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: tetanus attending: chief complaint: right upper lobe nodules/mass major surgical or invasive procedure: flexible bronchoscopy, cervical mediastinoscopy, right videoassisted thoracoscopy right upper lobe wedge resection, right videoassisted thoracoscopy right upper lobe completion lobectomy, and paratracheal lymphadenectomy () for suspiscious squamous cell lung cancer. negative mediastinal nodes; rul margin negative bronchoscopy , for pulmonary toilet, airway secretion clearance. history of present illness: 81f w/ hx of pna w/ abnormal cxr/ ct scan; pet scal fdg uptake of rul spiculated nodules, suspicious for malignancy. eval by , md. past medical history: pmh: right upper lobe pulmonary nodules, pneumonia ; chronic obstructive pulmonary disease, 65-pack yr tobacco hx, murmur (no prophylaxis, palpitations or syncope), hypercholesteolemia, hypertension, right shoulder fracture ', lbp-occassional toes "numb"; diverticuli. psh: appyendectomy social history: 65 ppy smoker, quit ; no asbestos exposure married - lives w/ husband and daughter in family history: mother died age ; father died pneumonia age 51; 9 siblings- 1 brother -colon cancer, 1 w/ brain cancer; ? hx lung cancer, emphysema, cad in family. 1 child, 2 grandchildren- all healthy. physical exam: general- petite elderly female in nad heent-peerla, no adenolpathy resp-course bs, rales at bases intermittent. old vats sites cor-rrr- no murmur abd- soft, no masses, no tenderness, no distention ext- no clubbing or edema neuro- appropriate, grossly non-focal pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 07:10am 16.0* 3.16* 9.1* 28.2* 89 28.8 32.3 14.2 618* differential neuts bands lymphs monos eos baso atyps metas 07:10am 77.1* 14.4* 4.0 4.4* 0.1 red cell morphology hypochr 07:10am 1+ basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 07:10am 618* chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:00am 4.4 01:30am 132* 9 0.6 135 4.3 98 26 15 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 01:45am 135 cpk isoenzymes ck-mb mb indx ctropnt 01:45am 5 <0.011 1 <0.01 ctropnt > 0.10 ng/ml suggests acute mi chemistry totprot albumin globuln calcium phos mg uricacd iron 07:00am 3.9 2.2 01:30am 9.0 3.4 2.1 antibiotics vanco 07:39am 3.4* vancomycin @ trough radiology preliminary report chest (pa & lat) 8:41 am reason: change in size of ptx medical condition: 81 year old woman s/p vats, now with increased ptx after chest tube removal reason for this examination: change in size of ptx history: status post right upper lobectomy with pneumothorax. comparison: at 7:16 p.m. chest: pa and lateral views. moderate right apical and anterior pneumothorax is unchanged in size, but a new pleural fluid component is now also present. new mild pulmonary edema is also noted. mild cardiac enlargement is unchanged. left lower lobe pneumonia and right perihilar post-surgical changes are also unchanged. findings were discussed with dr. at 11:15 a.m. on . impression: 1) moderate right pneumothorax is stable in size with a new hydrothorax component. 2) new mild pulmonary edema. 3) unchanged left lower lobe pneumonia. radiology preliminary report chest port. line placement 2:16 pm reason: please check placement of right med. cub. picc line please medical condition: 81 year old woman s/p vats rul lobectomy, now with de-sat. please do at 8pm reason for this examination: please check placement of right med. cub. picc line please page iv nurse thanks # history: status post right upper lobectomy and picc placement. comparison: . chest: ap upright portable view. the right chest tube has been removed. there is a moderate right pneumothorax, increased in size compared to the previous study. there is associated partial right lung collapse. left lower lobe opacity is unchanged. there is a new right picc with tip at the junction of the superior vena cava and the right atrium. deformity of the right humeral head with advanced right glenohumeral osteoarthritis is again noted. increased pneumothorax was reported to dr. at 3:05 p.m. on . picc line position was subsequently reported to an intravenous therapy nurse. impression: 1) moderate right pneumothorax, increased since the previous study. 2) satisfactory picc position. 3) unchanged left lower lobe opacity. cardiology report ecg study date of 9:11:34 am sinus rhythm lateral st-t changes since previous tracing, no significant change read by: , j. intervals axes rate pr qrs qt/qtc p qrs t 92 126 72 13 97 micro 10:07 am sputum source: induced. **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (final ): sparse growth oropharyngeal flora. gram negative rod(s). rare growth. time taken not noted log-in date/time: 4:59 pm bronchoalveolar lavage **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. respiratory culture (final ): no growth, <1000 cfu/ml. 6:30 am mrsa screen **final report ** mrsa screen (final ): no staphylococcus aureus isolated. brief hospital course: patient admitted sda for above procedure, tolerated fairly well, tranferred to pacu in stable condition, extubated, ct to suction. pacu course significant for overnight monitoring for:low o2 sats; close hemodynamic monitoring, aggressive pulmonary toilet, pain control w/ toradol, mso4> transitioned to mso4 pca, atrovent/alb nebs, electrolyte monitoring and repleatment. hospital course: respiratory- tenuous resp status post-op requiring: high o2 supplementation (no intubation) bronchoscopy (clearance of obstructed r sided plugs- removed), 6/12,( thick secretions-removed),(lung expanded- minimal secretions), for scretion clearance; atelectasis rml; aggressive pulmonary toilet; cpt, broad antibiotic coverage(zosyn started ) requiring icu admission x 5 days. small air leak w/ small amount of sq air started pod#5, ct remains to suction. pt resp status improved and patient transferred to floor. floor course 6/15-21/06 significant for: pod#6- pt desat 88% no nrb mask> changed to shovel mask and nc for humidification, nebs given q2h w/ improvement to o2 sat 90%, ekg w/o sig changes. ct leak resolved and trial of water seal failed w/: increased ct leak, pt c/o nausea, not feeling well, no change o2 sat. replaced to suction w/ improvemnt in sx. cxry -revealed partial ptx, ct to suction. pod#7- pod#9-ct to waterseal and stable until overnight. pod#9- pt episode of chest pressure at 1am w/ ct on water seal- cxry> right apex ptx, ct placed to suction. ekg no sig changes, enzymes-wnl. pt stable throughout, pain resolved w/in 5 min of placing ct to suction. ct to waterseal next day pod#10, cxry stable but w/ small lll pneumonia w/ vancomycin added to zosyn antibiotic regimen, ct d/c'd w/stable cxry w/ small unchanged ptx. cxry- pod#11- ()-unchanged right ptx, small hydropneumothorax- stable,unchaged lllpneumoniasmall amount pulmonary edema- lasix 20 mg ivp w/ good u/o result id- afebrile throughout hosp course. periodically cultered for resp atelectasis.see results for culture data. broad antibiotic coverage(zosyn started ) for total right lower lobe atelectasis/collapse. sputum - gnr-rare. - lll pneumonia, vanco started until discharge then d/c. picc line placed - cxry palcement confimation in results section. zosyn will cont for 1 week post discharge. activity tolerance- physical therapy following patient throughout hospital course pod#1- discharge. initial desats' w/ activity 80's on o2, at rest 4l-100%. see pt note. at time of discharge-activity tolerance minimal.o2 sats w/ activity 80's on 3l. cardiac-patient stable, nsr; pod#6- small burst of ^ rate to 150-160 resolved spontaneously-lopressor pod#1-present cont. pod#9- pt episode of chest pressure at 1am w/ ct on water seal- detail as above. pain- pain control w/ mso4 pca transtioned to po percocet pod#6 w/ good pain control. discharged on same heme- post op hct 29- resovling- and stable. physical therapy following patient throughout hospital course pod#1- discharge. medications on admission: vytorin 40/10, benadryl prn, mvi, ca2+ 500" discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 4. multivitamin capsule sig: one (1) cap po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 7. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q4h (every 4 hours). 8. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours). 9. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 13. picc line flush heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 14. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 7 days. 15. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 16. insulin regular human subcutaneous discharge disposition: extended care facility: healthcare - discharge diagnosis: pmh: right upper lobe pulmonary nodules, pneumonia ; chronic obstructive pulmonary disease, 65-pack yr tobacco hx, murmur (no prophylaxis, palpitations or syncope), hypercholesteolemia, hypertension, right shoulder fracture ', lbp-occassional toes "numb"; diverticuli. psh: appyendectomy discharge condition: fair discharge instructions: call dr./thoracic surgery office for any post surgical issues.. followup instructions: call dr./thoracic surgery office for a post surgical appointment-- procedure: venous catheterization, not elsewhere classified fiber-optic bronchoscopy other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract closed [endoscopic] biopsy of bronchus biopsy of lymphatic structure division or crushing of other cranial and peripheral nerves regional lymph node excision mediastinoscopy other local excision or destruction of lesion or tissue of lung diagnoses: pneumonia, organism unspecified tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified pulmonary collapse other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung accidents occurring in residential institution inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to