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: percocet attending: chief complaint: cough and malaise major surgical or invasive procedure: -ultrasound-guided thoracentesis of pleural effusion -bronchoscopy with endotracheal biopsy -endotracheal intubation/extubation history of present illness: mr. is an 82 year-old man with an extensive smoking history who presented to on with one month of back pain, malaise, and cough without fever or chest pain. he was admitted. ct chest showed extensive mediastinal adenopathy, a large r hilar and subcarinal soft tissue mass causing narrowing of the majority of the bronchi on the right as well as the r pulmonary arteries, and a pleural-based soft tissue mass. there were also interstitial changes in the rll concerning for lymphangitic spread vs impaired venous return. background emphysema was also noted. there was no pe. metastatic lung cancer was suspected. he underwent bronchoscopy. with transtracheal needle aspirate. l mainstem was wnl, but r bronchus intermedius and distal bronchioles were narrowed. the pathology from this is pending. he was also treated for pna with vanc/ceftriaxone. he was discharged on with a 10-day course of moxifloxacin and plans for follow up with an oncologist (dr. as well as outpatient head ct and bone scan. . mr. went home. he says he took the moxifloxacin as prescribed (although it isn't clear to me whether he actually took it daily because he tells me it ran out prior to this admission, which it shouldn't have). he continued to have the same symptoms of weakness, malaise, and cough. his cough is productive of occasionally blood-tinged sputum. he has not had any fevers, chills, nausea, vomitting, or shortness of breath. he has had mild intermittent headache and back pain, both of which are chronic for him. he does not think that any of his symptoms have changed significantly since his initial admission to osh . his pcp told him to come to for further evaluation. . in the ed, initial vs were: t: 98.6 p:86 bp:115/62 r:18 96%o2 sat. cxr showed infiltrate. labs notable for creatinine 1.5 with no known baseline, leukocytosis, lactate to 2.2. he was given 1g vancomycin iv, 1g ceftriaxone iv and 500mg azithromycin iv. pt had a few minute run of af in ed with preserved bp, no symptoms, terminated spontaneously prior to ekg. . on the floor, mr. feels well. he does complain of generalized fatigue and fits of coughing. review of systems negative for recent weight loss or change in appetite. negative for chest pain, palpitations, nausea, diarrhea, abdominal pain, dysuria. past medical history: past medical history (per atrius record, patient only told me about mi, htn): -cad s/p mi in the , no intervention -hx cva -diverticulitis s/p partial colectomy -htn -high cholesterol -carotid sinus hypersensitivity -hx acute cholecystitis s/p laparascopy cholecystectomy -remote hx stab wound to the r lung social history: former bricklayer and building inspector. he lives with his wife. smoked ppd x 25 years but has not smoked since his admission . minimal etoh use. family history: one brother died of lung cancer. another had rectal cancer. physical exam: in general, patient appears comfortable. physical exam deferred. pertinent results: 08:40pm ctropnt-0.01 04:55pm urine color-straw appear-clear sp -1.015 04:55pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-50 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 02:00pm comments-green top 02:00pm lactate-2.2* 01:51pm glucose-96 urea n-31* creat-1.5* sodium-138 potassium-4.7 chloride-103 total co2-24 anion gap-16 01:51pm estgfr-using this 01:51pm ck(cpk)-91 01:51pm ck-mb-3 ctropnt-<0.01 01:51pm wbc-13.1* rbc-4.54* hgb-13.8* hct-41.3 mcv-91 mch-30.4 mchc-33.4 rdw-13.4 01:51pm neuts-81.2* lymphs-10.4* monos-5.5 eos-2.4 basos-0.5 01:51pm plt count-341 02:49am blood wbc-22.5* rbc-3.62* hgb-11.2* hct-33.3* mcv-92 mch-30.9 mchc-33.6 rdw-13.8 plt ct-117* 03:00pm blood wbc-19.3* rbc-3.72* hgb-11.4* hct-33.8* mcv-91 mch-30.8 mchc-33.8 rdw-13.7 plt ct-125* 03:00am blood wbc-16.7* rbc-3.57* hgb-11.2* hct-33.4* mcv-94 mch-31.4 mchc-33.5 rdw-13.5 plt ct-149* 03:08am blood wbc-17.8* rbc-4.13* hgb-12.4* hct-37.1* mcv-90 mch-30.1 mchc-33.5 rdw-13.8 plt ct-211 05:15am blood wbc-14.2* rbc-4.07* hgb-12.5* hct-36.8* mcv-90 mch-30.7 mchc-33.9 rdw-13.5 plt ct-208 07:30am blood wbc-15.3* rbc-4.22* hgb-12.8* hct-38.6* mcv-91 mch-30.3 mchc-33.2 rdw-13.5 plt ct-284 05:15am blood neuts-80.9* lymphs-10.3* monos-5.2 eos-3.0 baso-0.6 02:49am blood plt ct-117* 03:00pm blood plt ct-125* 03:00am blood plt ct-149* 03:00am blood pt-13.1 ptt-23.2 inr(pt)-1.1 03:08am blood plt ct-211 02:49am blood glucose-167* urean-43* creat-1.2 na-141 k-3.5 cl-103 hco3-25 angap-17 03:00pm blood glucose-147* urean-35* creat-1.3* na-139 k-4.0 cl-103 hco3-22 angap-18 03:00am blood glucose-159* urean-28* creat-1.3* na-140 k-4.6 cl-103 hco3-24 angap-18 03:08am blood glucose-117* urean-19 creat-1.0 na-136 k-3.8 cl-101 hco3-25 angap-14 05:15am blood glucose-109* urean-21* creat-1.1 na-138 k-3.7 cl-104 hco3-19* angap-19 brief hospital course: 82 yo m with history of cad, hypertension, on minimal home medications presents to with weakness, malaise, and cough following an admission at osh recent diagnosis of pneumonia and a r hilar mass and mediastinal lymphadenopathy at osh on . he had been discharged on a 10 day course of moxifloxacin. ## dyspnea, hypoxia: the patient presented to the with ct imaging consistent with right bronchus intermedius obstruction, likely by hilar mass most consistent with a malignant process, most likely metastatic. ldh yesterday over , concerning for lymphoma vs carcinoma although significant smoking hx suggestive of carcinoma. hypoxia exacerbated by a post-obstructive pneumonia, tx with vancomycin, zosyn, and metronidazole, to be discontinued on discharge. patient scheduled for and had rigid bronchoscopy in the or on . the hilar mass was unable to be stented, and bile was also found. there was a question of potential biliary-pulmonary fistula. unfortunately, pt was intubated in the or after an episode of a-fib with rvr, and acute respiratory distress. pt was then extubated on the same day after completely a spontaneous breathing trial. further staging of potential malignancy and evaluation of biliary-pulmonary fistula was not pursued further, because patient opted for comfort measures only. supportive care with albuterol and ipratropium was continued as needed. was contact and steps were taken have patient discharged to home as soon as possible. ##. oncology: right bronchus obstruction likely to mass (lymphoma vs carcinoma). oncology was consulted. final pathology pending at discharge. staging options were pursued, however, patient declined these and pursued comfort care only. ## atrial fibrillation: patient was in atrial fibrillation shortly after presentation to micu, treated with diltiazem. at this time, chads2 score was 4 (hypertension, age, cva), but given recent hempotysis and upcoming procedures, neither aspirin nor anti-coagulation was begun. in nsr until morning of , then had afib with rvr again. patient again responded to diltiazem, and after rate was controlled, pt was switched to metoprolol 37.5 mg tid. after episode of hypotension, metoprolol was furthered decreased to 25mg tid. pt monitored on telemetry while in icu. echo revealed normal systolic function: lvef>55%. ## acute renal injury: increase in creatine from 1.0 to 1.3 during admission likely secondary to a pre-renal hypovolemic process post-bronchoscopy or secondary to dye toxicity from the ct several days ago. pt was hydrated, and cre trended to within normal limits. ## bph: pt was continued on home finasteride ## code: pt was admitted with full code, however, after discussions with family and patient, pt changed code status to dnr/dni. pt elected to be discharged home with hospice home care (). appropriate paperwork was filled out. medications on admission: none per patient discharge medications: 1. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q4h (every 4 hours) as needed for cough. disp:*1 bottle* refills:*0* 4. lorazepam 2 mg/ml concentrate sig: one (1) po every four (4) hours as needed for nausea, anxiety, agitation. disp:*10 ml* refills:*0* 5. acetaminophen 650 mg suppository sig: rectal every four (4) hours as needed for fever or pain. disp:*2 supp* refills:*0* 6. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po every 4-6 hours as needed for nausea. disp:*10 tablet(s)* refills:*0* 7. levsin 0.125 mg tablet sig: 1-2 tablets po q4-6h prn as needed for secretions. disp:*5 tablet(s)* refills:*0* 8. prochlorperazine 25 mg suppository sig: one (1) rectal every twelve (12) hours as needed for nausea. disp:*3 supp* refills:*0* 9. morphine concentrate 20 mg/ml solution sig: 2-20 mg po q1h as needed for pain. disp:*40 ml* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for constipation. disp:*30 tablet(s)* refills:*0* 12. docusate sodium 100 mg capsule sig: capsules po twice a day as needed for constipation. disp:*60 capsule(s)* refills:*0* 13. hospice please admit to on day of discharge discharge disposition: home with service facility: discharge diagnosis: primary: dyspnea secondary to hilar lung mass, malignant with metastasis, and post-obstructive pneumonia secondary: -atrial fibrillation with rapid ventricular response -acute renal failure, resolved -benign prostatic hypertrophy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive, but weak and easily tires. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were hospitalized with complaints of shortness of breath, likely due to a mass in your right lung, and a pneumonia that developed because that mass was compressing other parts of your lung. the decision was made to focus on comfort care, and you were discharged home to hospice. followup instructions: please follow up with your pcp as needed, and care as desired. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube thoracentesis closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified other iatrogenic hypotension coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute respiratory failure old myocardial infarction other emphysema other antihypertensive agents causing adverse effects in therapeutic use hypoxemia encounter for palliative care hypovolemia secondary and unspecified malignant neoplasm of intrathoracic lymph nodes other diseases of trachea and bronchus malignant neoplasm of main bronchus 

Answer: The patient is high likely exposed to