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: s/p tracheostomy (elective) major surgical or invasive procedure: 1. awake tracheotomy. 2. direct laryngoscopy. 3. esophagoscopy. 4. biopsy of laryngeal mass. 5. laparoscopic gastrostomy tube insertion. history of present illness: 78-year-old woman who has had dyspnea, dysphagia, and hoarseness since . these symptoms progressed, and by late she was experiencing choking on with eating, intermittent dysphagia with solids, and shortness of breath that she attributed to increasing mucus production. laryngoscopy in clinic showed a supraglottic mass. a neck ct demonstrated a left-sided supraglottic mass extending from the epiglottitis to the left vocal cord. she was electively admitted for a planned tracheostomy and direct laryngoscopy for a recently discovered laryngeal mass. at the time of admission, she was eating without report of aspiration. past medical history: 1. chronic obstructive pulmonary disease 2. dyslipidemia 3. hypertension social history: she has a 50-pack-year smoking history but quit smoking seven years ago. family history: non-contributory physical exam: physical exam on admission: vitals: t 99.4 hr 79 bp 143/55 r 16 sat 97% on shovel mask 50% fio2 gen: elderly woman laying in bed, nad, alert heent: at/nc, anicteric, eomi, perrl, op clear, edentulous, mmm neck: jvp @ 7cm, trach in place with some serosanguinous drainage on dressing chest: rrr, distant heart sounds, no murmurs lungs: cta apically/laterally abd: obese, soft, nd, nt +bs ext: no e/c/c, wwp with 2+ dp pulses neuro: cn ii-xii intact b/l, unable to assess to pain skin: warm and dry pertinent results: glucose-109* urea n-11 creat-0.7 sodium-139 potassium-4.1 chloride-100 total co2-33* anion gap-10 calcium-8.9 phosphate-4.0 magnesium-1.9 wbc-10.3 rbc-3.98* hgb-12.8 hct-36.3 mcv-91 mch-32.2* mchc-35.4* rdw-12.8 plt count-250 . tracheostomy tube is present with the tip at the thoracic inlet. subcutaneous emphysema on both sides of the neck is present consistent with recent surgery. no pneumothorax is seen. atelectasis of the left base is present. degree of failure is seen. some densities are present in the left upper zone consistent with the pleural calcifications seen on the ct. . biopsy: left larynx, supraglottic mass, biopsy: poorly differentiated invasive squamous cell carcinoma brief hospital course: 78-year-old woman with a laryngeal mass, diagnosed with poorly differentiated laryngeal squamous cell carcinoma, stable with tracheostomy and g-tube placement. . #. carcinoma: biopsy of the laryngeal mass done demonstrated poorly differentiated, invasive squamous cell carcinoma. intraop findings were notable for a bulky exophytic mass emanating from left aryepiglottic fold extending to medial wall of left piriform sinus and onto left true cord. elective tracheostomy was also done on . she tolerated the procedure well. she required oxygen by trach mask. she initially required quite a lot of suctioning but was later able to clear secretions mostly on her own. patient underwent first session of planning by xrt on , and should follow up with the rest of her session appointments on 5 at . she will also with dr. for possible chemotherapy. . #. pneumonia: there was concern that the patient may have had an aspiration event complicated by pneumonia following her tracheostomy procedure. her wbc count rose to 18.6 two days following the procedure, although she never manifested a clear infiltrate on cxr and was not febrile. sputum cultures were obtained but no pathogens were isolated. she was initially treated with five days of levofloxacin; this was broadened to pip/tazo on when she developed increased secretions. her secretions have since diminished. she completed 5 days of pip/tazo for a total 10 day course. . #. paroxysmal atrial fibrillation: she had no prior hx of a-fib before admission, however, while monitored in the icu she had at least three episodes of paroxysmal afib. cardiac enzymes were negative. she remained in sinus rhythm following this. metoprolol was given at 37.5 mg tid; upon discharge it was changed to 50 mg . . #. dysphagia: she had difficulty with swallowing since prior to admission. following her tracheostomy, she had coughing after attempting po intake. she had aspiration during her swallowing evalulation as. laproscopic g tube placement was performed on . she is tolerating tube feedings very well and remains npo. free water flushes were increased to 250 q4 hours due to hypernatremia. . #. pleural effusions: these were relatively stable on cxr. however, given her effusions and peripheral edema, we felt she warrented evaluation for chf. echo showed normal ef (>55%), mild atrial dilation, moderate pa systolic hypertension. she was oxygenating well and it was felt she did not need maintenance lasix. . #. hypertension: her lisinopril was stopped in favor of rate control with metoprolol (following episode of paroxysmal afib). as bps have been normal to high, her metoprolol may need to be titrated up. her diuretics (triamterene/hctz) were held given clinical stability and transient hypernatremia. these can be restarted at rehab as needed for edema or pressure control. . # copd: albuterol and ipratropium neb treatments were given. #. hyperlipidemia: atorvastatin was continued. . # full code medications on admission: 1. lipitor 10 mg daily 2. lisinopril 3. triamterene/hctz discharge medications: 1. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q6h (every 6 hours) as needed for wheeze. 2. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation q6h (every 6 hours). 3. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). tablet,rapid dissolve, dr(s) 4. miconazole nitrate 2 % powder : one (1) appl topical qid (4 times a day) as needed. 5. docusate sodium 50 mg/5 ml liquid : ten (10) ml po bid (2 times a day). 6. atorvastatin 10 mg tablet : one (1) tablet po daily (daily). 7. acetaminophen 160 mg/5 ml solution : ml po q6h (every 6 hours) as needed for pain. 8. metoprolol succinate 50 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po twice a day: hold for sbp<95 hr<55. discharge disposition: extended care facility: & rehab center - discharge diagnosis: laryngeal cancer (squamous cell carcinoma) dysphagia paroxysmal atrial fibrillation copd discharge condition: stable discharge instructions: you were admitted for a planned tracheotomy and biopsy of the mass near your vocal cords. the biopsy showed squamous cell carcinoma, a type of cancer. you met some oncology doctors and with them as an outpatient. we also inserted a tube into your stomach for eating because you were having difficulty swallowing. . please take all of your medications as prescribed and keep all of your scheduled appointments. . please return to the hospital if you have difficulty breathing, change in phlegm, fever, abdominal pain, or any other new symptoms that you are concerned about. . we started the medications metoprolol and lansoprazole while you were here. we have stopped your lisinopril and triamterene/hctz for now, but these may been added back by your doctors for pressure control. instructions: you have the following upcoming appointments: . -wednesday, , 2 pm - for radiation therapy planning - , md, phd (oncology) phone: date/time: 10:30 -and , md phone: date/time: 10:30 . dr. (ear, nose, and throat): tuesday, at 2:15 pm. phone number is (. . please have lab work (including sodium check) done on or about . procedure: enteral infusion of concentrated nutritional substances temporary tracheostomy closed [endoscopic] biopsy of larynx other gastrostomy closed [endoscopic] biopsy of esophagus diagnoses: unspecified pleural effusion unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene pneumonitis due to inhalation of food or vomitus osteoarthrosis, unspecified whether generalized or localized, other specified sites malignant neoplasm of supraglottis 

Answer: The patient is high likely exposed to