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: lidocaine / lipitor / lovastatin attending: chief complaint: hemoptysis major surgical or invasive procedure: none history of present illness: this is a 59 yo f with a 80 pyhx of tobacco (quit 4 yrs ago), copd, cad s/p mi, prolonged pna admission in , who presents today from home with hemoptysis of 15-30cc of blood x 1 day. she was admitted on for hemoptysis and at that time was found to have a 8x8x9cm mass in the rul displacing segmental bronchi of the rml but no clear invasion. ct guided biopsy showed sclc. she had a pet and an mri and found to have a t7 likely metastatic lesion and started on decadron last nght. she states since her last admission last week, her hemoptysis stopped (2 episodes the size of a quarter). she states she started decadron yesterday and awoke at 6am and started to have hemoptysis again. she states that it was 1 tablespoon at the most at that time and maybe 1 additional tablespoon since she's been in the icu for the past 4 hours. no chest pain, shortness of breath, + hemoptysis, no fevers/chills. no abdominal pain. no back pain, urinary incontinence/stool incontinence, parasthesias. past medical history: -diverticular bleeds, most recently in . -strep pneumoniae pneumonia and sepsis and a prolonged intensive care unit stay complicated by difficulty extubating, delirium, and right internal carotid artery cannulization. -htn -copd -cad with a mi infarction in . - ef 55% based on echo - hypothyroidism social history: she is retired from working in . she smoked two packs per day for 40 years and quit four years ago. she does not use alcohol. she has trouble getting to her appointments here as she has no car and the taxi from is quite expensive. her husband passed away several years ago, and his end of life medical care required her to sell their home and many belongings. she moved here from while he was ill and has not found many frineds she believes she can count on in the area. family history: she has no siblings. her mother passed away at age 76 of osteoporosis and severe emphysema. her father died at age 56 of lung cancer, though he was a nonsmoker. she has no children. she is widowed. physical exam: 96.9, 122/80, 94-101, 13, 96% on 4l gen- lying in bed in nad, aaox3 neck - no adenopathy appreciated heent- perrl, eomi cv- tachycardic, regular, no m chest- decreased breath sounds in rul, wheezing bilaterally abd- soft, nt/nd, +bs ext- trace edema bilaterally, +2dp pulses bilaterally, +clubbing back - no spinal tenderness neuro- moving all extremities, cn 2-12 intact pertinent results: pet scan: intense fdg uptake associated with the right upper lobe mass is consistent with biopsy proven nsclc. the contiguity of the mass with the right hilum makes nodal disease likely, but poorly evaluated due to uptake from the primary tumor. uptake in right mediastinal nodes is mild and not definitive for disease involvement and there is no evidence of contralateral nodal disease. intense uptake associated with thoracic spine lesion is suspicious for an epidural metastasis as hemangiomas are not generally fdg avid. there is mass effect upon the adjacent thecal sac and further evaluation with mri is advised. . mri t-spine: t7 vertebral body hemangioma and adjacent soft tissue mass eroding through the posterior cortex of the vertebral body and causing moderate compression of the thecal sac. the appearance of this soft tissue mass, lack of vertebral collapse, and lack of hemorrhage would be atypical for a hemangioma. given the patient's known lung mass and involvement of the left pedicle, this most likely represents a metastasis. collision tumor given the presence of hemangioma should be considered. . cxr- large rul mass . labs wbc 4.9 hgb 11.1* hc 34.6* mcv 81* diff n 72.2* l 24.5 2 b .4 e 0.4 m 0.5 . 07:15am blood wbc-7.7 rbc-3.89* hgb-10.1* hct-31.3* mcv-81* mch-26.0* mchc-32.3 rdw-16.3* plt ct-431 07:05am blood wbc-7.6 rbc-3.73* hgb-10.1* hct-30.2* mcv-81* mch-27.0 mchc-33.4 rdw-16.3* plt ct-485* 07:16am blood wbc-8.2 rbc-3.76* hgb-9.7* hct-30.6* mcv-81* mch-25.9* mchc-31.9 rdw-16.2* plt ct-445* 07:15am blood plt ct-431 07:05am blood plt ct-485* 07:16am blood plt ct-445* 07:05am blood pt-11.9 ptt-21.3* inr(pt)-1.0 07:15am blood glucose-113* urean-13 creat-0.5 na-138 k-4.5 cl-100 hco3-27 angap-16 05:59pm blood alt-11 ast-21 ld(ldh)-325* alkphos-255* totbili-0.2 07:15am blood calcium-8.4 phos-3.8 mg-2.1 brief hospital course: ms. is a 59 yo f with newly diagnosed nsclc with likely t7 metastasis who presents with hemoptysis. : she was admitted to the for overnight monitoring. hemoptysis was found to be only a few teaspoons over the course of 24 hours and her hematocrit remained stable. bronchoscopy was therefore not indicated. radiation oncology was called and will see the patient on monday, as they had already been planning to begin spinal radiation at that time. they will consider possible chest radiation as well given new hemoptysis. she was kept on decadron for her spinal mass. we held her aspirin until hemoptysis stopped, and continued her outpatient beta blocker, ace inhibitor and statin. the patient has no hcp and no family. she also states that she has no frineds she trusts. she needs help with resources including transportation to and from her appointments, as she lives in and must pay for expensive taxi rides to . she will be seen by sw and cm during her stay. she was called out to the floor hte day after admission as she was stable. . on the floor she remained stable; she underwent two rounds of xrt withouth incident and was discharged on her present dose of decadron with a plan for followup with rad onc day post discharge and with dr. in weeks for onc care. medications on admission: metoprolol 50 mg p.o.b.i.d. (was 100 mg po bid) imipramine 50 mg p.o. q.h.s. citalopram 20 mg p.o. qd levothyroxine 75 mcg p.o. daily, ipratropium nebulizer, albuterol nebulizer docusate 100 mg p.o. b.i.d. simvastatin 40 mg p.o. qd aspirin 81 mg qd dexamethasone 4mg po bid lisinopril 10 mg po qd discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. albuterol sulfate 90 mcg/actuation aerosol sig: two (2) inhalation every six (6) hours as needed. 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. ferrous gluconate 325 mg tablet sig: one (1) tablet po once a day. 6. imipramine hcl 25 mg tablet sig: two (2) tablet po hs (at bedtime). 7. atrovent 18 mcg/actuation aerosol sig: two (2) inhalation four times a day. 8. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 9. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 10. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 11. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 12. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 13. dexamethasone 4 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. disp:*4 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: non small cell lung cancer hemoptysis discharge condition: good discharge instructions: you should contact dr. or your pcp or come to the ed if you have cough up any bright red blood, feel lightheaded, or experience any chest pain, light headedness, dizziness, nausea, vomiting. you should call dr. office to schedule an appointment in weeks. you should take all your medications as directed and keep all your appointments. you should hold on taking your aspirin until you discuss this further with dr. at your appointment followup instructions: call dr. for an appointment tomorrow that is convenient for you; you should be seen in weeks. his phone number is ( procedure: other radiotherapeutic procedure diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension unspecified acquired hypothyroidism asthma, unspecified type, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status dysthymic disorder other and unspecified hyperlipidemia malignant neoplasm of upper lobe, bronchus or lung old myocardial infarction hemangioma of other sites secondary malignant neoplasm of bone and bone marrow myelopathy in other diseases classified elsewhere 

Answer: The patient is high likely exposed to