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: no known allergies / adverse drug reactions attending: chief complaint: s/p cardiac arrest major surgical or invasive procedure: lung biopsy history of present illness: 68 yom with unknonw pmh found at the back of loading truck for unknown amount of time by friends. aed placed and shock indicated. no rhythm strip. had agonal breaths. ems arrived. no more shocks advised. ems said "bizzare wide complex" and tachycardic. went to osh () intubated and coold. continued to have wide complex tachy. got ami x2 with amio gtt. life flight arrived and he was in nsr with lbbb. . patient was kept on amio gtt when arrived. a cxr showed rul consolidation which was interpreted as possible pulmonary contusion. there was a concern for aspiration and started on levo and flagyl. . after discussion with the family he apparently had a cardiac catheterization sometime in the last month at the va for unknown reasons. his wife reports that there were "some plaques" but nothing to put stents in. incidentally he was found to have a pulmonary nodule and a ct was reccomended. he refused at the time and was scheduled to have scan in one month. . in the ed he is intubated and sedated. cooling procol was initiated. . review of systems deferred as patient is intubated and sedated past medical history: nonischemic cardiomyopathy with severely reduced lv systolic function htn tobacco dependance nephrolithiasis lbbb social history: -tobacco history: 50 pack year history -etoh: occasional -illicit drugs: drugs family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission exam general: intubated and sedated aao x 0 heent: large ecchymosis over left eye brow, some excoriations over right cheek neck: in c collar cardiac: s1 s2 no mrg lungs: audible inspiratory wheezes in bilateral apeices but lodest over the ru lobe. clear bs in the lllobe abdomen: soft cooling blanket in place so exam confounded. extremities: cool 2+ pulses discharge exam general - room air; vitals hr 70-89, bp 119-130/56-61, rr 18/min, o2 99% ra, temp 97.7-98.1 heent: pupils equal; reactive to light neck: 3cm jvp cv: h1 and h2 present; no murmurs resp: lungs are clear to auscultation gi: soft and nontender to palpation; bowels sounds presents extremities: peripheral pulses present; no ankle edema pertinent results: 03:15pm wbc-17.8* rbc-4.95 hgb-15.1 hct-44.0 mcv-89 mch-30.6 mchc-34.4 rdw-13.3 03:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:33pm glucose-138* lactate-1.5 na+-135 k+-5.3* cl--104 tco2-25 03:15pm pt-30.1* ptt-47.0* inr(pt)-2.9* 03:15pm ctropnt-0.10* 03:15pm estgfr-using this 03:15pm urea n-10 creat-1.2 discharge labs 01:20pm blood wbc-7.1 rbc-3.94* hgb-11.7* hct-35.8* mcv-91 mch-29.7 mchc-32.7 rdw-14.3 plt ct-318 01:20pm blood plt ct-318 01:20pm blood pt-13.5* ptt-27.1 inr(pt)-1.3* 01:20pm blood glucose-105* urean-6 creat-1.3* na-139 k-4.1 cl-105 hco3-25 angap-13 05:07am blood alt-29 ast-60* ld(ldh)-309* alkphos-49 totbili-0.5 brief hospital course: 68 year old man with idiopathic, non-ischemic dilated cardiomyopathy s/p cardiac arrest and rewarming protocol currently with newly discovered lung, liver and pancreatic lesions concerning for malignancy. # pulmonary nodule with perihilar lymphadenopathy: the patient was found, incidentally to have a pulmonary nodule with perihilar lymphadenopathy. given his long smoking history there was a concern for malignancy. after review of other masses in abdomen, the lung nodule was deemed the best place for initial biopsy. u/s and mri was performed to assess liver and pancreatic lesions and it was felt, with conjunction of ip and ir that biopsing the lung would be the best route. patient went for bronchial lung biopsy on wihtout complications. results are pending at time of discharge # liver, and pancreatic lesions: an ultrasound was showed at least 5 lesions in the liver suggestive of hemangiomas. an abdominal mri revealed multiple liver masses believed to be benign cysts and others that are hemangiomas. one liver mass was believed to be potentially malignant. the pancreatic tail lesion was believed to be potentially malignant. after lung biopsy and pending results, it will need to be determined whether to biopsy the pancreas since the tail of the pancreas is more likely to be a primary than metastatic. he will follow up with outpatient oncology at the va for a body pet-ct, brain mri, pfts, and spirometry with dlco (this will be set up with the patient's cardiologist, dr. . # chronic systolic heart failure: the patient has non-ischemic idiopathic dilated cardiomyopathy with ef 15%; it is still unknown as to primary etiology. pt is on his home-dose lisinopril 20mg and will leave on home dose metoprolol succinate 200mg daily. the electrophysiology service was consulted regarding possibly icd vs. life vest placement given pea vs. vtach arrest. ep recommended amiodarone over icd or life vest as it has shown to be non-inferior to patients who are s/p cardiac arrest in preventing further arrests. he will take amiodarone 200 mg for 1 month followed by 200 mg daily indefinitely. this plan was discussed with the patient's cardiologist, dr. , who agreed. # post-obstructive pneumonia: on day 10 of piperacillin-tazobactam and vancomycin. finished course . resolved upon discharge # afib: will continue beta-blockers. warfarin had been held since early in the admission, first due to elevated inr and then for upcoming procedures. will continue the patient's warfarin at discharge, but at a lower dose as he was both supratherapeutic coming into the hospital and discharged on amiodarone. we have contact the patient's cardiologist, dr. , regarding the need for close inr follow-up. # anemia: the patient's admission hematocrit was 44.0 and his discharge hematocrit was 35.8. his nadir was 29.5 on . no obvious cause of a normocytic anemia was found and the patient's stool was guaiac negative. # hypertension: the patient's lisinopril and metoprolol were continued throughout his hospital course to good effect. transitional issues: # outpatient oncologic workup: he will follow up with outpatient oncology at the va for a body pet-ct, brain mri, pfts, and spirometry with dlco (this will be set up with the patient's cardiologist, dr. . # atrial fibrillation requiring anticoagulation: we have contact the patient's cardiologist, dr. , regarding the need for close inr follow-up. # anti-arrhythmic therapy: the patient will take amiodarone 200 mg for 1 month followed by 200 mg daily indefinitely. this plan was discussed with the patient's cardiologist, dr. , who agreed. # the patient was instructed not to return to work until he sees his outpatient cardiologist. the patient understood the risks and confirmed that he will not drive his truck. transitional issues: follow up on anemia as his hct dropped during the hospital course but rebounded at discharge. recommend check cbc once to ensure it has normalized. medications on admission: medications: lisinopril 20mg qd metoprolol 200mg qd warfarin 2mg qd discharge medications: 1. amiodarone 200 mg po bid 2. lisinopril 20 mg po daily start on and continue daily 3. metoprolol succinate xl 200 mg po daily start in am of . home dose. will d/c tartrate for tomorrow. hold for sbp < 100 or hr < 60 4. warfarin 1 mg po daily at 4pm please follow up closely with your doctor, , to monitor your coumadin levels. discharge disposition: home with service facility: discharge diagnosis: primary diagnoses: -chronic cardiac systolic dysfunction after either pulseless electrical activity orventricular tachycardia with arrest -lung, liver, and pancreatic masses secondary diagnoses: -afib -htn discharge condition: fair. ambulatory. mental status intact. discharge instructions: dr . , you were admitted to the hospital because of cardiac arrest and found to have lung, liver, and pancreatic masses. you were briefly intubated with a breathing tube, but successfuly taken off in the intensive care unit. the masses were better characterized on mri and it was felt that biopsy of the lung was the best method for tissue diagnosis. a biopsy was taken monday by an interventional pulmonlogist. results are pending and will be relayed to you after discharge. you are leaving on your same blood pressure medications that you came in with: metoprolol 200 mg daily and lisinopril 20 mg daily. we have also added a new medication called amiodarone. the dose will be amiodarone 200 mg twice a day for one month, then 200 mg once a day indefinitely. you need to follow up with your cardiologist at the va dr. , regarding your coumadin dosing. your coumadin dose on discharge is 1mg, which is lower than when you came in. please continue 1mg until you see your cardiologist. followup instructions: please make an appointment with your cardiologist, dr. , by calling ( and paging . md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus video and radio-telemetered electroencephalographic monitoring diagnoses: pneumonia, organism unspecified other primary cardiomyopathies acidosis abnormal coagulation profile coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation paroxysmal ventricular tachycardia pneumonitis due to inhalation of food or vomitus cardiogenic shock other left bundle branch block acute systolic heart failure anticoagulants causing adverse effects in therapeutic use hypovolemia enlargement of lymph nodes calculus of kidney precipitous drop in hematocrit other accidental fall from one level to another personal history of sudden cardiac arrest neoplasm of uncertain behavior of other and unspecified digestive organs contusion of orbital tissues neoplasm of uncertain behavior of liver and biliary passages neoplasm of uncertain behavior of trachea, bronchus, and lung other pneumothorax 

Answer: The patient is high likely exposed to