary malignant neoplasm of mediastinum secondary malignant neoplasm of adrenal gland dysphagia, unspecified cyanosis 

Answer: The patient is high likely exposed to