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: history of present illness: ms. is a 58-year-old woman with a long smoking history who was transferred from hospital with chest pain and a troponin of 5.0. she has had these escalating episodes of chest pain for three weeks which radiate to her armpits. she has had shortness of breath with these episodes. she visited an outside emergency department two weeks ago and was given sublingual nitroglycerin which she has been taking with some relief. she was subsequently transferred to for further evaluation for chest pain. cardiac catheterization was performed which revealed lad 90% calcified origin, left circumflex 40% proximal, rca 80% mid, ejection fraction 45% with apical hypokinesis. ms. was then evaluated for cardiac surgery. past medical history: 1. chronic obstructive pulmonary disease 2. hyperlipidemia 3. tobacco abuse 4. carotid occlusion social history: ms. two packs per day. she does not consume alcohol. family history: her father had a myocardial infarction in his 40s. medications: 1. lovenox 2. aggrastat 3. nitropaste the previous three medications were started in the outside emergency room. outpatient medication: aspirin 325 mg qd allergies: amoxicillin physical exam: vital signs: heart rate 82, blood pressure 156/86, o2 saturation 99% on room air. general: the patient is a 58-year-old woman who is thin, appearing older than her stated age in no apparent distress. heart: regular in rate and rhythm. breath sounds are decreased bilaterally with wheezing. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: remarkable for 2+ pulses bilaterally with no cyanosis, clubbing or edema. laboratory data: ck 156, troponin 5.0. electrocardiogram significant for inverted t-waves in leads v1 through v5. echocardiogram reveals an ejection fraction of 40% with anterior septal akinesis and sclerotic aortic structure with 1+ mitral regurgitation. cardiac catheterization results as above. hospital course: ms. was taken to the operating room on for coronary artery bypass graft x3. grafts included a left internal mammary artery to lad which was performed off pump. also, rsvg to rca and rsvg to circumflex. the operation was performed without complication. however, a large mass in the left upper lobe of her lung was discovered during the procedure. a mediastinal node was biopsied at this time. pathology results revealed poorly differentiated metastatic lung cancer at this time. following the procedure, ms. was transferred to the cardiothoracic intensive care unit where she was extubated and weaned off drips. she was transfused 2 units of blood and hemodynamically stabilized. while in the unit, had several episodes of atrial fibrillation which were successfully treated with intravenous and oral amiodarone. condition continued to improve and she was subsequently transferred to the floor. ms. continued to recover well on the floor with no further episodes of atrial fibrillation. she was tolerating oral diet and her pain was controlled with oral medications. she was ambulating well although her oxygen requirement remained high. on , ms. was felt stable for discharge home with home oxygen and visiting nurse assistance. ms. was made aware of her diagnosis of lung cancer which was discovered during the procedure. prior to her discharge, she underwent chest ct which was remarkable for a 2 cm spiculated left upper lobe mass. there were also enlarged lymph nodes concerning for metastatic disease. head ct was negative for evidence of metastasis. she also underwent a bone scan which was remarkable for increased tracer activity on the right first rib and a focal area on anterior right second rib which was considered consistent with early metastasis or possibility of postsurgical changes. ms. will be followed by oncology and thoracic surgery for this new diagnosis. discharge physical exam: vital signs: temperature 100.3??????, pulse 70, blood pressure 142/71, respirations 20, o2 saturation 95% on 2 liters. heart: regular rate and rhythm. lungs: clear to auscultation bilaterally. incision was clean, dry and intact. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: without cyanosis, clubbing or edema. discharge medications: 1. amiodarone 400 mg qd 2. albuterol 3. ipratropium 1 to 2 puffs ih q6h 4. captopril 50 mg tid 5. plavix 75 mg qd 6. aspirin 325 mg qd 7. docusate 100 mg prn 8. percocet 1 to 2 tablets q 4 to 6 hours prn 9. ibuprofen 400 mg q6h prn 10. ativan 0.5 mg q6h prn 11. nicotine patch one per day follow up: ms. should follow up with dr. in four weeks. discharge condition: stable discharge status: ms. is to be discharged home with home oxygen and visiting nurse assistance. discharge diagnosis: status post coronary artery bypass graft x3 with newly discovered metastatic lung cancer , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter biopsy of lymphatic structure diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder chronic airway obstruction, not elsewhere classified atrial fibrillation occlusion and stenosis of carotid artery without mention of cerebral infarction malignant neoplasm of upper lobe, bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to