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: hepatocellular carcinoma and two pulmonary nodules found on pet scan (fdg avidity in the right upper lobe nodule) to undergo resection with dr and dr major surgical or invasive procedure: exploratory laparotomy, resection segment 4b, flexible bronchoscopy, vats right upper lobectomy, mediastinal lymph node dissection. cardiac catheterization with stenting of rca history of present illness: mr. was involved in a motor vehicle accident and on a ct scan an incidental 3-cm lesion involving the left lobe of the segment 4b was found. he had further workup including a chest ct which demonstrated 2 small lung nodules. he was seen by thoracic surgery and underwent a flexible bronchoscopy with biopsy and cervical mediastinoscopy which was unremarkable. a pet scan showed + right upper lobe nodule. it was decided to proceed with right upper lung lobectomy and liver resection for removal of the lesion. past medical history: type 2 diabetes mellitus, history of alcohol abuse, duodenal ulcer social history: 50-pack-year tobacco use, history of alcohol abuse. he works as a floor sander. family history: mother had myocardial infarction in her 70s. father had myocardial infarction in his 70s and had an unknown type of cancer. physical exam: vs: 98.3, 105, 89/45, 8, 100% gen: a+o, mae card: reg rhythm, tachy resp: cta bilaterally abd: soft, non-tender, non-distended, + bs extr: no edema dressings c/d/i pertinent results: 06:34pm blood wbc-19.0* rbc-3.17*# hgb-9.8*# hct-29.1*# mcv-92 mch-31.1 mchc-33.8 rdw-13.7 plt ct-348 06:34pm blood pt-14.4* ptt-34.6 inr(pt)-1.3* 06:34pm blood glucose-173* urean-29* creat-0.9 na-141 k-5.2* cl-112* hco3-21* angap-13 06:34pm blood alt-67* ast-96* ld(ldh)-185 alkphos-61 amylase-116* totbili-0.6 06:34pm blood albumin-3.2* calcium-8.8 phos-4.1 mg-1.1* 10:05pm blood ck-mb-8 ctropnt-0.16* 02:27am blood ck-mb-9 ctropnt-0.39* 10:05am blood ck-mb-33* mb indx-10.0* ctropnt-1.12* 03:41pm blood ck-mb-29* mb indx-10.3* ctropnt-1.07* 09:47pm blood ck-mb-14* mb indx-7.9* ctropnt-1.01* 04:12am blood ck-mb-10 mb indx-7.8* 04:12am blood ctropnt-0.93* pathology: lung, right upper lobe, lobectomy (g-p): a. moderately differentiated adenocarcinoma; see synoptic report #1. b. immunostains of the tumor cells are positive for cytokeratin 7 and ttf-1, and negative for cytokeratin 20 and heppar1, with satisfactory controls. this immunophenotype supports a pulmonary origin. gallbladder, cholecystectomy (q): a. mild chronic cholecystitis. b. no calculi present. liver, segment 4a, resection (r-u): a. hepatocellular carcinoma, well-differentiated; see synoptic report #2. b. immunostains of the tumor cells are diffusely and strongly positive for heppar1, with satisfactory controls, supporting the diagnosis imaging: echo: the left atrium is normal in size. overall left ventricular systolic function is normal (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. cardiac cath: selective coronary angiogrpahy in this right dominant system revealed one vessel coronary disease. the lmca was free of angiographically apparent cad. the lad had minimal luminal irregularities. the lcx had a 30% proximal lesion. the rca had a 99% mid vessel stenosis and an aneuysm of the ostium which was present at baseline. 2. resting hemodynamics revealed nromal systemic blood pressure. 3. successful stenting of a a heavily calcified mid rca lesion with a 2.5 x 8 mm driver and a 2.5 x 12 mm vision bare metal stents (see ptca comments for detail). echo: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with basal to mid inferior akinesis and inferoseptal and inferolateral hypokinesis. overall ef 40-45%. the estimated cardiac index is normal (>=2.5l/min/m2). the right ventricular cavity is mildly dilated there is abnormal systolic septal motion/position consistent with right ventricular pressure overload. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is mildly elevated. there is no pericardial effusion. there is an anterior space which most likely represents a fat pad. impression: mild to moderate focal left ventricular dysfunction consistent with cad. mild right ventricular dilation with preservation of apical motion (base less well seen), mild pulmonary hypertension, and septal flattening. cannot rule out pulmonary embolism. compared with the prior study (images reviewed) of , the focal wall motion abnormalities and right ventricular findings are new. \ brief hospital course: mr. was admitted to the hepatobiliary surgery service and was followed closely by the thoracic surgery service after his surgeries on . for details of the surgeries, please refer to the operative notes. he was kept in the pacu for close monitoring post op. he had an epidural in place which was held due hypotension. he had 2 chest tubes in place as well as an abdominal jp drain. on pod 1 () his chest tubes were placed to water seal, the epidural was continued and he was stable for transfer to the floor. on pod 2 (), he was doing well and his pain was well controlled with the epidural/pca and chest tube #1 was removed and the 2nd chest tube was placed to bulb suction. on pod 3 () he was started on clear liquid diet. overnight he had acute mental status changes with increased o2 requirements and respiratory distress. ekg showed new afib and lopressor was given with no change. abg showed decreased pao2. cxr demonstrated increased left lung opacity. he was transferred to the sicu for further management. he was intubated and diltiazem iv drip for afib was started. cardiac enzymes revealed increased troponins with new ischemia on ekg. a heparin drip and pressors were started. iv antibiotics were started for possible sepsis. cardiology was consulted and he was taken emergently to the cath lab for a ptca and stenting (bare metal)of rca on the morning of pod 4 (). he was started on aspirin, plavix and was maintained on integrelin x 18 hours post procedure. lower extremity us which were negative for dvt and a bronchoscopy which was clear. he remained intubated on pod 5 (). the epidural was d/c'd on pod 6 (). overnight he had a acute change in neurological exam where he was only moving his lue to sternal rub and not moving his rue and had r pupil > l pupil. sedation (versed & propofol)was turned off. a stat head ct was done which showed no evidence of acute intracranial pathology. two units of prbc were transfused for a hct of 25.8. neuro exam improved. he was slowly weaned off of pressors and given lasix for volume overload. cxr showed asymmetrical interstitial edema affecting the left lung to a greater degree than the right. nebs were given. a low dose propofol drip was used for agitation. he was weaned off the vent on . on , he was transferred out of the sicu to the 10 (med- unit) where he continued to improve. the ct was d/c'd without incident. cxr on showed persistent right-sided moderate-to-large pneumothorax, unchanged and left-sided effusion and left basilar atelectasis persisted. breath sounds were diminished on the left. o2 was weaned off. he was assisted oob. the foley was removed and diet was advanced. vicodin was used for pain with break thru dilaudid. it was noted that he had periods of forgetfulness. pt declared him safe for discharge home as he was ambulatory and able to do stairs. on , the jp drain was removed. vital signs and labs were stable. he was ambulatory and tolerating a regular diet. follow up appointments with drs. and were made as well as with dr. (oncology). a follow up appointment with cardiology was to be made. medications on admission: metformin 1000mg discharge medications: 1. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 5. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h () as needed. disp:*40 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 8. outpatient physical therapy cardiac rehab post mi (stemi) discharge disposition: home discharge diagnosis: hepatoma right upper lobe carcinoma s/p stemi with rca stent placement discharge condition: stable/good discharge instructions: please call dr office at if you have fevers > 101, chills, nausea, vomiting, diarrhea, yellowing of skin or eyes, shortness of breath, chest pain,inability to eat or take medications. monitor incision for redness, drainage or bleeding no heavy lifting. no driving or alcohol while taking pain medication followup instructions: -follow up with oncology, dr. /dr. on tuesday, at 3pm, building, , phone . -cxr at building at 3:30 then go to - for follow up with dr. (thoracic)at 4pm 5/8( follow up with cardiology dr. . provider: , md phone: date/time: 1:10 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances cholecystectomy angiocardiography of right heart structures division or crushing of other cranial and peripheral nerves regional lymph node excision partial hepatectomy transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel thoracoscopic lobectomy of lung diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation acute respiratory failure iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung malignant neoplasm of liver, primary acute myocardial infarction of unspecified site, initial episode of care removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic cholecystitis 

Answer: The patient is high likely exposed to