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: codeine attending: chief complaint: chest pressure major surgical or invasive procedure: cardiac cathetherization history of present illness: is a 81 yo female with a past medical history of cad with a 1 vessel cabg (svg to lad) in who presents with chest pressure. she woke up at 8 am with substernal chest pressure. it was severe initially. she took sl ntg x3 with relief of cp for a short period of time. the cp radiated to her right side and eventually down both arms. she reports diaphoresis, but denied associated nausea, vomiting, lightheadedness or dizziness. she reports that she has felt mildly sob since her recent pneumonia (first diagnosed appox weeks ago). she denied worsening dyspnea. her cough has improved substantially and is very minimal at this time. she went to her pcp's office and was found to have a new lbbb and anterior st elevations. she was transferred to the ed. she received plavix 300mg, aspirin, boluses of heparin and integrillin. code stemi was called and went to the cath lab. cath showed occluded svg, native 3vd, occluded proximal lad. wiring the lad was difficult and there was concern about a possible dissection. one bms was placed in the proximal lad. distal lad is diminutive past 1st septal and diag branches. she has been hemodynamically stable with hr 60-70s and sbp 120-130s. on the floor, she is currently chest pain free and feels well. . . on review of systems, she denies any prior history of deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: - diabetes, + dyslipidemia, + hypertension 2. cardiac history: -cabg: pt with mi in and subsequent 1 vessel cabg svg ->lad -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: # cva - small left posterior frontal infarct in for which she is on tab of plavix daily # hypercholesterolemia. # small pfo. # macular degereration social history: # clopidogrel 75 mg tablet po daily # ezetimibe-simvastatin ] 10 mg-20 mg po daily # nifedipine 30 mg sr po qday # nitroglycerin 0.4 mg/hour patch 24 hr 1 patch once a day # nitroglycern sublingual tabs prn - has not used recently prior to today # propranolol 80 mg tablet po once a day # multivitamin . family history: her father died due to cad at age 52. her mother had stomach cancer and bone cancer. physical exam: general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 8 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. cta anteriorly, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. femoral sheath in place in right groin. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: ekg: new lbbb with ste in v1 -v3 & v5 that in some leads are >5mm. telemetry: nsr 75, few nsvts. 2d-echocardiogram: pending ett: n/a . cardiac cath: lmca: 40% distal lad: occluded difficult to cross; was crossed and stented in proximal lad. distal lad diffuse diseased. lcx: occluded om2, 50% lcx rca: occluded brief hospital course: is a 81 yo female with a history of cad who presented with an stemi s/p catheterization and was incidentally found to have multiple pulmonary nodules consistent with adenocarcinoma. #. stemi: pt presented with an anterior stemi. her timi risk score was 7 indicating a 41% risk at 14 days of mortality, new or recurrent mi, or severe recurrent ischemia requiring urgent revascularization. her svg found to be completely occluded and a bms was placed in the proximal lad. due to the timing of the svg placement over 20 years ago, it was thought that her lad had managed to self revascularize and was partially supplied by the rca. she was started on routine acs medications: eptifibatide for 18 hrs, plavix 75 and aspirin 325mg, metoprolol, captopril, and atorvastatin. cardiac enzymes trended down appropriately with peak ck and ckmb at 107 and 18.2. there was concern for acute heart failure from ischemic insult oxygen requirement. however, she was noted to also have a rll pneumonia and no significant pulmonary edema (see below). echo showed moderate to severe regional left ventricular systolic dysfunction with anterior and anterospetal akinesis and inferior/inferolateral hypokinesis. initially, patient was started on coumadin for ventricular thrombus prophylaxis, but this was subsequantly discontinued as risk of bleeding outweighed benefit. # hypoxia: upon hospitalization, patient was maintaing saturations in low 90s on 6l from baseline 92% on ra. cxr showed rll pneumonia, and patient was subsequantly started on ceftriaxone, azithromycin, metronidazole. as the patient had history recurrent rll pneumonia, a ct scan was obtained which showed severe right lower lobe consolidation and extensive, new diffuse lung nodules with sputum cytology positive for adenocarcinoma. hypoxia was initially felt to be a combination of postobstructive pneumonia and tumor burden from adenocarcinoma. antibiotics were changed to vancomycin, levofloxacin and flagyl of which she completed a 10 day course. repeat ct scan showed little interval improvement in right lower lobe infiltrate. respiratory status remained tenuous, patient requiring high flow o2 with 6lnc with desaturations to high 70s with activity. prior to discharge o2 requirement was 5l by nasal cannula. she was breathing comfortably with oxygen saturation in the low 90s. likely this will continue to be necessary for some time. a shovel mask may be used to assist with oxygenation as needed. # lung nodules/ broncheoalveolar carcinoma: ct scan with diffuse pulmonary nodules and sputum cytology positive for adenocarcinoma. etiology was felt to be primary bronchioalveolar vs metastatic thyroid dx (prior dx of possible microfollicular carcinoma) although routine cancer screening was not up-to-date. a tissue diagnosis was not attained given the patient's high oxygen requirement and anticoagulation with plavix/asa in the setting of recent bms placement. although patient did not have imaging of her head, staging based on ct torso was iiia with pulmonary nodules in both lung fields without obvious distal lad or metastasis. empiric therapy with single chemotherapy was initiated on with pemetrexed. she tolerated this well. she received dexamethasone on to prevent rash. # chronic renal insufficiency - patient with gfr 48. medications were renally dosed and renal function was carefully followed. she was treated prophylactically with mucomyst prior to and post iv contrast dose. creatinine remained stable at 1-1.1. # hyperkalemia: the patient was mildly hyperkalemic the day prior to discharge to 5.6 without ekg changes. this responded promptly to kayexalate. electrolytes should be checked daily until stable. if necessary acei could be stopped. # htn: she was normotensive on acei and b-blocker. medications on admission: # clopidogrel 75 mg tablet po daily # ezetimibe-simvastatin ] 10 mg-20 mg po daily # nifedipine 30 mg sr po qday # nitroglycerin 0.4 mg/hour patch 24 hr 1 patch once a day # nitroglycern sublingual tabs prn - has not used recently prior to today # propranolol 80 mg tablet po once a day # multivitamin discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: st elevation myocardial infarction presumed broncheoalveolar carcinoma discharge condition: stable, with 5l oxygen requirement and o2 sat in the low 90s discharge instructions: you were admitted to the hospital for chest pressure and found to have a heart attack. you had a cardiac catheterization and had a bare metal stent placed. after this, you had some trouble breathing and had a scan that showed some nodules in your lungs. a sputum sample was sent and malignant cells were seen. this was thought to be broncheoalveolar lung cancer, and you were treated with one dose of chemotherapy for this. please follow-up with dr. and to determine if further treatment will be needed. weigh yourself every morning, md if weight goes up more than 3 lbs. the following changes were made to your medications: 1. you were started on plavix, a medication to thin your blood. you must take this medication for 1 month to ensure that your heart stent does not become blocked. followup instructions: please follow up with drs. and . their office will be calling to schedule your appointment. if you do not hear from them this week please call ( to arrange. we made an appointment with the cardiologist: , md phone: date/time: 10:40 please also call your primary care doctor, dr. to schedule follow up. he may be reached at . procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor injection or infusion of cancer chemotherapeutic substance cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: pneumonia, organism unspecified hyperpotassemia anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified hyposmolality and/or hyponatremia acute myocardial infarction of other anterior wall, initial episode of care coronary atherosclerosis of autologous vein bypass graft hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified anxiety state, unspecified ostium secundum type atrial septal defect cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft malignant neoplasm of other parts of bronchus or lung hypoxemia diarrhea acute systolic heart failure accidents occurring in residential institution 

Answer: The patient is high likely exposed to