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: right upper lobe lung cancer. major surgical or invasive procedure: video-assisted thoracic surgery right upper lobectomy, video-assisted thoracic surgery right lower lobe superior segmentectomy, mediastinal lymph node dissection and flexible bronchoscopy. flexible bronchoscopy history of present illness: 76f who is a former smoker had a history of dry cough for the past year. she saw her physician and had cxr, which showed a rul infiltrate. she was treated with antibiotics without improvement. she then underwent a chest ct , which demonstrated a 5x3cm spiculated ilfiltrate in the rul. she was treated with another course of levo and had a repeat ct scan . this scan showed an increase in size in the rul consolidation with some new fullness in the r hilum. pet-ct was done on , revealing intense fdg activity in the r lung consistent with malignancy. there was also an fdg-avid area in the proximal descending colon. the patient underwent a flex bronch , and the brushings and washings were negative. no lymph nodes were biopsied. she then underwent a ct guided biopsy of the mass which revealed nsclc most consistent with poorly differentiated adenocarcinoma. past medical history: cardiomyopathy macular degeneration detached retina spinal stenosis asthma w h/o intubation, arthritis osteoporosis open cholecystectomy in the . cataract extraction bilateral social history: lives with family. 25 pack-year quit 12 years ago. etoh occasional family history: siblings - sister w pancreas ca, brother w cancer physical exam: vs: t: 98.8 hr 94 sr bp: 108/60 sats: 96% 3l general: no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no murmur resp: decreased breath sounds on right with scattered rhonchi gi: benign extr: warm no edema incision: right vats site clean dry intact no erythema neuro: non-focal pertinent results: wbc-9.6 rbc-2.88* hgb-9.0* hct-27.5 plt ct-433 wbc-7.5 rbc-3.15* hgb-9.6* hct-29.4 plt ct-396 wbc-11.2* rbc-2.95* hgb-9.2* hct 30 plt ct-290 wbc-13.5* rbc-3.26* hgb-10.5* hct-31.0* plt ct-354 wbc-18.6*# rbc-3.97* hgb-12.6 hct-37.6 plt ct-413 wbc-6.9 rbc-3.84* hgb-11.7* hct-35.2* plt ct-377 glucose-110* urean-10 creat-0.8 na-135 k-4.4 cl-100 hco3-27 glucose-102* urean-9 creat-0.8 na-137 k-3.9 cl-100 hco3-27 glucose-132* urean-16 creat-1.3* na-137 k-4.1 cl-104 hco3-26 glucose-192* urean-19 creat-1.9* na-137 k-4.8 cl-101 hco3-26 glucose-227* urean-17 creat-1.5* na-139 k-4.8 cl-100 hco3-26 glucose-158* urean-14 creat-1.2* na-140 k-4.2 cl-105 hco3-24 ck(cpk)-245* ck(cpk)-349* calcium-9.0 phos-2.9 mg-1.9 calcium-8.8 phos-2.9 mg-2.3 po2-172* pco2-64* ph-7.22* caltco2-28 base xs--2 non-rebrea type-art po2-111* pco2-52* ph-7.32* caltco2-28 base xs-0 type-art po2-102 pco2-48* ph-7.34* caltco2-27 base xs-0 art po2-131* pco2-37 ph-7.41 caltco2-24 base xs-0 cxr: findings: in comparison with the study of , the postoperative changes are again seen in the right hemithorax. this includes the mediastinal and tracheal displacement as well as distortion of the right hilus. the left lung remains essentially clear except for some atelectatic streaks at the base. there appears to be a hiatal hernia in the retrocardiac region on the lateral projection. tiny loculated right apical pneumothorax unchanged, small to moderate right pleural effusion probably decreasing, pleural tubes still in place. mild cardiomegaly stable. hiatus hernia noted. left upper lung clear. : in comparison with the study of , right chest tube again extends to the apex and descends inferiorly to terminate at the level of the hemidiaphragm. the small to moderate right apical pneumothorax is again seen, though quite subtle. right perihilar opacity persists, most likely representing a combination of atelectasis and contusion in this recently postoperative patient. left lung remains essentially clear. micro: bc x 2 no growth to date, ucx negative, sputum rare yeast brief hospital course: mrs. was admitted on for video-assisted thoracic surgery right upper lobectomy, video-assisted thoracic surgery right lower lobe superior segmentectomy, mediastinal lymph node dissection and flexible bronchoscopy. she was extubated in the operating room and monitored in the pacu prior transfer to the floor. overnight she developed respiratory distress and was re-intubated and transferred to the sicu for respiratory failure. aggressive pulmonary toilet, mucolytic nebs were administered. respiratory: respiratory failure re-intubated on a vent, sedated, unable to to protect her airway and manage secretions. aggressive pulmonary toilet, mucolytic nebs were administered. followed by serial abgs (see above). on she was extubated with oxygen saturations in the 94-98% with occasional desaturations to low 90's on 50% shovel mask. aggressive chest pt was administered her oxygen saturations improved 94-97% on 4 liters nasal cannula. she transferred to the floor on . oxygen saturations remained > 93% at rest on 3liters of nasal cannula with desaturations to 88% with acitivity. she required home oxygen to maintain oxygen saturations > 93%. flexible bronchoscopy was performed on which showed slight effacement of right middle lobe medial segment. drain: right was removed on . she was followed by serial chest films which showed atelectasis and stable right apical space. cardiac: she remained hemodynamically stable in sinus rhythm. gi: prophylactis ppis and bowel regime were administered nutrition: she tolerated a regular diet. speech: speech and swallow consulted for a weak voice. vocal cord paralysis since no signs of aspiration. continue with regular diet, thin liquids, medications whole. f/u with voice therapy as an outpatient. renal: atn with peak cre 1.9 base 1.1-1.3. she was hydrated with cre return to baseline. on she was gently diuresed with iv lasix with good urine output. on she restarted her home lasix dose. electrolytes were repleted as needed. pain: acute on chronic pain. history of spinal stenosis takes home oxycodone. she was started with a dilaudid pca titrated to comfort. once extubated she was converted to po oxycodone with good pain control. disposition: physical therapy recommended short term rehab. she was discharged to in . medications on admission: furosemide 20 mg a day, amlodipine 5 mg a day, nexium 40 mg a day, cymbalta 60 mg a day, lipitor 10 mg daily, aspirin 81 mg daily, meclizine 25 mg three times a day as needed, oxycodone one tablet five times a day, flovent two puffs twice a day, albuterol as needed, actonel 150 mg once a month, multivitamin one tablet a day, vitamin c 500 mg daily, calcium plus d 600 mg two tablets per day, vitamin e 400 international units per day, flaxseed oil 1000 mg, and omega-3 tablets three times a day, ocuvite one drop per day. discharge medications: 1. duloxetine 60 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 5. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation qid (4 times a day). 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. lipitor 10 mg tablet sig: one (1) tablet po once a day. 8. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 10. meclizine 25 mg tablet sig: one (1) tablet po every eight (8) hours as needed for vertigo. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. aspirin 81 mg tablet sig: one (1) tablet po once a day. 13. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: extended care facility: - discharge diagnosis: right upper lobe nodule cardiomyopathy macular degeneration detached retina spinal stenosis asthma w h/o intubation, arthritis osteoporosis open cholecystectomy in the . cataract extraction bilateral 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: -fever > 101 or chills -increased shortness of breath cough or sputum production -chest pain -incision develops drainage -you may shower no tub bathing or swimming for 3 weeks followup instructions: follow-up with dr. date/time: 2:30 on the clinical center . chest x-ray 2:00pm before your appointment on the radiology department procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy division or crushing of other cranial and peripheral nerves regional lymph node excision thoracoscopic lobectomy of lung thoracoscopic segmental resection of lung diagnoses: other primary cardiomyopathies acute kidney failure with lesion of tubular necrosis asthma, unspecified type, unspecified pulmonary collapse osteoporosis, unspecified macular degeneration (senile), unspecified malignant neoplasm of other parts of bronchus or lung spinal stenosis, lumbar region, without neurogenic claudication 

Answer: The patient is high likely exposed to