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: patient is a 58-year-old female ex-smoker with copd referred from an outside hospital for further workup of left lung mass, which was noted during the workup of increased shortness of breath, night sweats, and fever in early . the patient underwent a pet scan and bronchoscopy with biopsy at an outside hospital. both these studies were reported negative by the patient. on presentation in the clinic on the day of admission, the patient complained of approximately one month of chest pain and heaviness extending to the left shoulder and neck. the patient on further questioning reported having episodes of chest pain about once or twice a week over the past two years, although previously without radiation to the shoulder or neck. the patient reported some sublingual nitroglycerin had appeared to help her pain while at an outside hospital one month prior. this medication was not prescribed on her discharge. the patient reported having a stress test in the past. patient also reported approximately pound weight loss in the previous two months. the patient had a colonoscopy about one year ago. review of systems: patient denied having any headache, abdominal pain, she did report about one week of bilateral lower extremity edema, which was worse than normal as well as longstanding diarrhea. past medical history: 1. copd. 2. posttraumatic stress disorder (childhood abuse). 3. hiatal hernia. 4. endometrial cancer status post hysterectomy. 5. gerd. 6. carpal tunnel syndrome. 7. sleep apnea. 8. hyperactive bladder. 9. obesity. 10. question disk disease. past surgical history: 1. carpal tunnel surgery in . 2. bladder suspension surgeries x2. 3. vaginal hysterectomy. 4. hemorrhoidectomy. allergies: 1. erythromycin. 2. codeine. 3. darvon. medications: 1. prozac 60 mg p.o. q.d. 2. premarin 0.625 mg p.o. q.d. 3. protonix 40 mg p.o. q.d. 4. duoneb 4x a day. 5. detrol xl 4 mg q.d. 6. ibuprofen 800 mg p.o. b.i.d. 7. seroquel 600 mg p.o. q.h.s. 8. imodium prn. social history: the patient reported that she had smoked 1.5 to two packs per day for 18 years, but had quit in . the patient continued to drink once to twice a week. the patient lives alone. family history: lung cancer in multiple relatives. physical exam: on presentation, the patient's vital signs were 97.9, 84, 107/51, 20, and 96% on 3 liters by nasal cannula. physical exam was notable for irregular heart rate and clear lungs with an expiratory wheeze. patient had an obese soft abdomen with a well-healed midline incision as well as a paramedian scar with a possibility of a supraumbilical incisional hernia. patient had 1+ bilateral lower extremity edema. laboratories: on admission, the patient's white count was 7.8, hematocrit 30.2, platelet count 313. coagulation studies were normal. chemistries were also normal with a creatinine of 0.8. hospital course: on arrival in her hospital room, the patient was evaluated by surgery house officer. an immediate ekg was obtained, which revealed no evidence of ischemia. patient was given some sublingual nitroglycerin, which appeared to relieve some of her shortness of breath. cardiac enzymes were drawn with three sets sent. cardiac enzymes were negative. consultations were requested from the pulmonary service as well as the cardiology service. as part of the workup of the patient's lung mass, the patient underwent a cat scan of her chest, which confirmed the finding of a left upper lobe lung mass. patient was noted to have some hilar and mediastinal lymphadenopathy. a cat scan of the patient's head revealed no evidence of metastases. bronchoscopy of the patient performed by the pulmonary service on the day following admission revealed tracheobronchomalacia with an endobronchial tumor noted in the distal left main stem bronchus. no biopsy was attempted. patient was seen by the cardiology service. echocardiogram was obtained, which was essentially normal. the patient's chest pain was ultimately deemed noncardiac in origin and no further workup was recommended. patient was taken to the or on with intention to perform a mediastinoscopy, bronchoscopy, and possible chamberlain procedure. patient underwent the bronchoscopy and mediastinoscopy. patient tolerated the procedure well. the patient was transferred to the post anesthesia care unit while intubated with intention on extubating her the following day. the patient was confirmed to have via tracheobronchomalacia during an intraoperative bronchoscopy. the patient was extubated as planned on postoperative day #1. her oxygen saturations remained in the 93-96% range on 3 liters by nasal cannula. by postoperative day #2, the patient was doing very well. her pain was well controlled. her oxygen saturations were stable on 3 liters by nasal cannula. discharge planning was initiated, and the patient was ultimately discharged on postoperative day #3. the patient had been seen on hospital day #2 by the podiatry service for examination of her feet and nails. patient was confirmed to have some onychomycosis, and was started on an antifungal medication for this. discharge condition: stable. discharge diagnoses: 1. lung cancer. 2. tracheobronchomalacia. 3. onychomycosis. 4. chronic obstructive pulmonary disease. discharge medications: 1. prozac 60 mg p.o. q.d. 2. premarin 0.625 mg p.o. q.d. 3. protonix 40 mg p.o. q.d. 4. duoneb 4x a day. 5. detrol xl 4 mg q.d. 6. ibuprofen 800 mg p.o. b.i.d. 7. seroquel 600 mg p.o. q.h.s. 8. imodium prn. 9. percocet. 10. colace. 11. carmol 40% cream to be applied to her feet twice a day. followup: patient was to followup with dr. in weeks. patient is also to followup with her primary care physician, . in weeks. patient was also to followup with a podiatrist within 1-3 weeks following discharge. oncology followup was to be arranged by the patient's primary care physician. , m.d. dictated by: medquist36 procedure: fiber-optic bronchoscopy closed [endoscopic] biopsy of bronchus closed endoscopic biopsy of lung biopsy of lymphatic structure mediastinoscopy debridement of nail, nail bed, or nail fold diagnoses: esophageal reflux chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of other parts of uterus malignant neoplasm of upper lobe, bronchus or lung posttraumatic stress disorder dermatophytosis of foot dermatophytosis of nail 

Answer: The patient is high likely exposed to