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 attending: chief complaint: retroperitoneal mass major surgical or invasive procedure: ex lap, biopsy of mass history of present illness: is a very pleasant 68-year-old female who has had approximately two months of right back and flank pain that occasionally radiates to the shoulder. the pain has also been associated with early satiety, no nausea, no vomiting. she has had no change in bowel or bladder habits, no shortness of breath, but just a generalized discomfort on the right side. she has lost approximately pounds over this period of time. no jaundice, no fevers, no chills. she has had no flushing, no diarrhea. ct of the abdomen on showed a retroperitoneal mass measuring 15.8 cm, intimately associated with the right lobe of the liver and abutting the right kidney. past medical history: htn, h/o gastric ulcer, migraines social history: she is an ongoing tobacco smoker, probably one pack per day. no alcohol, no drugs. family history: noncontributory. physical exam: vs: 98.5, 103, 120/62, 14 general: patient intubated and weaned off vent post op overnight card: rrr lungs: intubated, lungs cta bilaterally, sat 100% abd: non-distended, non-tender, minimal serosanguinous drainage on dressing extr: no c/c/e pertinent results: on adission: wbc-10.2 rbc-3.63*# hgb-10.5*# hct-30.7*# mcv-85 mch-28.8 mchc-34.1 rdw-13.8 plt ct-314 pt-13.6* ptt-29.9 inr(pt)-1.2* glucose-122* urean-8 creat-0.7 na-141 k-4.2 cl-108 hco3-26 angap-11 calcium-8.8 phos-4.2 mg-1.7 03:15pm cortsol-29.3* 05:55am cortsol-33.0* 05:56am cortsol-22.0* 05:56am cea-2.3 ca125-22 01:18am blood type-art temp-37.7 tidal v-500 peep-5 fio2-50 po2-181* pco2-39 ph-7.31* caltco2-21 base xs--6 08:30am blood wbc-10.1 rbc-3.77* hgb-10.6* hct-32.7* mcv-87 mch-28.1 mchc-32.5 rdw-14.0 plt ct-312 04:45am blood glucose-90 urean-11 creat-0.7 na-132* k-4.3 cl-94* hco3-30 angap-12 pathology specimen:(cava tumor) diagnosis: 1. tumor #2, cava (a): small cell carcinoma consistent with a lung primary, see note. 2. cava tumor (b): small cell carcinoma consistent with a lung primary, see note. the tumor cells are positive for ttf1, cd5/6, p63 ae1/3, ck cam 5.2, cytokeratin cocktail and ck7. the tumor cells are negative for lca, ck20, chromogranin, synaptophysin, wt-1, hepr1, cea unabsorbed and cd10. these findings, particularly the positive for ttf1 and cd56 support the lung origin or a small cell carcinoma. brief hospital course: on , she was taken to the or with plan to explore the lesions and then proceed with the resection. surgeon was dr. . ex lap was performed noting extent of tumor. it was deemed unresectable. biopsy was taken of the liver/caval tumor. please refer to operative note for further details. she was sent to the sicu postop for management. she was extubated without incident. urine output was on the low side and iv fluid boluses were given with improved urine output. stim test revealed cortisol level of 29.3. repeat cortisol levels was 33 and 22. she had some nausea with emesis and was given iv zofran with relief. postop, vital signs remained stable. pain was managed initially with iv morphine pca. this was switched to dilaudid with improved pain control. however, she continued to experience incision and back pain. chronic pain service was consulted and recommend continuation of scheduled tylenol with prn dilaudid. neurontin and tizanidine were added. recommendations for tizanidine were 2-4mg po q 8 hours and neurontin 300mg at hs with increase to tid as needed. this regimen worked fairly well to decrease her pain. diet was slowly advanced. she did experience some nausea and fullness. zofran was given initermittently. dulcolax pr was administered without results. fleets enema was given with bm. milk of magnesia was given on day of discharge. on day of discharge, she was tolerating small amounts of regular food plus supplements. incision remained intact, without redness or drainage. staples were removed and incision steri stipped on day of discharge. she did experience cough with o2 desaturations to 85%. cxr demonstrated bilateral lower lung opacifications consistent with pleural effusions and compressive basilar atelectasis. breath sounds were diminished on the left base greater than the right base. . o2 nasal cannula was placed on the patient with increased o2 sats to 92-93% on 2 liters. during ambulation, she required a venturi mask plus nasal cannula. atrius heme/onc was consulted. recommendations were to obtain cea and ca -9. results were 2.3 and 22. pathology report of caval tumor demonstrated small cell carcinoma consistent with lung primary. recommendations for f/u treatment were with discussed with patient and husband once recovered from surgery. a f/u visit was set for . pt assess her and recommended pulmonary rehab. on , she was transferred to rehab in . medications on admission: vicodin 1-2 tabs q6h prn pain;nifedipine 30',pantoprazole 40', tiotropium 18mcg inh ' discharge medications: 1. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 2. salmeterol 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. nifedipine 30 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po daily (daily). 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. tizanidine 2 mg tablet sig: one (1) tablet po tid (3 times a day) for 1 months. disp:*90 tablet(s)* refills:*0* 7. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime) for 1 months. disp:*60 capsule(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. zofran 4 mg tablet sig: one (1) tablet po prn every 8 hours as needed for nausea. discharge disposition: extended care facility: - - discharge diagnosis: retroperitoneal mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assist with rolling walker (required venturi mask plus o2 8liters nasal cannula during ambulation. discharge instructions: please call dr. office if you have any of the following: fever (temperature 101 or greater), chills, nausea,vomiting, jaundice, increased abdominal pain/distension, incision redness/bleeding/drainage you may shower, but no tub baths or swimming for 6 weeks followup instructions: department: transplant center when: thursday at 1:40 pm with: , md building: lm campus: west best parking: garage department: radiology when: tuesday at 11:45 am with: cat scan building: campus: east best parking: garage provider: , md phone: date/time: 1:30 provider: scan phone: date/time: 11:45 department: hemato-oncology provider:, when: wednesday ,29, at 10:00am at vangaurd at procedure: exploratory laparotomy biopsy of peritoneum diagnoses: tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified secondary malignant neoplasm of other specified sites migraine, unspecified, without mention of intractable migraine without mention of status migrainosus secondary malignant neoplasm of retroperitoneum and peritoneum personal history of peptic ulcer disease 

Answer: The patient is high likely exposed to