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: the patient is a 63-year-old woman with diabetes and a past history of lung cancer who is status post bilateral upper lobectomies. over the past year, the patient has had problems with persistent pneumonia and an effusion on the right side that was thought to be due to a mechanical narrowing and kinking of her right middle lobe bronchi resulting in a right middle lobe syndrome. a video thoracoscopy had identified the right middle lobe as a small, and voluted, and chronically infected structure. after a long discussion with the patient, her family, and her primary care physician, was determined that the most reasonable course of action was surgical resection given that the only other alternative would be likely frequent readmissions for a persistent pneumonia and effusions on this right side. concise summary of hospital course: thus, on , the patient was taken for a right middle lobectomy and a tracheobronchoplasty. immediately postoperatively, the patient was able to be extubated but had some mucoid secretions that plugged her lower lube bronchi, resulting in respiratory distress. the patient had to be intubated again, and at bronchoscopy a mucous plug was evacuated, and the patient was able to be subsequently extubated. unfortunately, this problem happened again, and the patient had to be reintubated, and again underwent a therapeutic bronchoscopy. at this point, the patient was transferred to the cardiothoracic intensive care unit where she was monitored very closely for evidence of a recurrent mucous plugging of her lower lobe bronchi. on postoperative day two, the patient had a bedside percutaneous tracheostomy placed by dr. to facilitate aggressive pulmonary toilet. over the next several days, we were able to wean her ventilatory support and progressed quite rapidly to having the patient on tracheostomy mask during the day with some ventilatory support at night. the patient had intermittent episodes of recurrent mucous plugging of her right lower lobe bronchi; at which point we performed expeditious therapeutic bronchoscopies to evacuate the mucous plugging and to reexpand her lower lobe. the patient initially improved and stabilized and was actually to progress toward using a passy-muir valve. however, approximately two weeks postoperatively she developed a methicillin-resistant staphylococcus aureus pneumonia. despite early and aggressive antibiotic therapy, as well as intermittent therapeutic bronchoscopies, the patient progressively deteriorated. we attempted to optimize her nutrition by feeding her through her previously placed gastrostomy tube and having her work with the physical therapist as much as possible; which included taking daily walks around the intensive care unit. however, over the next three weeks, this pneumonia settled into the basilar segments of her right lower lobe and she became progressively depressed and physically fatigued. early in her hospitalization, we requested the assistance of the psychiatry service in managing her depressed mood as well as her anxiety. they were very helpful in getting her on an appropriate medication regimen including remeron and seroquel with as needed ativan. over the ensuing weeks, the patient began to express a dissatisfaction with her continued tube feeds and positive pressure ventilation at night. after an extensive discussion with her husband, her daughters (including one daughter who is a clinical psychologist), and the patient; it was felt that the situation with her limited pulmonary reserve in the face of this unremitting pneumonia would not likely allow her to be off life support in the near future. consequently, she requested that the life saving measures be discontinued and that she be allowed to expire comfortably. thus, on , in the presence of her family, we placed the patient on a tracheostomy mask. she was able to say her final good byes, and we initiated a low-dose morphine drip to eliminate any air hunger, after which she expired. condition at discharge: condition on discharge was deceased. discharge diagnoses: 1. status post right middle lobectomy and tracheobronchoplasty on . 2. methicillin-resistant staphylococcus aureus pneumonia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract temporary tracheostomy other repair and plastic operations on trachea other repair and plastic operations on bronchus bronchoscopy through artificial stoma bronchoscopy through artificial stoma diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified pulmonary collapse methicillin susceptible pneumonia due to staphylococcus aureus accidents occurring in residential institution chronic and other pulmonary manifestations due to radiation gastrostomy status foreign body in main bronchus inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to