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: cervical tracheal stenosis. major surgical or invasive procedure: cervical tracheal resection and reconstruction, esophagogastroduodenoscopy, flexible bronchoscopy with bronchoalveolar lavage. history of present illness: mr. is a 51-year-old gentleman with idiopathic tracheal stenosis. he underwent tracheal stenting and had marked relief of his dyspnea. he is being admitted for cervical tracheal resection and reconstruction. past medical history: tracheobroncomalacia/stenosis diagnosed gerd s/p nissen hiatal hernia asthma fractured left ankle s/p orif psoriasis hydronephrosis s/p mva in with chronic neck pain s/p bilateral inguinal hernia repair s/p bilateral ligament surgery to knees likely obstructive sleep apnea social history: he is single, never married. he has one son. is a never smoker. he drinks occasionally (typically beer on weekends). denies illicit drug use. lives in upstate . family history: no family history of tracheal disease or airway disease. physical exam: vs: t: 96.9 hr 74 sr bp 122/82 sats 94% ra general: 50 year-old male who is no apparent distress heent: normocephalic, mucus membranes moist neck: supple cardiac: rrr normal s1,s2 respiratory: decreased breath sounds at bases with faint expiratory wheeze gi: benign extr: warm no edema incision: anterior cervical clean, dry intact, no erythema margins well approximated neuro: non-focal pertinent results: wbc-13.1*# rbc-4.19* hgb-12.9* hct-38.5 plt ct-378 wbc-8.7 rbc-4.58* hgb-13.7* hct-41.4 plt ct-277 wbc-16.4*# rbc-4.68 hgb-14.1 hct-42.4 plt ct-304 neuts-76.8* lymphs-11.7* monos-6.0 eos-5.0* baso-0.6 glucose-102* urean-17 creat-0.8 na-139 k-4.2 cl-103 hco3-30 glucose-100 urean-12 creat-0.9 na-138 k-4.0 cl-105 hco3-24 calcium-9.0 phos-4.1 mg-2.1 cxr : as compared to the previous radiograph, there is no relevant change. unchanged appearance of the mediastinum. unchanged minimal blunting of the left costophrenic sinus. no focal parenchymal opacities except for minimal left basal areas of atelectasis. unchanged size of the cardiac silhouette. left upper extremity venous ultrasound: occlusive thrombus seen within the left basilic vein in the region of the patient's left arm swelling and redness. no thrombus is seen within the remainder of the left arm vessels. brief hospital course: the patient was admitted to the thoracic surgical service for evaluation and treatment. on the patient underwent a cervical tracheal resection for ideopathic cervical tracheal stenosis. this went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient was transferred to the icu on ifv, npo and with a dilaudid pca for pain. the patient was hemodynamically stable. a guardian stitch was placed from his chin to his chest to protect against neck extension, this remained in place for 7 days. neuro: the patient received dilaudid pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. he was monitored on telemetry throughout his stay and did not have any cardiac problems. pulmonary: following his procedure the patient was put on a strict regimen of around the clock chest pt and nebulizers, including mucomist and albuterol. he was able to expectorate his secretions without difficulty and did not have any significant respiratory issues. chest-x-rays were unremarkable and he was ambulatory by pod 2. he underwent a bronchoscopy on pod 7 which revealed reveals no necrosis or dehiscence at the site of anastomosis and no tracheal lesions. following this procedure the guardian stitch was cut, with appropriate movement of his neck. he was discharged with oxygen saturations of 97% room air. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, and he was monitored by nursing staff when initiating liquids. he did not have any difficulty swallowing or any signs/symptoms of aspiration and his voice was quite strong. he tolerated a soft diet without problem. his jp drain which was located next to the anastomosis was removed on pod 3 after taking a soft solid diet. the output was minimal and serosanguinous - nonconcerning for any cyle leak. the patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. he did not manifest any concerning signs of infection during his stay. hematology: the patient's complete blood count was examined routinely; no transfusions were required. renal: he developed right flank pain on . given his history of right hydronephrosis a pelvic ct which was negative. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheezing, sob. disp:*1 inhaler* refills:*2* 2. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. disp:*14 units* refills:*0* discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 3. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 4. acetylcysteine 20 % (200 mg/ml) solution sig: three (3) ml miscellaneous twice a day as needed for shortness of breath or wheezing: mix with albuterol 3 ml. disp:*60 ml(s)* refills:*0* 5. ibuprofen 800 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain: take with food and water. disp:*90 tablet(s)* refills:*1* 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation every 6-8 hours as needed for shortness of breath or wheezing. disp:*60 ml* refills:*0* discharge disposition: home discharge diagnosis: cervical tracheal stenosis discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath cough or sputum production -chest pain -neck incision develops drainage or redness -you may shower. wash incision with mild soap and rinse with water pat dry. -no tub bathing or swimming for 4 weeks -you may drive. -no heavy lifting until seen by dr. . -ibuprofen take with food and water. followup instructions: provider: , md phone: date/time: 9:30 in the building chest disease center i provider: clinic interventional pulmonary (sb) phone: date/time: 10: as above procedure: fiber-optic bronchoscopy closed [endoscopic] biopsy of bronchus other repair and plastic operations on trachea diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux intestinal bypass or anastomosis status asthma, unspecified type, unspecified other psoriasis other diseases of trachea and bronchus 

Answer: The patient is high likely exposed to