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: codeine / morphine attending: chief complaint: mediastinal mass major surgical or invasive procedure: radical resection mediastinal mass with left phrenic and recurrent laryngeal removal, left innominate vein removal history of present illness: 69yw who in underwent a cxr for evaluation of posterior neck and chest discomfort. a soft tissue mass was noted in the mediastinum at that time, and a subsequent pet ct demonstrated abnormal uptake in this area. the patient then underwent a bronch/mediastinoscopy with biopsy which returned as poorly differentiated carcinoma, suggestive of squamous carcinoma. she then developed a new pericardial effusion which necessitating emergent pericardiocentesis in . subsequent echocardiograms have demonstrated slight reaccumulation of the pericardial fluid but no evidence of tamponade. she has undergone induction chemotherapy using cisplatin and etoposide with a partial response. the patient presents for elective resection of her mediastinal mass. she otherwise has been feeling well. past medical history: h/o mediastinal mass s/p chemo social history: 40 pack year history, continues to smoke a few cigarettes per day family history: nc physical exam: gen: thin, pleasant, nad heent: eomi, nares patent, oropharynx without erythema/exudate neck: no masses cv: rrr, no m/r/g lungs: occasional expiratory wheezes bilaterally abd: soft, ntnd, +bs ext: no edema neuro: aao x 4 pertinent results: 03:00am blood wbc-7.8 rbc-3.89* hgb-11.8* hct-35.4* mcv-91 mch-30.5 mchc-33.5 rdw-15.3 plt ct-152 03:00am blood pt-12.1 ptt-20.4* inr(pt)-1.0 03:12pm blood glucose-104 urean-29* creat-0.9 na-142 k-3.8 cl-96 hco3-34* angap-16 03:12pm blood calcium-7.9* phos-4.1 mg-1.4* 12:51pm blood k-4.5 brief hospital course: patient was admitted and underwent an uncomplicated resection of her left mediastinal mass with removal of both her left phrenic and recurrent laryngeal nerves secondary to involvement with tumor. her left innominate vein was also removed during the surgery. postoperatively she was transferred stable and intubated to the csru for further monitoring. she was sedated with a precedex/fentanyl drip. she was transfused prbc's for a hct of 26.3. intraoperatively, four drains were placed, two in the mediastinum and two in the left chest. she was bolused overnight in order to maintain adequate blood pressure. on pod #1, she was extubated without complication and had adequate oxygen saturations on 4l nc. she was transferred to the floor on pod #5. 1. pulmonary patient's initial postoperative cxr demonstated l opacification. an chest ultrasound was performed which did not reveal and pleural effusion. she underwent flexible bronchoscopy on pod #2 with mild improvement of her left sided atelectasis. her respiratory status immediately postoperatively was stable although she received albuterol nebulizer treatments throughout the day. she received another bronchoscopy on pod #3 with increased improvement in her respiratory status. subsequent cxr's continued to improve and she did not require additional bronchoscopy. her mediastinal and chest drains were removed postoperatively without complication. she continued to improve from a respiratory standpoint and was able to maintain adequate oxygen saturations on room air prior to discharge. 2. cardiovascular postoperatively patient initially tachycardic in the 110-120's, metoprolol was increased up to 75mg qid with adequate control of her heartrate to normal. prior to discharge, she was started on toprol xl 300mg with good control of her heart rate. her blood pressure remained stable after initial fluid resuscitation postoperatively. left lower extrem swelling was noted on day of discharge -le non-invasives were done and were neg for dvt. 3. neuro initially maintained on a fentanyl drip with adequate control of pain. she was transitioned on pod #4 to subcutaneous dilaudid with good control. prior to discharge, she was transitioned to po dilaudid and had adequate pain control. 4. gi initially npo, patient underwent both a bedside and video swallow evaluation which demonstrated no impairment or aspiration during swallowing. she was cleared for a regular solid diet with thin liquids and was tolerating po's prior to discharge. patient was seen by otolaryngology who noted a paralyzed left vocal cord. recommended outpatient follow up for potential vocal cord medialization. 5. gu initially diuresed successfully using iv using furosemide. adequate urine output, foley d/c'ed on pod #5. 6. hct required prbc's initially with an intraoperative blood loss of 1000cc's, however, her hct stabilized prior to being transferred to the floor. 7. id patient remained afebrile throughout her hospital course, and after initial postoperative treatment with cefazolin, antibiotics were discontinued. 8. dispo to home, to follow up with dr. / in days following discharge. medications on admission: lipitor, mvi discharge medications: 1. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed. disp:*100 tablet(s)* refills:*0* 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q2h (every 2 hours) as needed. disp:*qs * refills:*0* 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). disp:*qs * refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. metoprolol succinate 100 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po daily (daily). disp:*90 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: mediastinal mass discharge condition: good discharge instructions: call thoracic surgery office at for: fever, shortness of breath, chest pain, excessive nausea or vomitting, bleeding from incision sites. your incision site may have a small amount of drainage. you may shower ; pat your incision dry after showering. no tub bathing or swimming for 2 weeks. do not drive while taking pain medications. followup instructions: appointment with dr. in days- call . call for ent appointment in weeks after discharge w/ dr.. procedure: fiber-optic bronchoscopy fiber-optic bronchoscopy pericardiectomy other intubation of respiratory tract biopsy of lymphatic structure transfusion of packed cells mediastinoscopy other local excision or destruction of lesion or tissue of lung excision or destruction of lesion of chest wall other total excision of thymus diagnoses: secondary malignant neoplasm of other specified sites pulmonary collapse secondary malignant neoplasm of lung malignant neoplasm of thymus 

Answer: The patient is high likely exposed to