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: dyspnea major surgical or invasive procedure: tracheal stent placement svc stent placement history of present illness: mr. is a 73 year old man with history of laryngeal cancer s/p external beam radiation, copd, and diabetes who presented to an osh with worsening shortness of breath, hoarse voice, inability to lie flat, non-productive cough, and increasing swelling of his bilateral upper extremities and neck. he notes for the past 3 weeks or so, he has noticed increasing shortness of breath and orthopnea, with an increasing number of pillows at night; he now sleeps only in a sitting position. he has noticed a change in the quality of his voice. in addition, his neck and face have been "swelling up". he initially presented to an osh in , where a ct neck demonstrated mediastinal lymphadenopathy, a 4mm trachea likely secondary to extrinsic compression, and multiple pulmonary nodules (the largest of which was 1.5cm in diameter). he was transferred to medical center for further workup, where compression of the svc was revealed. he was seen by ent, who noted bilateral immobile vocal cords fixed in the paramedial/medial position, as well as an 80% subglottic stenosis. he was noted to have intraperitoneal air, which was deemed non-surgical and benign by the consulting surgery team. radiation oncology was also consulted, and they recommended xrt after treatment of his svc syndrome and tracheal compression. he was referred to for tracheal y-stenting, svc stenting, and transbronchial biopsy of the mediastinal lymphadenopathy. past medical history: - hypertension - baseline chronic kidney disease, unknown creatinine; was 1.4 on admission to osh - diabetes mellitus (hgba1c 9.8) - coronary artery disease (sestamibi in with fixed inferior segment and small reversible defect at apex, ef 68%) - copd (on 20mg prednisone daily) - bladder ca - laryngeal ca (s/p external beam radiation in ) - cataract surgery - laser eye surgery social history: former smoker, quit 20 years ago, 40 pack-year history. family history: father died of lung cancer, diabetes; mother with diabetes. physical exam: vitals: t 96.2f, bp 128/55, hr 57, rr 19, o2sat 100%4lnc general: older gentleman in mild respiratory distress, sitting up in bed heent: marked facial swelling and plethora, op clear neck: thick, unable to appreciate jvd card: rrr no m/r/g resp: audible inspiratory and expiratory stridor, occasional wheeze; diffuse rhonchi anteriorly abd: tympanic, soft, non-tender, decreased bowel sounds back: deferred upper ext: 2+ pitting edema bilaterally, 2+ radial pulses lower ext: no clubbing, cyanosis, edema neuro: a&o x 3 pertinent results: 01:15pm pt-12.2 ptt-22.8 inr(pt)-1.0 01:15pm plt count-371 01:15pm wbc-9.6 rbc-3.65* hgb-10.9* hct-33.9* mcv-93 mch-29.9 mchc-32.2 rdw-13.5 01:15pm calcium-9.3 phosphate-7.2* magnesium-2.5 01:15pm ld(ldh)-229 01:15pm estgfr-using this 01:15pm glucose-357* urea n-79* creat-2.4* sodium-132* potassium-5.5* chloride-94* total co2-25 anion gap-19 05:24pm urine eos-negative 05:24pm urine osmolal-439 05:24pm urine hours-random urea n-456 creat-95 sodium-52 potassium-44 tot prot-32 calcium-2.8 prot/crea-0.3* 11:09pm glucose-270* urea n-91* creat-3.1* sodium-135 potassium-5.3* chloride-95* total co2-25 anion gap-20 11:09pm calcium-9.3 phosphate-8.0* magnesium-2.7* . : cxr - findings: compared to the prior study, there is no new consolidation and the pulmonary vascular markings are within normal limits. diminished linear atelectatic changes at left base are noted. impression: no significant interval change vs. prior. brief hospital course: the patient was admitted to the medical icu on transfer from medical center for monitring peri-procedure. interventional pulmonary placed a y-stent and interventional radiology placed an svc stent. the procedures went well. the y-stent placement was complicated by a small left lower pneumothorax. a chest tube with a pig-tail catheter was placed. this was placed on water seal and showed no re-expansion. the pigtail catheter was removed and there is no residual ptx and no leak as evidenced by repeat chest film. the interventional pulmonary attending is named when removing the bialteral femoral lines, there was unexpected bleeding approx 30 minutes after the right svc-stent introducer catheter was removed. the line was pulled, and no bleeding was noted. however, upon sitting up and eating, blood was noticed oozing from the wound site. pressure was held and his hct was stable. no further complications were noted. the patient suffered acute renal failure felt secondary to contrast nephropathy as a result of multiple contrast studies. his creatinine stabilized @ 3.2 and he continued to make urine. renal was consulted and felt dialysis was not needed and that his kidneys should continue to improve gradually. surgery was notified of the ct finding of marked bowel wall gas and free air under the diaphragm. he was asymptomatic and tolerating a diet. they felt this was issue without clear etiology. they felt a diet as tolerated and bowel regemine were indicated and close monitoring. the following recommendations are made regarding his ongoing care: oncology input once the pathology of the tumor is identified regarding treatment tapering of his steroids he is to continue on his aeroslized n-acetyl cysteine and normal saline nebs continued monitoring of his abdominal exams medications on admission: lantus 35 units qhs novalog sliding scale glyburide 10mg metformin 1000mg prednisone 20mg daily hctz 25 mg daily lisinopril 20mg daily metoprolol 50mg tid simvastatin 40mg qhs precose 100mg tid asa 81mg daily triamcinolone 100mcg 4 puffs omeprazole 40mg daily loratadine 10mg daily albulterol 2 puffs q4-6hours discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: nebulizers inhalation q6h (every 6 hours) as needed. 3. lorazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. fluticasone 110 mcg/actuation aerosol sig: four (4) puff inhalation (2 times a day). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 7. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 8. ipratropium bromide 0.02 % solution sig: nebs inhalation q6h (every 6 hours). 9. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. 10. prednisone 20 mg tablet sig: one (1) tablet po daily (daily): please taper as symptoms tolerate. 11. acetylcysteine 20 % (200 mg/ml) solution sig: nebs miscellaneous q6h (every 6 hours). 12. metronidazole (flagyl) 500 mg iv q8h 13. ciprofloxacin 400 mg iv q24h 14. insulin glargine 100 unit/ml solution sig: thirty five (35) units subcutaneous once a day. 15. insulin regular human 100 unit/ml solution sig: 2-10 units injection four times a day: as directed per sliding scale. discharge disposition: extended care facility: medical center discharge diagnosis: primary: 1. tumor of unknown primary 2. tracheal encroachment/invasion. 3. svc syndrome from tumor compression 4. acute on chronic renal failure. 5. diabetes mellitus type ii. secondary: 1. chronic kidney disease. 2. hypertension 3. laryngeal ca (s/p external beam radiation in ) 4. coronary artery disease 5. copd 6. history of bladder cancer discharge condition: tolerating 35% facemask, tolerating oral diet, hemodynamically stable. discharge instructions: you were transfered to from medical center for interventional pulmonary and interventional radiology procedures. these went well. you are being transfered back to medical center for on-going care. followup instructions: please follow up with your oncologist and primary care doctors as directed by the medical center providers. procedure: insertion of intercostal catheter for drainage angioplasty of other non-coronary vessel(s) other intubation of respiratory tract local excision or destruction of lesion or tissue of trachea cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: acute kidney failure, unspecified hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified iatrogenic pneumothorax compression of vein other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of malignant neoplasm of bladder secondary and unspecified malignant neoplasm of intrathoracic lymph nodes diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled secondary malignant neoplasm of other respiratory organs other drugs and medicinal substances causing adverse effects in therapeutic use personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to