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: transfer s/p bronchoscopy major surgical or invasive procedure: bronchoscopy history of present illness: mrs. is a 66 year old woman with a history of metastatic colon cancer s/p colon resection in , recurrence in s/p thoracotomy/left lower lobectomy who is transferred to the micu after a rigid brochoscopy for altered mental status and question of acute cva. please see admit note for full details. briefly, mrs. was transfered in here from hospital with hemoptysis and collapse of the left upper lobe and found to have left main bronchus tumor with surrounding blood clot. this was debrided using both cryotherapy as well as mechanical debridement. the left upper lobe was also notable for tumor and was further debrided. she had been hemoptysis free for 2 months at most after this procedure but reported hemoptysis restarting with her chemotherapy regimen. she had been receiving chemotherapy q 3 weeks with flourouricil through mid-. this was switched to irinotecan last week with some improvement in the hemoptysis. she has been having 3-5 episodes of hemoptysis a day, about 1 tsp of pink-tinged sputum each. she returned to the chest disease center yesterday for further evaluation. in the bronch suite yesteday, bronchoscopy demonstrated left main stem brochus obstructing necrotic lesion with moderate bleeding. no intervention was done. she was transferred to ir for bronchial artery embolization of tumor. in the ir suite, initial access through right groin was difficult due to bad atherosclerotic disease, so access was re-tried through left groin. this was also difficult but catheter was able to be passed with successful embolization. she did have a l groin hematoma extending over abdomen as access was slightly higher than ideal but pt remained hd stable. she was transferred to the floor with plan for or on for rigid bronchoscopy and electric cautery by ip. on transfer, vs: af, p 72, bp 117/48, o2sat 97% on ra. in the or today, patient underwent rigid bronchoscopy for tumor debridement after embolization yesterday. she received argon thereapy for several seconds, but this was discontinued when bubbles were seen on tee in the left atrium with positive pressure ventilation. flex bronch did not reveal open blood vessels. after this st depressions over 2 mm were noticed on telemetry for approximately 20 minutes, so she was started on a nitro drip for presumed nstemi, running at 0.5 mcg/kg/min. she was received one dose of epinephrine 150 mcg x1, and was started on phenylephrine drip at 0.3 mcg/kg/min. she also received 2 30 mg iv boluses of esmolol and 2 2mg iv boluses of metoprolol. she was extubated at 953 am, but patient was not responding to commands so there was concern for cva given findings on bubble study. on transfer to the micu, patient is awake but unable to phonate, likely due to recent bronch. she follows commands and appears oriented. she denies chest pain, shortness of breath, dysphagia, and weakness. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: htn hypercholesterolemia dm gerd anxiety colon cancer s/p colon resection , recurrent disease s/p thoracotomy left lower lobectomy , chemo/xrt (last chemo ) right portacath left portacath s/p removal tubal ligation social history: lives with family. retired, worked at school cafeteria as manager. smoked 40 pack years, quit . has 2 etoh drinks 3 times/week family history: mother with cerebral aneurysm at 84. father with pancreatic ca in 70s. brother with throat ca, another brother with unknown cancer. grandfather with laryngeal ca. grandmother with breast ca. physical exam: vitals: t: bp: 100/48 p: 80 r: 18 o2: 97% on fm 12 l general: alert, cooperative, sleepy but easily arousable heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: a and ox3, cn ii-xii intact, maes, 5/5 strength in ue and les, negative babinski bilaterally, 2+ patellar bilaterally pertinent results: labs on admission: 11:02pm hct-25.3* 02:10pm urea n-9 creat-0.6 02:10pm estgfr-using this 02:10pm wbc-3.8*# rbc-3.42* hgb-9.3*# hct-28.8*# mcv-85# mch-27.1# mchc-32.1 rdw-18.0* 02:10pm plt count-221 02:10pm pt-13.6* inr(pt)-1.2* cxr : there is only minimal aeration in the previously collapsed postoperative left lung. heterogeneous opacification in the right lung could be edema, since the pulmonary vasculature in the right lung is congested, but i am concerned about disseminated tumor with lymphangitic extension. infusion port ends in the upper svc. mediastinum is shifted into the left chest, therefore displacement of the right heart border to the right of the spine, probably represents interval increase in heart size or pericardial effusion. no pneumothorax. echo/bubble study: no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. very few air bubbles seen in the left atium when cold saline was injected. there was no hemodynamic compromise associated with it. dr. was notified in person of the results on at 845 am. 9:03 am argon coagulation commenced and immediately significant amount of air bubbles noted in the left atrium and left ventricle. procedure terminated right away by dr . this was associated with st and t wave changes as well as hypotension. lv was globally down and there was a big pocket of air noted in the apex of the lv which resolved right away. wall motion improved with resuscitation using epinephrine and phenylephrine. subsequently with positive pressure ventilation there were more air bubbles noted in the lv. at the end of the case patient was breathing spontaneously and there were less bubbles noted in the lv. all findings were communicated with drs and throughout the case. brief hospital course: 66 year-old female with metastatic colon cancer with ongoing hemoptysis, evidence of left mainstem bronchus necrotic lesion on bronch, now s/p ir embolization and rigid bronch with argon therapy leading to left-sided bubbles on tee, now transferred to micu for concern of nstemi and cva. # altered mental status: concern for cva given positive bubbles on tee, and question of air emboli to cranial circulation. however, mental status rapidly improved making cva less likely. neuro exam reassuring and stable. mental status rapidly improved. # st depressions: stds noted on tele peri-bronchoscopy, but 12 lead ekg reassuring. no baseline for comparison. patient without known cad history. asymptomatic, but given dm could be at risk for silent ischemia. continued on beta blocker. started on full strength aspirin. cardiac enzymes cycled and troponins down trended with flat ck's, thought to be most likely demand ischemia. # hypoxia: downtitrated oxygen as tolerated. abg with excellent oxygenation, with acute acidosis and hypercarbia. likely due to recent procedure and poor ventilation. oxygenation rapidly improved as her mental status improved and she was easily weaned to room air. # hypotension: baseline sbp on the floor 80s to 100s, maintained pressures of sbp ~80 while in the icu post procedure. her blood pressure returned to her baseline on the floor after her call out of the icu. # hemoptysis: left mainstem bronchus necrotic lesion likely representating metastatic disease, s/p ir embolization and rigid bronch with argon therapy. continued on advair and nebulizers as needed. her hemoptysis improved significantly post procedure, with only small amounts of blood tinged sputum being coughed up at the time of discharge. # l groin/abdomen hematoma: s/p cath with difficult access for the ir embolization. pt remained hemodynamically stable without back pain suggestive of an rp bleed. her hematocrit remained stable, and the groin hematoma improved and was soft with overlaying ecchymosis at the time of discharge. # metastatic colon cancer: followed at , on irinotecan, will continue outpatient follow up. # dm: blood sugars controlled with a humalog sliding scale. # anxiety/insomnia: continued lorazepam. # gerd: continued famotidine. medications on admission: albuterol sulfate prn famotidine 20 mg daily fluticasone-salmeterol 100 mcg-50 mcg/dose insulin aspart sliding scale lorazepam 0.5 mg daily metoprolol tartrate 50 mg tiotropium bromide 18 mcg daily discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: inhalation four times a day as needed for shortness of breath or wheezing. 2. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. lorazepam 0.5 mg tablet sig: one (1) tablet po daily (daily) as needed for anxiety/insomnia. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) inhalation once a day. 7. insulin please resume the insulin sliding scale that you had prior to discharge 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 9. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: major: colon cancer metastatic to the lung hemoptysis secondary to lung cancer . minor: htn hl discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - requires assistance or aid (walker or cane) discharge instructions: you were admitted after coughing up blood. this blood was thought to be from your lung tumors. you were taken to the operating room for an argon procedure to help with this bleeding. this was successful. you had a repeat chest ct prior to discharge. you should follow up with your pcp, and interventional pulmonology. . you were started on medications for constipation (senna and colace). followup instructions: name: , m. when: , , 3:45pm address: , , phone: . . department: interventional pulmonary when: tuesday at 11:30 am building: de building ( complex) campus: west best parking: garage . department: chest disease center when: tuesday at 12:00 pm building: building ( complex) campus: west best parking: garage . department: chest disease center when: tuesday at 12:30 pm with: , md building: building ( complex) campus: west best parking: garage procedure: other bronchoscopy injection or infusion of other therapeutic or prophylactic substance closed [endoscopic] biopsy of bronchus aortography arteriography of other intra-abdominal arteries endoscopic excision or destruction of lesion or tissue of lung diagnoses: acidosis subendocardial infarction, initial episode of care esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified personal history of malignant neoplasm of bronchus and lung hematoma complicating a procedure other and unspecified hyperlipidemia anxiety state, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure personal history of malignant neoplasm of large intestine fever, unspecified other postprocedural status secondary malignant neoplasm of lung insomnia, unspecified atherosclerosis of other specified arteries 

Answer: The patient is high likely exposed to