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: 82yo m w/ a pmhx significant for rul stage 3a vs 3b nsclc s/p chemo/xrt with good response found to have a 2nd primary in the rll after wedge resection 1/' represented with a persistent right pleural effusion and suspicious cytology from prior pleurocentesis. he was referred to the interventional pulmonology service for pleuroscopy, biopsy, evacuation of a probable malignant pleural effusion, and talc pleurodesis . major surgical or invasive procedure: 1- s/p right chest thoracoscopy, pleurodesis() history of present illness: 82yo m who typically lives with his wife in , well known to the thoracic oncology group after treatment for a previous rul stage 3a, possibly stage 3b nsclca (?scca) with almost complete response 4 years ago. his functional status did not allow for surgical management of his disease previously. he was being followed serially by dr. in the multidisciplinary thoracic clinic and serial imaging revealed a persistent, and possibly enlarging right pleural effusion. additionally, the patient was known to have a moderately differentiated adenocarcinoma of the rll and was s/p vats/wedge resection of this lesion with dr. in 1/'. after serial pleural cytologic analysis was persistently suspicious for malignancy but no definitive pathologic diagnosis could be rendered, he was referred for pleuroscopy, pleurodesis and biopsy with dr. . past medical history: hypertension gout s/p cholecystectomy lung cancer (likely 2 primaries, see hpi) social history: he has three children, 8 grandchildren and no great grandchildren. he smoked one pack a day for 20 years, he quit 36 years ago. family history: father-- coronary artery disease mother- breast cancer physical exam: vs t= 98.2 hr= 78 (regular) bp = 132/76 rr = 20 spo2 = 96%ra heent- elderly male, nad, aaox3, anicteric, no cervical/supraclavicular adenopathy, no bruit cor- regular, no murmur pulm- decreased bs on r-lung with dullness to percussion half way up the right posterior hemithorax, left lung is clear abd- soft, non-tender, no hernia/mass, no hsm ext- cool, dry, distal pulses dopplerable only, calves soft pertinent results: 11:48am pleural tot prot-4.5 ld(ldh)-194 albumin-2.5 04:15pm pt-11.8 ptt-28.5 inr(pt)-1.0 04:15pm plt count-226 04:15pm wbc-9.3 rbc-5.27 hgb-15.6 hct-45.7 mcv-87 mch-29.6 mchc-34.2 rdw-15.8* 04:15pm osmolal-271* 04:15pm calcium-8.5 phosphate-3.4 magnesium-2.1 04:15pm glucose-123* urea n-12 creat-0.8 sodium-126* potassium-5.0 chloride-91* total co2-24 anion gap-16 08:55pm calcium-8.3* phosphate-4.2 magnesium-2.0 08:55pm glucose-156* urea n-17 creat-1.0 sodium-128* potassium-4.5 chloride-95* total co2-23 anion gap-15 brief hospital course: mr. was admitted to the ip service on after undergoing a right chest pleuroscopy, biopsy, pleurodesis, and placement of a right chest tube thoracostomy. initially post-operatively, his chest tube outputs were serosanguinous with no evidence of airleak on suction. interval fimls confirmed improved aeration of the right hemithorax after evacuation/pleurodesis of the right chest. by pod#1, the patient had an symptomatic bout of afib with a rvr necessitating transfer to the csru. he was not cardioverted, however, amiodarone iv load with transition to an oral regimen was utilized in conjunction with beta blockade. a surface echo revealed no tamponade physiology and a stable peri-cardial effusion. no significant decrement in ef or wall motion abnormalities were noted on this study as well. over the ensuing days, he did have a change in character of his ct outputs and serial h/h revealed a 15 point hct drop. a ct chest done on revealed a moderate to large hemothorax (as described by houdsfiled signature of the complex right pleural effusion in the background of bloody chest tube outputs). he was managed conservatively and no transfusion requirement occured. he did have eventual transfer to the floor (far 2.thoracic floor). intermittently, the patient had burst of afib that converted to sr necessitating advancement of his lopressor medication. he was continued on diltiazem and after clearance with pt was cleared for disposition to rehabilitation. medications on admission: allopurinol 300mg qd, protonix 40mg qd, cardura 0.4mg qd discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 5. hydromorphone 2 mg tablet sig: one (1) tablet po q3-4h (every 3 to 4 hours) as needed. 6. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for tachycardia. 8. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). 9. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours. discharge disposition: home with service facility: discharge diagnosis: 1- right pleural effusion (malignant)s/p thoracoscopy with talc pleurodesis 2- post-operative atrial fibrillation 3- hypertension (controlled) 4- gout (controlled) 5- prior history of right upper lobe (?scca/stage 3a vs3b w/ complete response to chemoxrt) and right lower lobe non-small cell lung cancer (moderately differentiated adenocarcinoma) s/p chemotherapy and radiation discharge condition: stable, afebrile, sinus rhythm, with adequate pain control with good room air saturations, wounds healing well discharge instructions: please resume your pre-admission medications as directed. some changes have been made to your heart medications to help control your heart rate after the procedure. no heavy lifting greater than 15-20lbs for 2-3 weeks. you may shower and pat your wound dry but no bath-tub/swimming/whirlpool for 2 weeks. followup instructions: see dr. in the pulmonary clinic within 2 weeks of dismissal. you should follow-up with dr. of the heme-onc service as well by making an appointment in the next 2 weeks. procedure: insertion of intercostal catheter for drainage other incision of pleura injection into thoracic cavity diagnoses: unspecified essential hypertension hyposmolality and/or hyponatremia cardiac complications, not elsewhere classified gout, unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung secondary malignant neoplasm of pleura hemorrhage complicating a procedure 

Answer: The patient is high likely exposed to