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: ivp dye, iodine containing attending: chief complaint: decreased sensation major surgical or invasive procedure: xrt to spine, c5-t4 fusion, posterior decompression of c6-c7 to t3-t4 history of present illness: mr. is a 55 yo m w/stage iiib multiple myeloma dx at time of lumbar compression fx now s/p c5 decadron and nightly thalidomide who presents with numbness. . the patient reports feeling fairly well except for he has noted diffuse chest/rib pain on the days off steroids including starting on . for these symptoms, his ms contin was increased with good effect. also on , he noted numbness in addition to the pain in his right breast/anterior shoulder. the numbness then increased in a bandlike distibution across his chest. over the next day, the numbness spread down his abdomen to his anterior thighs. he was not weak and was able to ambulate so he did not originally go to the hospital but by sunday when the numbness had spread, he presented to ed. they noted he had decreased sensation to the nipple and wanted him to have an mri but the machine was broken so he was transferred to . . in the ed, neurology was consulted. they suggested a mri of the tspine which was notable for severe cord compression at t2. ortho spine was consulted and he was given 40 mg iv decadron. rad-onc was consulted and he was taken for emergent radiation therapy prior to arrival to the floor. . he denies f/c/sweats. he denies weakness, burning. he denies urinary/fecal incontinence but notes constipation on narcotics. he strained to have a bm 2 days ago - he notes it was hard and blood streaked. . ros: he reports good appetite. he denies weight loss. he denies lightheadedness, palpitations. he denies n/v/abd pain. he denies dysuria, urgency. he denies rashes. past medical history: past onc hx: mr. was well until , when he developed lower back pain. he was seen at ed and was dx with msk pain. his pain did not improve on nsaids, narcotics so he went to his pcp. pcp ordered an mri which was significant for a compression fracture of l1 and l2 and abnormal bone marrow signal in all vertebral bodies consistent with abnormal marrow replacement. at that time, he had a calcium of 16.5, a creatinine of 3.4, a hct of 32. spep revealed an igg lambda paraprotein at 23 mg/dl with decreased iga and igm at 69 and 22 respectively. bone marrow biopsy revealed hypercellular marrow with extensive involvement by cd 138 positive plasma cells and plasma blasts. cytogenetics revealed normal male chromosomes without any evidence of a deletion of chromosome 13. he was cx with stage iiib mm. the patient was started on treatment with dexamethasone and thalidomide. he was also given aranesp and zometa. his beta-2-microglobulin was 4.6. in , he developed a dvt in his rle and was started on coumadin. he remained on decadron/thalidomide with good response. a repeat bm bx on , revealed less than 5% blast cells. . pmh: 1) cold induced asthma 2) dvt in rle 3) diverticulitis tx'd with abx 4) compression fracture of vertebrae social history: the patient denies current or past tobacco use. he has a history of heavy alcohol use in the past but quit 1 year ago. denies any drug use. he works as a lab technician in the biochemistry lab at . family history: father had an mi in his 50s. mother with htn. the patient has one sister who is 50 years old and is healthy. 3 healthy children physical exam: t 97.6 bp 128/61 hr 70 rr 16 o2 sat 100%ra genl: nad heent: perrl, eomi, no nystagmus. red flushed cheeks. sclera anicteric. mmm. no op lesions. neck: supple, no jvd, no lad back: minimal spinal tenderness t1-t6, no stepoff chest: cta b/l, no w/c/r cv: rrr, nl s1, s2, no murmurs appreciated. abd: snt nd nabs, no hsm appreciated ext: no edema, 2+ dp pulses neuro: aandox3, cn 2-12 intact. m throughout. brisk reflexes - biceps, patellar, toes downgoing, no clonus. s -decreased appreciation for pp across chest and down abd to top of thighs b/l. cannot assess gait as pt must remain at 30 degrees in bed. no dysmetria. pertinent results: 10:23am glucose-119* urea n-13 creat-0.4* sodium-137 potassium-4.1 chloride-104 total co2-24 anion gap-13 10:23am ck(cpk)-20* 10:23am ctropnt-<0.01 10:23am ck-mb-notdone 10:23am calcium-8.4 phosphate-2.8 magnesium-1.9 02:55am glucose-106* urea n-15 creat-0.6 sodium-137 potassium-4.6 chloride-104 total co2-25 anion gap-13 02:55am estgfr-using this 02:55am ck(cpk)-27* 02:55am ctropnt-0.02* 02:55am ck-mb-notdone 02:55am urine hours-random 02:55am urine gr hold-hold 02:55am wbc-12.7* rbc-4.09* hgb-11.9* hct-37.2* mcv-91 mch-29.2 mchc-32.1 rdw-16.3* 02:55am neuts-92.2* bands-0 lymphs-4.9* monos-2.1 eos-0.7 basos-0.1 02:55am hypochrom-normal anisocyt-normal poikilocy-1+ macrocyt-normal microcyt-normal polychrom-normal ovalocyt-occasional teardrop-occasional envelop-1+ 02:55am plt count-285 02:55am pt-30.8* ptt-34.0 inr(pt)-3.3* 02:55am urine color-straw appear-clear sp -1.013 02:55am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg . mri t-spine impression: findings consistent with diffuse metastatic disease throughout the included spine with near total involvement of the t2 vertebral body with severe compression deformity and retropulsion of fragments causing severe central canal narrowing at this level. there is a large soft tissue mass extending to the right of the t2 vertebral body with extension into the prevertebral space, to the right neural foramen, and into the epidural space. . ct c-spine: impression: visualization of c1 through c7. no evidence of fracture or malalignment. numerous lytic lesions throughout the cervical vertebral bodies consistent with history of metastatic disease. . ct t-spine: impression: 1. multilevel metastatic disease with many compression deformities most severe at t2,-t9, and t11 through l1 with paraspinal mass at t2 which appears to infiltrate the spinal canal and as demonstrated on recent mr the cord at this level. multilevel degenerative disease as noted above. . ct l-spine: 1. diffuse metastatic involvement of the lumbar spine with multilevel compression deformities. multilevel degenerative change with mild compression of the thecal sac and moderate neural foraminal stenosis at multiple levels as noted above. 2. rounded calcific density in right upper quadrant likely representing a gallstone within the neck of the gallbladder. brief hospital course: a/p: mr. is a 55 yo m w/ multiple myeloma s/p c5 decadron , on daily thalidomide p/w decreased sensation in the chest/abdomen; found to have compression fx and cord compression at t2 . # multiple myeloma: on admission, he was found to have new t2 compression fx and spinal cord compression by tumor. his deficit was only sensory in nature and he had full strength in his lower extremities. his pain was controlled with ms contin and morphine for breakthrough. thalidomide was held. he was continued on bactrim for pcp . he was initiated on high dose decadron (10mg iv q6) and daily xrt from t1-t5. he had received two radiation treatments, and on hd #3 in am, was noted by house officer to have decreased strength in his lower extremities about 8am (from 5/5 strength to ). stat mri was ordered. over the next 3 hours, the patient's strength in his lower extremities decreased to . he was taken emergently from mri scanner to or for pathologic compression fracture t2 with spinal cord compression and spinal cord injury with lower extremity paralysis. the patient had a cardiac arrest while prone on the table. the patient was then taken to the surgical intensive care unit in a guarded status. discussions with the family ensued. the following day he was stabilized and returned for completion of his surgical procedure c5-t4 fusion, posterior decompression of c6-c7 to t3-t4 from the previous day. after surgery, mr. did not wake up very well possibly secondary to hypoxic ischemic encephalopathy and myoclonus. when poor prognosis for recovery determined based on eeg and neurology input, a meeting with the family was scheduled to determine the course of mr. care. on , mr. passed away hours after he was taken off of ventilation. # h/o dvt - diagnosed in , he was supratherapeutic on admission, thus his coumadin was held. . #ppx - bowel regimen, on coumadin, ppi . #fen - regular diet, ivfs x 1l, follow lytes . #code - full medications on admission: 1) thalidamide 200mg qhs 2) coumadin 2mg qd 3) vicodin 2 tabs q3-4h:prn 4) ms contin 45mg qam, 30mg qpm 5) dexamethasone 40mg 4 days on, 4 days off 6) bactrim 1 tab 3x/wk discharge medications: none discharge disposition: expired discharge diagnosis: deceased, hypoxic ischemic encephalopathy and myoclonus discharge condition: deceased discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances other electric countershock of heart other exploration and decompression of spinal canal other exploration and decompression of spinal canal pulmonary artery wedge monitoring transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture transfusion of other serum other radiotherapeutic procedure fusion or refusion of 4-8 vertebrae other therapeutic apheresis diagnoses: coronary atherosclerosis of native coronary artery acquired coagulation factor deficiency cardiac complications, not elsewhere classified acute myocardial infarction of anterolateral wall, initial episode of care anoxic brain damage old myocardial infarction multiple myeloma, without mention of having achieved remission paraplegia myoclonus myelopathy in other diseases classified elsewhere pathologic fracture of vertebrae acute venous embolism and thrombosis of unspecified deep vessels of lower extremity central nervous system complication 

Answer: The patient is high likely exposed to