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: this is an 83 year old female who was first noted to have a right upper lung mass on chest x-ray in as she was preoped for a coronary artery bypass graft. a computerized tomography scan was done then and then repeated in showing slight increase in this finding. a pet scan was then done and was positive. she had been complaining of shortness of breath on mild exertion and was unable to climb up a flight of stairs, denied any weight loss or hemoptysis. past medical history: coronary artery disease, status post coronary artery bypass graft in , abdominal aortic aneurysm 5 cm, hypertension, paroxysmal atrial fibrillation, hyperlipidemia, carotid bruit. past surgical history: coronary artery bypass graft. medications: aspirin 325 digoxin .125 paroxetine 40 q.d. cozaar 50 q.d. alprazolam .25 t.i.d. lipitor 20 q.d. 60 b.i.d. prn zantac 150 b.i.d. social history: she had smoked, has about 55 pack years and stopped in and does not drink alcohol. she lives alone but has three children that live close by. family history: she had two sisters who probably had lung cancer. physical examination on admission: temperature 99.5, heart rate 80, blood pressure 122/80, saturations 93% on room air, weight 151 pounds. elderly woman in no apparent distress. lungs, clear to auscultation. kyphosis. heart, regular rate and rhythm. abdomen, soft, nontender, no mass, no edema. assessment: when first examined in the office she was taken for a short walk but was unable to climb a flight of stairs and developed shortness of breath with no wheezing. because of her severe chronic obstructive pulmonary disease, her comorbidities and age, it seemed that she would not be able to tolerate an extensive procedure. it was therefore decided to proceed with video-assisted thoracoscopic surgery and a wedge resection of this right upper lobe mass. it was also noted that she had a left lower lobe nodule which seemed benign on the computerized tomography scan and it was planned to remove that as well. hospital course: on , she was taken to the operating room. she underwent a right video-assisted thoracoscopic surgery and wedge resection of her right upper lobe mass and lower lobe nodule. she tolerated the procedure with no difficulty, was extubated at the end of the case and was transferred to the postoperative recovery area and then to the floor. she was doing well on postoperative day #1 until in the afternoon and it was noted that her blood pressure were starting to decline. although this was teated, she eventually had blood pressure as high as 200 systolic and at the same time because tachycardiac and developed respiratory failure. she was intubated over night and then able to extubate with no difficulty the next morning. it was unclear at that point what was the underlying etiology for this acute respiratory failure. a similar episode occurred the next day requiring short-term intubation and at that point it became clear that the blood pressures were clearly associated with the occurrence of the respiratory failure and at this point chest x-rays also showed more clearly that she had developed congestive heart failure. it was therefore thought that she was developing pulmonary edema secondary to hypertension and that she required tight blood pressure control. this was initially done with a drip of nitroglycerin and then she was transitioned to captopril p.o. which at her current dose is controlling her blood pressures well. she has since had no similar episodes. to briefly summarize her postoperative course: neurological - her pain was initially controlled with narcotics. these were discontinued during her hospitalization and she developed a slight confusion. she did not require any further pain medications and was comfortable with tylenol only and prior to discharge her mental status was at baseline. she was alert and oriented. cardiovascular - events as noted above. her blood pressure is well controlled with captopril p.o. and should be monitored closely. because of the fact that she developed congestive heart failure she was diuresed here aggressively, initially with a lasix drip and lasix intravenously and lasix p.o. since she was not at home on diuretics and it seemed that prior to discharge that her volume status is at baseline, lasix was discontinued on transfer to rehabilitation but this should be again re-evaluated clinically by primary care physician and the cardiologist on follow up. she has not developed any significant arrhythmias other than the tachy-arrhythmia around these acute events of respiratory failure and hypertension. gastrointestinal - her diet was gradually advanced and she has been tolerating a regular diet prior to discharge. she is on protonix for gastrointestinal prophylaxis. she had been taking zantac at home. genitourinary - her urine output is always maintained. at some point during her stay here her creatinine had slightly bumped up to 2 secondary to aggressive diuresis. once we backed off on the diuresis, her creatinine bumped back down and prior to discharge her creatinine is 1.5 and should be followed. heme - she remains stable and does not require blood products. infectious disease - after her first episode which was of unclear etiology and occurred while the patient was sitting up and eating, and because of the thought that maybe aspiration was associated with an acute event of respiratory failure, we started her on levofloxacin. there was no further evidence that this was the case, we completed a course of one week's treatment around her acute events of respiratory failure, intubation, reintubation and extubation. she is now off antibiotics. at no time was she febrile and her white count was normal. musculoskeletal - the patient has been ambulating with the assistance of physical therapy. she is not a very active woman at baseline and will require further physical therapy and it was felt that she will benefit from a short stay in the rehabilitation facility. she is discharged to rehabilitation with the following recommendations. discharge recommendations: 1. continue medications as outlined in the discharge sheet. 2. follow up with dr. in one week by appointment. 3. follow up with primary care physician and cardiologist, by appointment. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube insertion of endotracheal tube fiber-optic bronchoscopy other local excision or destruction of lesion or tissue of lung diagnoses: congestive heart failure, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft other and unspecified hyperlipidemia acute and chronic respiratory failure malignant neoplasm of upper lobe, bronchus or lung other emphysema other diseases of lung, not elsewhere classified diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to