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: sulfa (sulfonamides) attending: chief complaint: hemoptysis, cough major surgical or invasive procedure: rigid bronchoscopy with apc () history of present illness: 72 y.o. female with hx of right sided breast cancer s/p partial mastectomy and chemotherapy () who presented with one month of worsening cough, fatigue, and weight loss. . symptoms first started 6 weeks prior to admission after she had a "cold" and reported that several of her family members were also sick. she reported that her cough had worsened since then with progressive blood-tinged sputum. her cough occurred at all times of the day and consisted of bright red/maroon/yellow "jelly-like" sputum. during that time, she had also had a 20-30 pound unintentional weight loss. she further noted rhinorrhea and mild headache, but had several family members with recent uris around that time. . pt initially presented to her pcp with these complaints and had a cxr that was concerning for multiple pulmonary nodules. her exam at the pcp's also noted a left sided firm neck mass in the anterior cervical chain. an ultrasound was performed that did not demonstrate a mass and could not locate any abnormalities. . she later had a ct abd/pelvis/chest () that did not show any evidence of metastatic disease in the abdomen. the ct scan, however, did show numerous pulmonary nodules concerning for metastatic disease. . a sputum was sent for cytology on that was non-diagnostic and plans were made for flexible bronchoscopy with linear and radial ebus on to biopsy masses and lymph nodes. . during the bronchoscopy, the patient was noted to have friable mucosa and significant bleeding occurred during the procedure. after the procedure she had an episode of hypoxia to 88% and was placed on a non-rebreather. she was transferred to the icu. . on admission to the micu, she felt like her breathing is poor. she was coughing intermittently and denied pain. . review of systems: (+) per hpi (-) denies fever, chills, night sweats. denies headache, sinus tenderness. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: 1) breast cancer s/p right sided partial mastectomy and nodal removal and also treated with chemotherapy as well. last mammogram was negative for malignancy. (2) hypothyroidism social history: she is a nonsmoker and denies any tobacco abuse. she has been retired for the past 5 years. family history: denies family history of malignancy. physical exam: vitals: t95.4 bp 149/59 hr 84 rr 27 100% on nrb general: alert, oriented, breathing labored heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: coarse breath sounds bilaterally with wheezes cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 10:33pm ck(cpk)-40 10:33pm ck-mb-5 ctropnt-0.14* 10:33pm hct-32.2* 04:08pm type- po2-44* pco2-60* ph-7.28* total co2-29 base xs-0 comments-received o 04:08pm lactate-1.9 04:08pm freeca-1.08* 03:56pm glucose-95 urea n-11 creat-0.7 sodium-136 potassium-4.4 chloride-99 total co2-27 anion gap-14 03:56pm estgfr-using this 03:56pm alt(sgpt)-59* ast(sgot)-42* ck(cpk)-36 alk phos-108* tot bili-0.4 03:56pm ck-mb-notdone ctropnt-0.22* 03:56pm calcium-8.3* phosphate-4.0 magnesium-1.8 03:56pm wbc-15.0* rbc-3.81* hgb-11.7* hct-36.5 mcv-96 mch-30.6 mchc-32.0 rdw-12.2 03:56pm plt count-616* 03:56pm pt-12.5 ptt-25.7 inr(pt)-1.1 11:46am other body fluid polys-92* lymphs-5* monos-1* basos-1* other-1* brief hospital course: 1. hypoxia the patient presented from interventional pulmonology with hypoxia, reportedly as low as 88% requiring oxygen via non-rebreather. the hypoxia was likely from bleeding during the initial procedure. the patient was able to be weaned from oxygen quite easily and maintained a normal oxygen saturation throughout the remainder of her hospitalization. the patient was monitored on constant pulse oximetry while in the intensive care unit and she received nebulizer treatments of albuterol and ipratroprium as needed. 2. hemoptysis the patient's hemoptysis is most likely secondary to malignancy given past history of breast cancer and her recent unintentional weight loss/fatigue. during her hospitalization, her hematocrit was monitored frequently and reached a nadir of 32 from an admission hematocrit of 36.5. at no time did she require a transfusion or any other blood product. on rigid bronchoscopy on , interventional pulmonology reportedly performed apc around carina and down both mainstem bronchi. a biopsy of subcarinal node (7th) was sent for frozen and permanent path. the preliminary read of that frozen sample showed necrosis only (permanent path pending). rml lesion also biopsied and sent for pathology. brush cytology was also performed. a bal was completed with 120 cc injected and 15 cc returned sent for cytology of washings. of note, tee was performed during this procedure. however, this was not relevant to the patient's case - it was performed as part of a research protocol for all patients who undergo apc. the patient was maintained on codeine for comfort as well as cough suppression. 3. hypothyroid: the patient was maintained on her home dose of synthroid. 4. elevated troponin upon admission, the patient was found to have an elevated troponin t level of 0.22. this was cycled and trended down to 0.14 and finally 0.08. her ck-mb during this time remained normal (5). the patient did not complain of any chest pain and an ekg was not markedly changed compared to prior. the patient will likely require risk stratification including stress test as an outpatient. 5. leukocytosis the patient had an elevated wbc with a peak of 16.6. this was likely post-procedural inflammation as the patient had no fevers and no localizing symptoms. the wbc trended down to 12.0 on discharge. medications on admission: (1) levothyroxine 150mcg po dailiy discharge medications: 1. levothyroxine 100 mcg tablet sig: 1.5 tablets po daily (daily). 2. b complex vitamins capsule sig: one (1) cap po daily (daily). 3. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 5. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. codeine sulfate 15 mg tablet sig: one (1) tablet po every hours as needed for cough for 7 days. disp:*25 tablet(s)* refills:*0* 8. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*0* 9. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation twice a day. disp:*1 inhaler* refills:*2* discharge disposition: home discharge diagnosis: primary (1) hemoptysis (2) hypoxia/respiratory distress secondary (1) hypothyroidism discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were evaluated and treated in the hospital for hemoptysis (coughing up blood). during your hospitalization you had a bronchoscopy after which the oxygen level in your blood was low that required your admission to the intensive care unit. in the icu, your blood levels and oxygen levels were monitored closely. you continued to cough up small amounts of blood and your oxygen level returned to . you also had multiple chest xrays performed while in the hospital. you went to the operating room for a rigid bronchoscopy and had multiple biopsies taken. at the time of your discharge, the results of your biopsies were still pending. new changes have been made to your medications. please continue to take all of your previous medicines as prescribed, as well as new prescriptions for inhalers (albuterol/ipratropium) and codeine. codeine will help with any discomfort and will help to suppress your cough. this medicine is a strong pain reliever, however, and can cause sedation and drowsiness. do not operate a motor vehicle or drink alcohol while taking this medication. followup instructions: provider: , md phone: date/time: 11:00 provider: , : date/time: 10:20 provider: phone: date/time: 1:10 procedure: diagnostic ultrasound of heart closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed endoscopic biopsy of lung biopsy of lymphatic structure diagnoses: unspecified acquired hypothyroidism personal history of malignant neoplasm of breast other diseases of lung, not elsewhere classified hypoxemia enlargement of lymph nodes examination of participant in clinical trial leukocytosis, unspecified 

Answer: The patient is high likely exposed to