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: shortness of breath major surgical or invasive procedure: none history of present illness: the patient is a 73 year old male with history of prostate cancer, lung cancer, transitional cancer of the left ureter, and a recently identifed brain mass. he presented to the ed today with worsening shortness of breath. he has had gradual worsening of his respiratory status over the last 4-5 months, but severe worsening over the last few days. he reports he can walk approximately 100ft easily without sob, which is per patient decreased from 2 weeks ago (although can't even complete a full sentence due to difficulty breathing on exam). also with increasing cough, non productive. + sensation of throat and airway being closely and not being able to take a deep breath. he has chest pain throughout his thorax. per patient he is smoking 1.5 ppd (x 60 years); although his family reports that he has increased to 4 ppd. he also reports increasing lower extremity edema over the last few weeks. . the patient had plans to see dr (heme-onc) on for medical clearence prior to debulking of his brain mass. dr family reports that he has increased his cigarette smoking. last spoke with family regarding increased pedal edema and weeping. patient is awaiting neuro-surgery to debalk a lesion. needs to be seem by medical oncology for clearance -- prior to surgery. past medical history: 1. transitional cell bladder carcinoma -- dx after hematuria in . a mass was found in his left renal pelvis. he later underwent an ureteroscopy on , followed by a left nephroureterectomy on . he subsequently left ureter and left kidney resection at . the pathology was papillary transitional cell carcinoma. he then received multiple biopsies of the bladder and resections of recurrent transitional cell carcinomas via cystoscopies on and . 2. prostate cancer 3. non-small cell lung cancer - dx ; underwent right lower lobe lobectomy 4. hit by a train in . 5. brain mass - unclear if mets or primary brain tumor; his neurological problem began in early when he was running into things on the left side. he put on a sweater incorrectly, and he left his car door open in a parking lot. he has imbalance and pressure-type pain in the mid-frontal region that is worsened with changes in body position. he had an outside head mri on that showed a large mass in the right occipital brain. he was sent to for consideration of cyberknife radiosurgery. the plan as of early was to debulk the tumor after medical clearence. social history: he was smoking 2 packs of cigarettes for 60 years until his diagnosis of lung cancer. currently smoking 4ppd. he does not drink alcohol or use illicit drugs. family history: his mother died of liver cancer at the age of 90, while his father passed away from a stroke at age 56. he has 7 sisters and they are healthy. his son and daughter are healthy. physical exam: vitals - 97.3 bp 118 general - very thin, skin appears greyish, speaking in short sentences due to difficulty breathing heent - perrl, mmm neck - supple cv - rrr, no murmur appreciated resp - scattered wheezes throughout, no crackles, decreased breath sounds in on right abd - mildly distended, multiple healed scars, no guarding or rigidity, non-tender ext - 4+ pitting edema b/l up to mid thigh neuro - aao x 3, decreased strength with left hand; difficult to assess strength in legs given gross edema pertinent results: : ck, troponin negative x 3. 134 | 99 | 53 ---------------< 126 4.8 | 23 | 1.7 wbc-9.6 hgb-13.2* hct-38.9* neuts-94.4* bands-0 lymphs-3.5* monos-1.5* eos-0.4 basos-0.1 ua negative imaging: cta - 1. interval progression of known nonsmall cell lung cancer, with endobronchial soft tissue lesions particularly in the left lower lobe and new lung nodules. 2. no evidence of pe or aortic dissection. 3. coronary vascular calcifications. 4. similar/slightly enlarged appearance of metastatic disease in mediastinum, liver, and spleen. 5. new permeative lesion in left scapula. cxr - evidence of lung tumor in right upper lobe area. no evidence of additional acute parenchymal infiltrates or chf. cxr: impression: 1. right upper lobe mass and multiple pulmonary nodules, not substantially changed. 2. worsening mucoid impaction in left lower lobe and apparent new small left pleural effusion. brief hospital course: 1). sob - the patient was evaluated by pulmonary for ? etiology of shortness of breath. a cta was negative for pe, and a negative bnp and no signs of fluid overload on imaging ruled out chf. pulmonary felt that the patient may have respiratory distress secondary to mucoid plugging, but elected to complete his 7-day antibiotic regimen of levofloxacin which he had started as an outpatient. the patient was also started on bactrim prophylaxis for pcp given his immunocompromised state and given albuterol, iptratropium, and mucomyst nebulizer therapy prn. his shortness of breath resolved the day of admission and the patient was saturating 99% on ra for the rest of his stay. 2). oncology: neurosurgery, neurology, radiation oncology and hemetology/oncology were all consulted during the patient's stay. external records were obtained from the . under the recommendation of dr. heme/onc decided that the patient was a poor candidate for chemotherapy and recommended surgery. the patient was evaluated by dr. with input from radiation/oncology and the decision was made to puruse surgery for the brain lesion. throughout his stay the patient was maintained on iv steroids to decrease brain edema. 3). lower extremity edema: chf is negative, and albumin was normal. we kept the legs elevated and used intermittant lasix to diurese the patient with mild resolution. per outside notes the pedal edema developed concurrently with the patient's steroids, and this was considered the most likely etiology of his edema. : no sign of chf. per outside notes steroids. 4) tachycardia - the patient was tachycardic on presentation, most likely secondary to increased work of breathing and dehydration. we gave the patietn fluids overnight and monitored on telemetry (negative). his tachycardia resolved overnight. 5). elevated creatinine: patient was mildly pre-renal due to intravascular depletion. it resolved with gentle hydration. medications on admission: prilosec 20 mg po daily percocet 2-3 tabs po daily norvasc 10 mg po daily, prednisone 40 daily lasix 10 mg daily levaquin since for possible pna discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4h (every 4 hours). 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 5. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 6. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 8. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 9. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day). 10. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 12. acetylcysteine 20 % (200 mg/ml) solution sig: one (1) ml miscell. q4-6h (every 4 to 6 hours) as needed for mucous production. 13. oxycodone 10 mg tablet sustained release 12hr sig: three (3) tablet sustained release 12hr po q12h (every 12 hours) as needed for pain. 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 16. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 17. quetiapine 25 mg tablet sig: one (1) tablet po q6-8h (every 6 to 8 hours) as needed for anxiety. 18. nicotine polacrilex 2 mg lozenge sig: one (1) lozenge mucous membrane q1-2h () as needed for craving to smoke. 19. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 20. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed. 21. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 22. dexamethasone 4 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 days: started in am of . 23. dexamethasone 2 mg tablet sig: 1.5 tablets po q8h (every 8 hours) for 2 days: start . 24. dexamethasone 2 mg tablet sig: one (1) tablet po bid (2 times a day): start . 25. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 26. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 27. hexavitamin tablet sig: one (1) cap po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: 1. shortness of breath 2. metastatic lung cancer 3. lower extremity edema 4. tachycardia 5. elevated creatinine discharge condition: respiratory function improved neurologically stable discharge instructions: please take your medicines as prescribed. if you have worsening shortness of breath, chest pain, fevers, chills, or any other concerning symptoms please contact a physician . please call if you have any worsening headache, fever, drainage from or redness at your incision. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: tobacco use disorder malignant neoplasm of liver, secondary unspecified essential hypertension long-term (current) use of steroids acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified personal history of malignant neoplasm of prostate secondary malignant neoplasm of brain and spinal cord malignant neoplasm of other parts of bronchus or lung hypovolemia secondary malignant neoplasm of other digestive organs and spleen foreign body in respiratory tree, unspecified inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation edema homonymous bilateral field defects personal history of malignant neoplasm of urinary organ, unspecified 

Answer: The patient is high likely exposed to