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: niacin preparations attending: chief complaint: left lower lobe mass major surgical or invasive procedure: left thoracotomy and left lower lobectomy with en bloc chest wall resection and reconstruction with a 2-mm -tex mesh, mediastinal lymph node dissection, intercostal muscle flap buttress. history of present illness: mr. is a 72 year old male with a 10 cm lll nsclc confirmed by ebus with negative work up for nodal and distant metastatic disease. preoperative evaluation for resection of mass revealed borderline pft's. he vq scan on with evidence of sufficient residual lung volume to tolerate lll resection. patient preop cardiac evaluation today with mibi and was found to have new onset atrial fibrillation with rvr 120's. cardiologists recommended no additional work up since patient was without angina or other symptoms of ischemia. echo revealed normal systolic function with mild mr. past medical history: - cardiac stenting 12 years ago without recent stress test - 2 lumbar disk surgeries - cholecystectomy years ago - neuropathy - right thyroid nodule social history: cigarettes: quit 15 yrs ago, 20 pk yr hx etoh: 1 glass wine/night family history: sister had cervical ca in 80s, otherwise no family cancer hx. both mother and father died in 70's from dm complications: amputations and dm. physical exam: vital signs: t- hr- bp- rr- o2 sat- general: well appearing, breathing comfortably heent: moist mucous membranes, no nasal flaring cv: irregular, nl s1, s2 resp: right lung with breath sounds throughout, left lung -no breath sounds at midchest downward, occasional wheezes abdomen: soft, nontender, nondistended ext: mild pedal edema (at baseline), no cyanosis, or sking breakdown neuro: no gross abnormalities psych: a&ox3, appropriate pertinent results: cbc: wbc-11.4 hgb-10.7 hct-32.8 plt ct-347 chemistry: na-137 k-4.1 cl-102 hco3-26 urean-16 creat-0.7 glucose-105 cxr : status post left lower lobectomy with according pleural and chest wall changes, as well as overall volume loss of the left hemithorax. there is no visualization of an apical pneumothorax. brief hospital course: mr. a left lower lobectomy with en bloc 4 rib resection, chest wall reconstruction with a 2-mm -tex mesh, mediastinal lymph node dissection, and intercostal muscle flap buttress on without complications. he was extubated without difficulty in the or and was admitted to the icu for management of atrial fibrillation with sick sinus syndrome. the rest of mr. hospital course is described below by system: 1. respiratory: postoperatively, mr. was kept on 4l of oxygen by nasal cannula with o2 sats >95% and was breathing comfortably with pain control by bupivicaine epidural and dilaudid pca. chest tube had minimal serosanginous ouput with no leak detected. on pod#2, patient had an episode of desaturation to high 80s on 100% o2. cxr showed complete collapse of left lung. bronchoscopy was performed with removal of copious clear mucus plugs from left mainstem and lul bronchi. patient was placed on bipap overnight for improved ventilation. am cxr on pod#3 showed re-expansion of lung and patient was started on nebulizer treatments, with improvement in dyspnea, cough production, and oxygen saturation. chest tube was removed on pod#4 without evidence of pneumothorax on post-pull cxr. oxygen was gradually weaned to 2l and patient was transferred to the floor on pod#5. with chest pt and continued nebs, oxygen was weaned completely by pod#5 during rest and exertion. patient was discharged home on pod#6 with o2 sats >98% on room air and arrangements for vna and nebulizer treatments at home. 2. cardiac: mr. newly diagnosed afib was present throughout his postoperative period. he was started on iv lopressor and transitioned to po lopressor with dose titrated to keep rate less than 120. he did not experience any ischemic symptoms throughout this period. he was started on coumadin on pod#6, as per his cardiologist, with plans to follow up with his pcp for coumadin dosing. 3. endocrine: mr. blood glucose was 150-200 in the pacu after surgery. he was kept on a sliding scale during his hospital stay. he will follow up with his pcp regarding diabetes work up. 4. heme/onc: pathology reports are pending on mr. resected lung mass. ebl from surgery was 1 liter and patient's hct post-op trended down to 25.2 from preop of 30. he was transfused 2u prbcs with appropriate increase in hct and hct on day of discharge was 32.8. 5. id: no issues. 6. renal: no issues, cr less than 1 throughout stay, 0.7 on discharge. 7. gi/fen: no issues, tolerated regular diet with normal bowel functions. medications on admission: hydrocodone 5 mg + acetaminophen 500 mg prn discharge medications: 1. nebulizers kit sig: one (1) miscellaneous every hours.disp:*1 * refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*20 tablet(s)* refills:*1* 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours). disp:*1 * refills:*2* 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours).disp:*1 * refills:*2* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: left lower lobe lung cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. at if you develop fevers greater than 101.5, chills, nightsweats, shortness of breath, unmanageable pulmonary secretions, uncontrolled pain or if left chest incision develops redness, drainage or opens. walk 10-15 minutes 3-5 times a day. start slow and increase. do not drive while on narcotics for pain. take stool softeners while on narcotics to prevent constipation. use nebulizer treatments every 6 hours (albuterol and ipratropium) until you can cough easily without them. do daily breathing exercises (deep breath in, hold for 3 sec, breath out) to keep your lungs expanded. followup instructions: followup appointments: provider: , md phone: date/time: 1:00 9 . get a chest xray 30 minutes before this appointment on the radiology department of the . provider: , md phone: date/time: 11:45 9 provider: , md date/time: 8:30 procedure: other bronchoscopy other intubation of respiratory tract other repair of chest wall biopsy of lymphatic structure insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt other lobectomy of lung diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status pulmonary collapse mononeuritis of lower limb, unspecified other and unspecified hyperlipidemia sinoatrial node dysfunction secondary and unspecified malignant neoplasm of intrathoracic lymph nodes malignant neoplasm of lower lobe, bronchus or lung secondary malignant neoplasm of bone and bone marrow foreign body in main bronchus inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to