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: aspirin / erythromycin base / latex / nsaids attending: chief complaint: cervical tracheomalacia, moderate r mainstem bronchomalacia, servere distal bronchus intermedius stenosis major surgical or invasive procedure: 1. cervical tracheoplasty with limited resection of posterior membranous wall. 2. flexible bronchoscopy. history of present illness: 62 y/o f who had been found to have severe tracheobronchomalacia. she is status post a right thoracotomy and tracheobronchoplasty with mesh from which she has had an excellent result. unfortunately, she has some residual symptoms which constitute the inability to clear secretions at the cervical level and coughing fits. repeat bronchoscopy indicated excellent functional results from the intrathoracic trachea down to the lobar takeoffs. however, there is residual cervical malacia which is severe. she is here for cervical tracheoplasty/resection to remove the redundancy. past medical history: htn, postpolio syndrome, tracheobronchomalacia, s/p lap chole, s/p tracheoplasty mesh (), s/p bronchoscopy , bilateral tkr, tah-bso, mult rle surgeries social history: former opera singer. non-smoker. rare etoh use family history: non-contributory physical exam: t: 98.4/98.4 hr: 80 bp: 130/80 rr: 18 o2: 96%ra gen: nad neck: incision c/d/i, steri-strips intact heart: rrr lungs: ctab abd: soft, nt, nd pertinent results: wbc-6.9 rbc-3.65* hgb-11.6* hct-32.9* plt ct-159 wbc-6.4 rbc-4.05* hgb-12.4 hct-36.9 plt ct-171 glucose-114* urean-9 creat-0.8 na-137 k-4.3 cl-104 hco3-27 glucose-127* urean-7 creat-0.9 na-141 k-4.1 cl-102 hco3-31 calcium-9.4 phos-3.8 mg-2.2 . radiology final report chest (portable ap) 11:52 am chest (portable ap) reason: s/p cervical tracheoplasty medical condition: 62 year old woman with reason for this examination: s/p cervical tracheoplasty indication: status post tracheoplasty. portable chest: cardiomediastinal contours do not appear significantly changed compared to prior portable radiograph from . elevation of the right hemidiaphragm is noted and associated with right basilar atelectasis. left retrocardiac and subhilar density consistent with atelectasis versus airspace disease new compared to . a small left- sided pleural effusion may be present. no evidence of pneumothorax. surgical clips are identified in the right upper quadrant most consistent with cholecystectomy. impression: retrocardiac and left subhilar density consistent with atelectasis versus airspace consolidation. right hemidiaphragm elevation with associated atelectasis. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 7:12 pm . chest (portable ap) 7:36 am chest (portable ap) reason: eval s/p tracheal reconstruction/resection medical condition: 62 f s/p tracheal reconstruction/resection reason for this examination: eval s/p tracheal reconstruction/resection indication: status post tracheal reconstruction. comparison: . portable chest: compared to a day prior, there has been improvement in the left lower lobe atelectasis with persistent right hemidiaphragm elevation and right basilar atelectasis/scar. there is no evidence of large effusion, consolidation, or pneumothorax. cardiomediastinal silhouette is unremarkable. upper mediastinal paratracheal drain again noted. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 11:13 pm . pathology examination name birthdate age sex pathology # , k 62 female report to: dr. gross description by: dr. /dif specimen submitted: membrane wall trachea. procedure date tissue received report date diagnosed by dr. . brown/kg previous biopsies: stent. diagnosis: soft tissue, trachea: respiratory mucosa and underlying tissue with focal acute and chronic inflammation, cysts, squamous metaplasia, and fibrosis. no cartilage is present. clinical: tracheomalacia. gross: the specimen is received fresh labeled with " " and the medical record number and "membranous wall trachea" and consists of a ____ piece of pink tan tissue. it is bisected, and entirely submitted in a. . operative report name: , k unit no: service: date: date of birth: sex: f surgeon: , md 2367 preoperative diagnosis: cervical tracheomalacia. postoperative diagnosis: cervical tracheomalacia. procedures performed: 1. cervical tracheoplasty with limited resection of posterior membranous wall. 2. flexible bronchoscopy. assistant surgeons: , md , md anesthesia: general endotracheal. indications for operation: the patient is a delightful woman who i have known for some time. she had been found to have severe tracheobronchomalacia. she is status post a right thoracotomy and tracheobronchoplasty with mesh from which she has had an excellent result. unfortunately, she has some residual symptoms which constitute the inability to clear secretions at the cervical level and coughing fits. repeat bronchoscopy indicated excellent functional results from the intrathoracic trachea down to the lobar takeoffs. however, there is residual cervical malacia which is severe. we, therefore, took her forward to the operating room for a cervical tracheoplasty/resection to remove the redundancy. the patient fully understood the risks to the recurrent laryngeal nerves. therefore, the following procedure was performed. description of procedure: the patient was taken to the operating room and placed under general endotracheal anesthesia using a single-lumen endotracheal tube. i flexibly bronchoscoped the patient and examined the entire tracheobronchial tree. i cleared the airway of a moderate amount of white, thick secretions and examined the entire tracheobronchial tree. the intrathoracic airways were in perfect shape and the narrowing at the level of the bronchus intermedius entrance point was much less than before. it was adequate for secretion clearance and for ventilation. we withdrew the endotracheal tube into the larynx and examined the upper 2 cm of the trachea. the shape of the trachea was normal. however, the posterior membranous wall herniated forward with suctioning. we, therefore, repositioned the endotracheal tube into the midtrachea and extended the patient's neck. we made sure the patient's head was not floating. we padded the patient's bilateral ulnar nerves. the patient was administered preoperative subcutaneous heparin and iv antibiotics, and pneumoboots prophylaxis was utilized. we then prepped and draped the patient's neck and chest in the usual sterile fashion. we made a small cervical collar incision and dissected down through the platysma and developed a subplatysmal plane superiorly and inferiorly. we placed gelpi retractors and then separated the strap muscles in the midline. we divided the isthmus and the thyroid and suture ligated it with 2-0 silk sutures. we exposed the pretracheal plane and dilated the pretracheal plane down into the chest. we then dissected around the left side of the trachea, maintaining dissection immediately on the trachea to avoid injury to the recurrent laryngeal nerves, and we utilized metzenbaum sharp dissection. where necessary, we used the bipolar on tissues away from the area of the recurrent laryngeal nerve. we dissected out the left side of the trachea down to the posterior membranous wall cartilage junction. we were careful not to devascularize the trachea for more than an area of approximately 2 cm, commencing at the level of the cricoid. we then placed the sterile cross- table ventilatory tubing in place and utilized a #7 laryngeal tube. we then entered the trachea between the second and third tracheal rings, dividing the trachea anteriorly and off to the left side and then dividing the posterior membranous wall. we elevated the posterior membranous wall flaps off of the esophagus for approximately 1.5 cm distally and 0.5 cm proximally. the tracheal rings were softened but had good shape to them. we discussed various options, one being complete tracheal resection and reconstruction versus a posterior membranous wall tracheoplasty with partial resection of the posterior membranous wall. ultimately, we felt due to the fact that she is singer by profession that we would limit the risk to her vocal cords by dissecting only one side and performing a plasty. the plasty would have likely only a small increase in recurrence over the resection. we then resected an elliptical portion of the posterior membranous wall, about 1 cm of membranous wall in linear length. this was sent for pathological analysis. we then proceeded to place imbricating mattress sutures in the posterior membranous wall with the sutures on the outside. three sutures in total were placed using 4-0 vicryl sutures. these were tied, pulling the back wall tight in a cranial- caudal direction as well as lateral to medial. we then inspected the back wall and found it to be nicely reapproximated and tense. we then placed sutures along the anterior wall with simple 4-0 vicryl sutures. it should note that at times periods of apnea were utilized for suture placement, but at no time did the patient's oxygen saturations fall below 85%. we then reconstituted ventilation through the translaryngeal tube, and i performed a bronchoscopy and examined the plasty and the suture line. i found that they were perfectly intact and that there was no evidence of herniation on suctioning. i then cleared the airways of blood and repositioned the endotracheal tube in the midtrachea. the wound was irrigated, the isthmus was reapproximated, - drain was placed, and the wound was closed in layers. dr. was present for the entire case. dr. was present for the entire case as well. , dictated by: brief hospital course: mrs. was admitted and underwent her operation on without any complications (please refer to operative note for further details). given the nature of the operation, she was transferred to the sicu immediately post-op for close monitoring of her repiratory status. during the post-op period, there were no issues. her pain was well-controlled w/ pca and then oxycodone and tylenol elixirs. her respiratory status was stable, her voice was strong and she was able to clear her secretions. her diet was advanced and by , she was tolerating a regular diet. her foley catheter was removed on and she voided without problem. jp drain at the neck incision was draining decreasing amounts of serosanguinous fluid and was removed on . on , pod#4, it was decided that she would not undergo bronchoscopy but will do so during follow-up in 3 weeks w/ interventional pulmonary follow-up in 3 months. immediately prior to discharge, she c/o "twitching of l lip" that was intermittent and would disrupt her train of speech but would spontaneously and rapidly resolve. she stated that this was occurring since she was tranferred to the floor. she denied any symptoms associated w/ possible cva. she also noted that she would occasionally have spasm of her l eyelid that would spontaneously resolve. there were no focal neurological deficits on examination and she was instructed to monitor these symptoms and to contact office if they persisted/worsened. she was comfortable w/ this and was eventually discharged on in good condition. medications on admission: amytriptyline 150', atenolol 50', lamictal 200', ranitidine 150', flexeril 10mg, percocet, senna, colace discharge medications: 1. oxycodone 5 mg/5 ml solution sig: ml po q4-6h (every 4 to 6 hours) as needed for pain. disp:*800 ml* refills:*0* 2. atenolol 25 mg tablet sig: two (2) tablet po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. amitriptyline 50 mg tablet sig: three (3) tablet po hs (at bedtime). 5. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle spasm. 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: home discharge diagnosis: residual cervical malacia discharge condition: good discharge instructions: please call dr. office (() if you experience persistent fever (temp>101), increasing shortness of breath, increasing pain, redness, swelling, drainage from the surgical sites. followup instructions: please call dr. office (() for a follow-up appointment. procedure: other repair and plastic operations on trachea diagnoses: esophageal reflux unspecified essential hypertension other diseases of trachea and bronchus late effects of acute poliomyelitis 

Answer: The patient is high likely exposed to