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: fatigue, doe, fever major surgical or invasive procedure: bronchoscopy history of present illness: 77 yo female receiving adjuvant chemotherapy for stage ii breast cancer who presents with generalized weakness/fatigue and doe x 1 week and is found to be febrile to 103 in the ed. she reports feeling "wiped out" since her chemotherapy on with progressive generalized fatigue. she then noted sob with extertion for the past week. she has felt chilled at home but could not get a reliable on her home thermometer. she denies cough, abdominal pain, nausea, vomiting. she has also had 2-3 days of diarrhea; improved now after one day of immodium. also very poor appetite. initially presented to clinic where she was found to be hypoxic to 91% at rest and 88% with exertion. she was afebrile at that time and was referred to the ed for evaluation. in the ed was found to be febrile to 103 but hd stable. she was hydrated and given levaquin for ? pna. currently she feels much improved. past medical history: #. left breast invasive ductal ca (dx ), 1.4 cm/ grade iii, considered a 2nd primary involving the left breast, in a different location, s/p excision, last chemo (cytoxan and taxotere adjuvant therapy) #. left breast infiltrating ductal ca (dx ), 2.5 cm/ stage ii, t2 n1, er negative with 1 of 4 lymph nodes, with micrometastases, s/p wide-excision, xrt & chemotherapy. #. mild-to-moderate atherosclerotic calcifications in the aorta and coronary arteries, per cta/chest () #. htn #. high cholesterol #. ocd #. hypothyroidism, s/p removal of thyroid due to benign disease. . pshx: - s/p wide excision of left breast carcinoma - s/p ultrasound-guided bx, left breast, monstrated (on ) - s/p collagen injection, for type iii stress urinary incontinence - s/p cystometrogram, urodynamics, uroflow for stress urinary incontinence, type iii with stable urethra - s/p pubovaginal sling, with -tex graft, cystoscopy, and suprapubic tube placement - s/p flexible cystoscopy - s/p urodynamic evaluation: uroflow, postvoid residual, cystometrogram, voiding cystourethrogram. - s/p bilat carpal tunnel release - s/p wide-excision of left axillary tail invasive breast cancer with concurrent left axillary nodal sampling. at age 49 yo - s/p tah with ovary removal, fibroid, was on premarin and progesterone prior to the last ca social history: relationships: born in , grew up in /, came to the us for phd. she lived with her husband in , no children. has travelled extensively. supports: friends, husband. wine w/ dinner, former smoker (quit 20+ yrs ago), denies ivda . functional baseline: she is a clinical psychologist and is still working one day a week, office is on of home. hobbies: travel, , movies. assistive devices: glasses only. no vna. family history: maternal grandparent died of tuberculosis (before pt born), mother died of tuberculosis (44 yo) & sister (2 yo) of tuberculosis/menningitis, pt (thinks) she has h/o positive ppd. father has lung cancer and died at 69 yo (was a heavy smoker). no family history of breast cancer. physical exam: on admission: ============= vital signs: temperature 98.1 blood pressure 130/62 heart rate 76 resp rate 20 97%2l wt 147.5 lb . general: pleasant female in no acute distress; appears comfortable. heent: sclerae anicteric. pupils equal, round, reactive to light. oropharynx is clear without lesions or thrush. neck: supple, without lymphadenopathy or thyroid nodules. lungs: clear to auscultation and percussion bilaterally. no rhonchi, rales or wheezes. heart: normal s1, s2. regular rate and rhythm. no murmurs, rubs, or gallops. abdomen: soft, nontender, nondistended, normal bowel sounds. extremities: no cyanosis, clubbing, edema. no nail changes. skin: no rash. pertinent results: 18.9 > 27.8 < 328 n:89.2 l:6.6 m:3.4 e:0.5 bas:0.2 . trop-t: <0.01 . ck: 76 mb: notdone alt: 30 ap: 90 tbili: 0.2 ast: 55 (hemolyzed) . tsh:pnd . pt: 13.5 ptt: 26.8 inr: 1.2 . 136 / 100 / 12 ---------------- 4.5 / 26 / 0.9 . ua: negative . cxr: no infiltrate . cta (prelim): no pe . bcs pending imaging: ======== chest (pa & lat) - findings: comparison is made to previous study from . cardiac silhouette and mediastinum are within normal limits. there is coarsening of the bronchovascular markings without overt pulmonary edema. there is atelectasis in the left upper lobe. the right apex is within normal limits. no pleural effusions or signs for overt pulmonary edema is present. . cta chest w&w/o c&recons, non-coronary - cta chest: no evidence of filling defect to the subsegmental level to suggest pulmonary embolism. the thoracic aorta is normal in caliber throughout. there are mild-to-moderate atherosclerotic calcifications in the aorta and coronary arteries. heart size is normal. there is no central or axillary lymphadenopathy. there is no pleural or pericardial effusion. a calcified 9 mm perihilar nodule ((3:43) and a 4 mm lower lung nodule (3:82) was noted. right lower lobe scaring is noted. there no effusion or consolidation. a 3.6 x 2.1 cm fluid collection is noted in the left breast. bone windows demonstrate moderate degenerative changes. impression: 1. no evidence of pulmonary embolism; 2. recommend 12 month followup for 4 mm lower lobe nodule; 3. postsurgical changes in the left breast. . chest (pa & lat) - findings: cardiomediastinal and hilar contours are unremarkable. the aorta is calcified and tortuous. again identified is bibasilar scarring, unchanged. there is no consolidation or pleural effusions identified. the osseous structures are grossly unremarkable. impression: no acute cardiopulmonary process. . chest (pre-op pa & lat) - chest, pa and lateral: the heart size is at upper limits of normal. the aorta is calcified and tortuous. pulmonary vasculature is unremarkable. linear left upper lung and right lower lung opacities are consistent with atelectasis or scarring. the lungs are otherwise clear. there are no pleural effusions. mild degenerative changes of the thoracic spine are observed. impression: no acute cardiopulmonary process. brief hospital course: 77 yo f w/ hx left breast grade iii invasive breast ca s/p l breast excision and recent adjuvant chemo (cytoxan and taxotere on ), untreated ltbi in setting of known tuberculosis exposure presented with one week of generalized weakness and fatigue on . pt had chemo on and reported generalized weakness and decreased po intake. on , she was seen at clinic and cbc showed wbc of 29.2 no differential available (prior wbc on was 6). of note, had neulasta on . on , pt was again seen in clinic where she was noted to be hypoxic with sat 91% at rest and 88% with exersion. she also complained of subjective fever, ?dry cough, emesis x3 and a couple days of nonbloody watery stools. she also reported a 5lb wt loss over past 6 weeks, but denied any night sweats, chills, shortness of breath or hemoptysis.in er she was febrile to 103 and received levaquin for possible pneumonia, however a cxr showed no infiltrate. a cta was performed which showed no pe, but there r ll scaring and a calcified 9 mm perihilar nodule and 4 mm lower lung nodule. she was placed in isolation given hx untreated ltbi and findings on cta concerning for tuberculosis. infectious disease was consulted who recommended stopping levaquin because of possible effect on afb smears, ruling out for tuberculosis and starting bactrim for possible pcp . she underwent bronchoscopy with bal for specimen collection, then shortly after the bronchoscopy, she became hypoxic to 70-80's and was sent to the icu for respiratory distress. a repeat chest x-ray showed flash pulmonary edema and she was diuresed with iv lasix. she was also started on ceftriaxone, azithromycin, bactrim and steroids. she responded well to iv lasix and was eventuaky transferred back to the floor when hypoxia improved. she was ruled out for pcp, and tuberculosis, therefore she was continued on levofloxacin alone for presumed community aquired pneumonia complicated by flash pulmonary edema after bronchoscopy. medications on admission: 1. lipitor 10 mg po qd 2. 60 mg po qd 3. fluoxetine 20 mg po qd 4. vicodin 5 mg-500 mg tablet every 4-6 hours prn, uses for bone pain after neulasta 5. levothyroxine 125 mcg po qd (125 mcg is listed in omr, patient states she has been taking 100 mcg) 6. lisinopril 20 mg po qd 7. zofran 8 mg every 8 hours as needed for nausea 8. compazine 10 mg q4-6 hours as needed for nausea 9. ranitidine 150 mg po qd 10. aspirin 81 mg po qd 11. calcium 500 mg po qd 12. multivitamin one tablet po qd 13. vitamin d 1000 mg po qd otc 14. dexamethasone 4 mg tablet, 2 tablet(s) po bid for 3 days beginning the day before chemotherapy 15. lorazepam 0.5 mg tablet, 1 tablet(s) by mouth every 4-6 hours as needed for nausea. use 2 tablets in the evening for sleep (per omr, but does not take) 16. pegfilgrastim 6 mg/0.6 ml syringe once, 24hours after chemotherapy, sq 17. triamterene-hydrochlorothiazide 37.5 mg-25 mg tablet 1 tablet(s) by mouth mwf - (none for last 2 weeks to "urinate too much") 18. xanax 0.5 mg po prn sleep (does take at home prn) discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. fexofenadine 60 mg tablet sig: one (1) tablet po daily (daily). 3. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 4. vicodin 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 5. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 7. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po once (once) for 1 doses. 8. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 12. multivitamin tablet sig: one (1) cap po daily (daily). 13. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 14. lorazepam 0.5 mg tablet sig: one (1) tablet po every hours as needed for nausea. 15. xanax 0.5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 16. outpatient lab work bmp, ca, mg, po4. please fax results to dr. at discharge disposition: home discharge diagnosis: primary: acute pulmonary edema secondary: breast cancer hypertension discharge condition: good. hemodynamically stable and afebrile. satting 95% on room air. discharge instructions: you were admitted for fever and difficulty breathing. an interventional procedure called a bronchoscopy was performed to get samples to determine if you had an infection in your lungs. after this procedure, you developed flash pulmonary edema which is when fluid rapidly accumulates in the lungs, and were admitted to the icu for difficulty breathing. you were given medicine to remove some of the fluid from your lungs, steroids and antibiotics. none of the medicines that were started during the hospitalization need to be continued after discharge. you need to get your labs redrawn on friday, and faxed to dr. at . you should follow-up with dr. as listed below. please go immediately to the emergency room if you should experience fevers, difficulty breathing, chest pain, shortness of breath or any other symptoms that are concerning to you. followup instructions: dr. ; monday, at 9am. procedure: closed [endoscopic] biopsy of bronchus diagnoses: hyperpotassemia congestive heart failure, unspecified unspecified essential hypertension acute respiratory failure hypoxemia pulmonary eosinophilia postsurgical hypothyroidism malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to