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 a 60-year-old female here visiting her daughter from and brought to hospital on for shortness of breath, dyspnea on exertion, and stridor. the patient has been experiencing similar symptoms times 4 weeks. treated for asthma flare in with steroids, nebs, and inhalers. an outside hospital received solu-medrol, levaquin, azithromycin, and nebs, all without significant improvement. underwent bronchoscopy on at outside hospital showed vocal cord swelling bilaterally and a large polypoid lesion on the right. unable to pass scope through vocal cords to visualize the trachea. the patient was transferred to for interventional pump/ent management. the patient use bipap only at night when subjectively feeling sensation of choking. the patient improved with sitting up. the patient is currently not to use bipap. review of systems: negative for fever, chills, nausea, vomiting, diarrhea, and constipation. no chest pain, no sputum, no leg swelling, and no abdominal swelling. complains of intermittent shortness of breath increased with lying flat and a choking sensation with lying flat. no history of orthopnea or pnd. no history of vocal cord polyps or indentations and notes a 10-pound weight loss. past medical history: insulin-dependent diabetes, asthma/copd with unknown pfts, cd status post cabg 5 years ago, no history of mi, no history of chf, left carotid endarterectomy, hypertension, anxiety, status post cholecystectomy, and status post total abdominal hysterectomy. medications: on admission: 1. nph 12 units in the morning and 7 units at night. 2. regular insulin sliding scale. 3. albuterol. 4. glucophage 850 mg t.i.d. 5. buspar 50 mg b.i.d. 6. zoloft 100 mg q.d. 7. zocor dose unknown. allergies: demerol gets hives, codeine has anaphylaxis, and iodine gets a rash/edema. social history: retired truck driver. lives in , here visiting her daughter. denies alcohol or iv drug use. positive tobacco use 1 to 2 packs per day. of note, she is also a tournament bass . physical examination: vital signs: temperature 98.2, blood pressure 101/45, heart rate 83, respiratory rate 20, and 99 percent on 4 l nasal cannula. general: appears pleasant, in no acute distress. speaking full sentences. heent: pupils equal, round, and reactive to light and accommodation. moist mucous membranes. oropharynx clear. neck: left-sided cea scar. no bruits. no stridor. no lymphadenopathy. pulmonary: clear to auscultation bilaterally. decreased air movement, no wheezing or stridor. cardiovascular: regular rate, s1 and s2. no murmurs, rubs or gallops appreciated. abdomen: bowel sounds, soft, nontender, and nondistended. extremities: no cyanosis, clubbing or edema. pulse is 1 plus bilaterally. neurologic: alert and oriented x 3. moving all extremities. cranial nerves ii-xii intact. laboratory data: white count of 18.9, hematocrit 37, and platelets 200. bun of 22, creatinine 1.0, and glucose of 210. abg; 7.35, 48, and 73 and this is on 94 percent room air. chest x-ray shows hyperinflation. no infiltrate or pulmonary congestion. positive sternotomy scar with sternal wires. normal heart size. ct of the chest and airway shows a large right vocal cord polyp with sellar nodularity along the medial surface of the right vocal cord. no similar polypoid lesion seen in the subglottic region or intrathoracic airways. evidence of previous granulomatous infection that is ground-glass opacity in periphery of right upper lobe and mild emphysema. impression: this is a 60-year-old female with diabetes, coronary artery disease status post cabg, asthma/copd with progressive shortness of breath, and found to have laryngeal polyps on bronchoscopy. transferred to for social intervention. hospital course: 1. respiratory: the patient initially found to be stridorous, however improved at the time of transfer. the patient was admitted to the picu for airway management and was given bipap p.r.n. oxygenation remained stable. heliox was considered; however, was not needed. the patient denied any further difficulty breathing and remained stable. the patient was ultimately weaned to room air. pulmonary function tests were performed prior to discharge. the patient was continued on decadron and sent home with the prednisone taper. 2. laryngeal neoplasm: the patient was found to have a right true vocal cord mass, possibly benign polyp versus malignancy. ent was consulted. steroid treatment was initiated to reduce airway edema/swelling. the patient was taken to or on for excision of vocal cord mass. findings during surgery were right true vocal cord lesion with left arytenoid leukoplakia. tissue findings sent to the pathology in the office consistent with vocal cord polyp. no evidence of malignancy noted. the patient was kept on strict voice rest, given high dose steroids of decadron 10 mg iv q.8h. continued on nebs and remained npo. at the time of discharge, the patient was talking without difficulty. diet was advanced and swallowing function was intact. the patient did not demonstrate any difficulty breathing or swallowing. the patient will have outpatient followup in . 3. diabetes: the patient was continued on a dose of nph . regular insulin sliding scale of the patient was held and the patient was tolerating foods again. given a diabetic diet and glucose remained stable during admission. 4. cad: the patient was continued on zocor. his blood pressure remained stable. denied any chest pain. 5. prophylaxis: the patient was out of bed and taking pos, and 24 hours after surgery the patient remained woke up. 6. the patient remained woke up during this hospitalization. condition on discharge: stable. disposition: discharged to home under daughter's care. discharge diagnoses: 1. airway obstruction. 2. vocal cord mass. 3. vocal cord leukoplakia. 4. shortness of breath. 5. type 2 diabetes, uncontrolled. 6. coronary artery disease. 7. hypertension. 8. anxiety. surgical procedures: 1. status post excision of vocal cord lesion and biopsy of leukoplakia. 2. bronchoscopy. discharge medications: 1. nph 12 q.a.m. and 7 units q.p.m. 2. sertraline 100 mg p.o. q.d. 3. buspar 50 mg p.o. b.i.d. 4. simvastatin 10 mg p.o. q.d. 5. aspirin 325 mg p.o. q.d. 6. glucophage 850 mg p.o. t.i.d. 7. albuterol 1 to 2 puffs q.6-8h. if needed for shortness of breath or wheezing. 8. albuterol nebulizer q.6h. as needed for shortness of breath or wheezing. 9. prednisone taper 40 mg times 3, 20 mg times 3, 10 mg times 3, then 5 mg times 3, and then off. followup: 1. the patient is to follow up with ent, dr. in 1 week. 2. the patient is to schedule an appointment in the clinic for general followup. 3. the patient is to follow with her pcp in . records and results of biopsy will be conveyed to pcp in . , m.d. dictated by: medquist36 d: 12:54:36 t: 07:07:06 job#: procedure: fiber-optic bronchoscopy other excision or destruction of lesion or tissue of larynx diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension chronic obstructive asthma, unspecified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled polyp of vocal cord or larynx 

Answer: The patient is high likely exposed to