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: 60 yr old female transferred from campus for eval and management of acute resp failure requiring emergent intubation following sepsis from pneumonia. at pt was in the icu intubated, swaned requiring volume and pressure resusitation. her hemodynamic status stabilized but her oxygenation status deteriorated suggestive of ards prompting a transfer to campus for lung biopsy. major surgical or invasive procedure: - left thoracotomy for open lung biopsy for diagnosis done in the sicu. history of present illness: 60 yo female who presented to after fall followed ny n/v x2. pt has hx of falls d/t gait instability. this fall was preceeded by several days of low energy, cough and urinary symptoms. she denied fever chills and remainder of ros negative. upon arrival to er pt was febrile to 103 and hypotensive, sats 93% on 4lnc. wbc 23, hct 39, bun 39, creat 2.3, troponin 1.3, ck 521, mb 6.99. urinalysis -mod bacteria, casts. cxr: right apex opacity. pelvic x-ray : non-displaced pubic ramus fracture. past medical history: depression, paranoid schizophrenia, bipolar disorder, seizure disorder following mva in - last seizure , hypothyroidism,htn, pneumonia. surgical hx: tah social history: lives w/ sister who assists w/ medication management otherwise independent w/ self care. no tabacco or alcohol history. family history: unknown. physical exam: intubated and sedated. heart: tacycardic, regular rhythm lungs: decreased bilaterally- left>right. no wheezes, rhonchi or rales. abd: obese, soft, nt, nd, hypoactive bowel sounds.extrem: edematous, dp +2. neuro: sedated moves head spontaneously. lines and tubes: ett, a-line, swan, foley. pertinent results: 11:01pm type-art rates-20/ tidal vol-500 o2-100 po2-50* pco2-74* ph-7.25* total co2-34* base xs-1 aado2-602 req o2-97 -assist/con intubated-intubated 11:01pm o2 sat-77 05:41pm type-art po2-55* pco2-61* ph-7.30* total co2-31* base xs-1 05:33pm glucose-112* urea n-32* creat-0.7 sodium-144 potassium-4.1 chloride-104 total co2-33* anion gap-11 05:33pm alt(sgpt)-17 ast(sgot)-27 ld(ldh)-383* ck(cpk)-51 alk phos-172* amylase-287* tot bili-0.2 05:33pm lipase-117* 05:33pm ck-mb-notdone ctropnt-0.28* 05:33pm wbc-21.3* rbc-3.34* hgb-9.9* hct-30.4* mcv-91 mch-29.7 mchc-32.6 rdw-13.5 05:33pm plt smr-very high plt count-733* 05:33pm fibrinoge-785* chest (portable ap) 5:34 pm an endotracheal tube is in placed, with a tip located approximately 5 cm from the carina. there is a left subclavian swan-ganz catheter, with the tip overlying the right hilum and is likely within the distal right main pulmonary artery. an ng tube is in place, with the tip overlying the stomach. there is relatively opacification of the lung fields bilaterally, with the majority of the cardiac contour silhouetted by the opacities. the diffuse alveolar opacity, with some peribronchial cuffing suggesting massive pulmonary edema. no pneumothorax is detected on the supine radiograph. there is a rectangular density overlying the majority of the right chest and mediastinum, which is assumed to be external to the patient, which limits the exam. impression: multiple tubes and lines as described. this limited evaluation suggests severe pulmonary edema. specimen submitted: lingula. procedure date tissue received report date diagnosed by dr. /tk?????? the histology of the organizing process is consistent with the organizing stage of diffuse alveolar damage (ards). clinical correlation is needed. cardiology report echo study date of conclusions: the left atrium is normal in size. a pacing wire is seen in the ra.there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is top normal/borderline dilated. there is moderate regional left ventricular systolic dysfunction (lvef 30-35%) with severe hypokinesis of the inferior wall and the entire septum to the apex. the lateral wall moves best. no masses or thrombi are seen in the left ventricle. abnormal interventricular septal motion consistent with conduction defect/pacing. right ventricular chamber size is normal. the rv free wall is hypokinetic. the ascending aorta is mildly dilated. the aortic valve leaflets are not well seen. no significant aortic regurgitation is seen. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: moderate, regional lv systolic dysfunction c/w cad. mild to moderate mitral regurgitation. moderate pulmonary hypertension. brief hospital course: pt was admitted from campus on for lung biopsy to confirm resp failure from presumed ards or identify alternative process respnsible for current clinical presenation. pt arrived intubated and was admitted to the sicu. initially sedated w/ propofol and paralyzed w/ cisatracurium to maximize ventilatory status requiring assist control ventialtion, 20 peep, esophageal ballon, 100% fio2 to mainatin sats mid 80's ( see lab section for abg's). systems review: neuro: initiaaly paralyzed and sedated to max vent status. presently awake, alert, mae but does not folow commands. remains on fentanyl @125mcg/hr and propofol @ 100mcg/kg/min resp: oxygenation and ventilation significantly improved w/ decreased peep requirement. sats now high 90's on current vent settings of assist control, 50%, 600x30, peep 12. trached on . cv: off all pressors. rrr s1,s2. gi: initially tube feed by ngt. g-tube placed on c/b free air extravasation. taken to the or emeregently for exploration, repair and open g-tube. g-tube cuurently to gavity drainage. endocrine: on insulin drip w/ good gycemic control. renal: function has returned to after initial volume resusitation. bun 15/ creat 0.4 heme/id: was transfused w/ now stable hct 30.5. wbc 14.9 and presently on imipenim, vanco, diflucan for septic pneumonia. medications on admission: neurontin 600mg qam, 300mg qhs; lexoxyl 50mcg thru friday and 100mcg sat and sun; seroquel 400mg daily; calcium tid; asa 325mg daily; fluoxetine 60mg daily; phentoin 400mg daily. discharge disposition: extended care discharge diagnosis: ards seconary septic pneumonia. left thoracotomy for lung biopsy- path positive for ards pneumonia. status post trach and peg c/b extrvasation of air requiring open peg and repair of gastroscopy. discharge condition: stable discharge instructions: return to campus for continued care. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more percutaneous [endoscopic] gastrostomy [peg] other intubation of respiratory tract temporary tracheostomy transfusion of packed cells open biopsy of lung other gastrostomy suture of laceration of stomach diagnoses: pneumonia, organism unspecified anemia, unspecified mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism hematoma complicating a procedure unspecified fall accidental puncture or laceration during a procedure, not elsewhere classified systolic heart failure, unspecified acute respiratory failure iatrogenic pneumothorax accidental cut, puncture, perforation or hemorrhage during other specified medical care bipolar disorder, unspecified closed fracture of pubis paranoid type schizophrenia, unspecified injury to stomach, with open wound into cavity 

Answer: The patient is high likely exposed to