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: latex / adhesive tape attending: chief complaint: multiple pulmonary sarcoma metastasis major surgical or invasive procedure: left thoractomy and multiple wedge resections of pulmonary metastasis. history of present illness: the patient is a 45-year-old male who has undergone resection of a synovial sarcoma. he has bilateral pulmonary metastases and has been admitted for left thoracotomy and wedge resection of multiple pulmonary nodules. past medical history: 1. synovial sarcoma - biopsy on showed a malignant spindle cell neoplasm, intermediate grade, most consistent with synovial sarcoma, predominantly monophasic type. the immunohistochemical stain for ema is positive, while actin, desmin, cytokeratin cocktail, mnf-116, cd34 and s100 were negative. he completed neoadjuvant adriamycin/radiation followed by resection of left pelvic the synovial sarcoma on . the resection included excision of the left external iliac artery and vein with a 10-mm dacron graft reconstruction extending from the proximal origin of the external iliac to the common femoral artery 2. cardiomyopathy - idiopathic, ?secondary to steroid abuse, ef previously 35%, improved to 55% 3. depression/anxiety 4. gerd 5. chronic sinusitis s/pt surgery with middle meatal antrostomy and anterior ethmoidectomy 6. asthma - induced by exercise and cold weather 7. h/o mrsa folliculitis 8. latent syphilis 9. hsv labialis social history: - single, lives with parents - etoh: rare - tobacco: denies - exposure: radiation therapy () family history: mother: copd maternal grandmother: colon cancer in her 60s physical exam: vs: t: 98.4 hr: 84 sr bp: 90/60 sats: 98% ra general: 45 year-ol male ambulating in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenapathy card: rrr resp: decreased breath sounds throughout without wheezes or crackles gi: benign extr: warm no edema incision: left thoracotomy site clean dry intact, no erythema. margins well approximated neuro: awake, alert, oriented. mae pertinent results: wbc-5.2 rbc-3.78* hgb-10.8* hct-32.7 plt ct-223 wbc-7.1 rbc-4.03* hgb-11.6* hct-34.2 plt ct-225 wbc-9.9# rbc-4.38* hgb-12.7* hct-37.1 plt ct-252 glucose-111* urean-8 creat-0.8 na-134 k-4.0 cl-99 hco3-30 glucose-94 urean-12 creat-0.9 na-135 k-4.2 cl-100 hco3-27 glucose-119* urean-12 creat-0.8 na-137 k-3.9 cl-103 hco3-27 urean-12 creat-1.0 na-137 k-3.9 cl-97 hco3-31 alt-18 ast-19 ld(ldh)-152 alkphos-104 totbili-0.3 calcium-8.3* phos-2.8# mg-2.2 cxr: the left-sided chest tube has been removed. there is a small left apical pneumothorax which has developed since the chest tube removal. surgical clips are seen within the left upper lobe. there is a right-sided port-a-cath with the distal lead tip at the cavoatrial junction. there is coarsening of the bronchovascular markings. sutures are seen within the right lower lung field. small bilateral pleural effusions are also present. subcutaneous emphysema is seen within the left lower chest wall. : tiny left pneumothorax, new or newly apparent. no appreciable left pleural effusion, two left pleural tubes still in place. right basal atelectasis worsened. subcutaneous emphysema in the left neck and chest wall, unchanged. heart size normal. right subclavian infusion port ends low in the svc. no right pneumothorax. : low-lying left chest tube as described. probable small lateral left pneumothorax. brief hospital course: mr. was taken the operating room on where he underwent left thoracotomy and multiple wedge resections for pulmonary metastasis. he recovered in the pacu, and transferred to the floor in stable condition. respiratory: aggressive pulmonary toilet, incentive spirometer and nebulizers he titrated of supplement oxygen with oxygen saturations of 96% room air. chest-tube: 2 apical with tiny persistent air leak for 24 hrs and basilar were to low-wall suction then changed to water-seal without leak. the basilar tube was removed on . the apical on . chest films: serial chest films were done and showed stable left small apical pneumothorax and small bilateral effusions. cardiac: immediately postoperative he was hypotensive (sbp 80's) which responded to fluid challenge (sbp 90-100). his lisinopril, lasix and spironolactone were held. the coreg 12.5 was changed to lopressor 12.5 tid which he was able to tolerate. the digoxin was continued. he remained in sinus rhythm 80-90 and bp 90-100 on this regime. on discharge he was instructed to take coreg 6.25 mg increase as bp tolerates. restart lisinopril when bp > 110. lasix perform daily weights take prn for weight gain of pounds. gi: ppi and bowel regime continued nutrition: tolerated a regular diet renal: function stable with good urine output. pain: bupivacaine and hydromorphone epidural was placed and managed by the acute pain service. while in the pacu his pain was not well controlled and required an epidural split with hydromorphone pca and toradol. the epidural was titrated multiple time for good pain control. on the epidural was removed, he was restarted on ms contin 30 increased to tid from and hydromorphone 4 mg prn. on discharge he was ms contin 30 , hydromorphone and motrin. iv access: his port-a-cath was accessed and de-accessed prior discharge. disposition: he was discharged to home on with vna. he will follow-up with dr. as an outpatient. he will also contact his pcp management of his cardiac and pain medication. medications on admission: carvedilol - 12.5 mg tablet - 1 tablet(s) by mouth twice a day citalopram - 40 mg tablet - 1 tablet(s) by mouth daily digoxin - 125 mcg tablet - 1 tablet(s) by mouth once a day furosemide - 40 mg tablet - 1 tablet(s) by mouth daily gabapentin - 800 mg tablet - 1 tablet(s) by mouth at bedtine lisinopril - 5 mg tablet - 1 tablet(s) by mouth once daily lorazepam - 1 mg tablet - to 1 tablet(s) by mouth daily as needed for nausea, anxiety morphine - 30 mg tablet sustained release - 1 tablet(s) by mouth twice a day ondansetron hcl - 8 mg tablet - 1 tablet(s) by mouth every eight hours as needed for nausea oxycodone - 5 mg tablet - 1 tablet(s) by mouth three times a day as needed for pain pantoprazole - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth twice a day approved by masshealth as of sildenafil - 100 mg tablet - 1 (one) tablet(s) by mouth as directed prior to sexual activity spironolactone - 25 mg tablet - 1 tablet(s) by mouth once a day please call doctor's office and schedule an appointment tramadol - 50 mg tablet - 0.5 (one half) tablet(s) by mouth four times a day as needed for pain zolpidem - 5 mg tablet - 1 tablet(s) by mouth at bedtime as needed for insomnia discharge medications: 1. citalopram 40 mg tablet sig: one (1) tablet po once a day. 2. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): restart when bp consistently > 110. 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily): restart when weight up 3-4 pounds. 9. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day): take tablet until bp > 100. 10. gabapentin 800 mg tablet sig: one (1) tablet po once a day. 11. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. 12. hydromorphone 2 mg tablet sig: 1-2 tablets po every hours as needed for pain. disp:*70 tablet(s)* refills:*0* 13. motrin 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. disp:*90 tablet(s)* refills:*0* 14. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 15. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 16. tramadol 50 mg tablet sig: 0.5 tablet po four times a day as needed for pain. 17. bisacodyl 5 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day as needed for constipation. discharge disposition: home with service facility: home health & hospice discharge diagnosis: metastatic sarcoma dilated cardiomyopathy hypertension depression gerd anxiety, asthma, hx of mrsa abscess of the groin, chronic sinusitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough or chest pain -incision develops draingage -you may shower. no tub bathing or swimming until all incisions healed call your pcp with questions or concerns regarding your blood pressure and restarting your previous medications followup instructions: provider: , md phone: date/time: 11:30 on the clinical center chest x-ray radiology 30 minutes before your appointment procedure: other local excision or destruction of lesion or tissue of lung diagnoses: other primary cardiomyopathies other iatrogenic hypotension esophageal reflux congestive heart failure, unspecified asthma, unspecified type, unspecified dysthymic disorder chronic systolic heart failure secondary malignant neoplasm of lung personal history of malignant neoplasm of other sites latent syphilis, unspecified other, mixed, or unspecified drug abuse, in remission 

Answer: The patient is high likely exposed to