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: dyspnea major surgical or invasive procedure: icu stay history of present illness: 88 yo f w/copd, emphysema, htn, remote h/o endometrial ca with ? pulm mets recent admission for weakness sent to rehab, now admitted for weakness, fever at home 102, increasing sob and cough. pt was discharged from rehab on to home, at baseline able to ambulate with walker. on felt relatively weak, per unable to get up from toilet, no episodes of syncope or fall at home. overnight she slept on cough without changing her clothes. in am, her housekeeper found her sleeping on her couch. temp taken 102, given weakness, fever, sob and cough since thursday pt was sent into ed. pt is unable to recall events in terms of why she was sent into ed. she did c/o some doe, wheezing and cough, she is not o2 dependent at home. sick contacts from rehab, no recent travelling. no gi symptoms, no n/v/abdominal pain, no diarrhea, no dysuria, no brbpr, no melena, no hematuria. pt with poor po intake. per pt no ha, confusion, visual changes. no changes in her meds. past medical history: - endometrial cancer, s/p tah - spinal stenosis - hypertension - emphysema - deviated septum - hemorrhoids (recent colonoscopy )- - s/p left shoulder replacement - s/p right hip replacement - right rotator cuff tear - hyperlipidemia social history: lives alone at , senior center. she has a lifeline. her daughter is close by and very involved. she moved from new jersey one year ago. she quit tobacco in (smoked for 50 years). very rare etoh. family history: nc physical exam: vs: 96.0 bp 120/66 hr 83 rr 17 97% 2l nc; pulsus=5 gen: nad heent: dry mm, perrl resp: distant breath sounds with minimal exp wheeze, no crackles cv: reg nml s1, s2, no m/r/g abd: soft nd/nt +bs ext: no peripheral edema, warm, 2x3cm blister on foot-no drainage, no lesions, no warmth/erythema neuro: a&o x3, no focal deficits, following commands appropriately, strength 3/5 le, ue b/l, normal sensation, dop dp pulses b/l pertinent results: 12:15pm blood wbc-8.2 rbc-5.12 hgb-16.4*# hct-46.7 mcv-91 mch-32.0 mchc-35.1* rdw-12.3 plt ct-225 03:55am blood wbc-4.9 rbc-4.37 hgb-13.4 hct-40.5 mcv-93 mch-30.7 mchc-33.2 rdw-12.4 plt ct-184 06:30am blood wbc-9.3 rbc-4.55 hgb-14.0 hct-41.8 mcv-92 mch-30.8 mchc-33.6 rdw-12.4 plt ct-286 06:54am blood wbc-10.9 rbc-4.83 hgb-14.7 hct-44.5 mcv-92 mch-30.4 mchc-33.0 rdw-12.9 plt ct-329 12:15pm blood pt-13.2 ptt-26.7 inr(pt)-1.1 06:54am blood pt-12.5 ptt-57.3* inr(pt)-1.1 12:15pm blood glucose-132* urean-18 creat-0.8 na-137 k-3.6 cl-95* hco3-29 angap-17 03:55am blood glucose-155* urean-18 creat-0.7 na-142 k-3.1* cl-108 hco3-27 angap-10 06:33am blood glucose-97 urean-21* creat-0.7 na-139 k-4.5 cl-106 hco3-25 angap-13 06:54am blood glucose-80 urean-26* creat-0.7 na-140 k-4.0 cl-97 hco3-32 angap-15 12:15pm blood ck(cpk)-303* 06:30am blood alt-19 ast-23 ld(ldh)-239 alkphos-42 totbili-0.3 12:15pm blood ck-mb-3 ctropnt-<0.01 12:15pm blood ctropnt-<0.01 08:37pm blood ck-mb-4 ctropnt-<0.01 12:15pm blood calcium-9.0 phos-3.4 mg-1.7 03:55am blood calcium-7.5* phos-3.4 mg-1.6 03:55am blood tsh-0.27 12:15pm blood cortsol-28.5* 12:15pm blood crp-40.0* 12:19pm blood lactate-1.9 k-3.5 cta 1. no evidence of aortic dissection, pulmonary embolism, or etiology for acute shortness of breath identified. no interval change in multiple metastatic nodules within the chest. 2. marked atherosclerotic disease involving the aorta and coronary circulation. 3. unchanged appearance of sclerotic foci within the thoracic vertebral bodies which are worrisome for metastatic disease. 4. reidentification of a left adrenal nodule with hounsfield units suggesting that it is a benign adenoma. if alteration clinical management will occur this can be further evaluated with dedicated ct adrenal protocol or mri. echocardiogram the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). transmitral doppler and tissue velocity imaging are consistent with grade i (mild) lv diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. brief hospital course: influenza / sepsis ms. was initally admitted to the intensive care unit from the emergency department with sepsis, fever, hypotension. the patient did have cta which showed no e/o pe and also had serial cardiac enzymes which showed no new mi. she was found to be influenza a positive, and treated with oseltamivir for five day course. she was called out to the floor after brief stay. she did not require mechanical ventilation or vasopressor support. copd the patient was treated for copd exacerbation in the setting of influenza. she received po pulse of prednisone for five days. she received azithromycin for five days. she required frequent nebulizer treatments that became less frequent over time. she was still on 1l nc for sats in the low 90s. she should be titrated to range of 89-94%, as higher o2 sats can worsen copd. hypertension the patient was hypertensive in setting of steroids requiring prn hydralazine, worse at night. this improved after steroids. she is being discharged on her most recent outpatient medications. lung nodules the patient has suspicious lung nodules on ct and history of endometrial cancer. she had recent bronchoscopy last admission, which was negative for malignancy. however, this was not a very sensitive test. our team felt that if the patient desired, she should be seen in thoracic oncology clinic. thoracic cancer center ( her prior oncologist was at per patient. medications on admission: 1. acetaminophen 500 mg q6hr prn 2. tiotropium bromide 18 mcg daily 3. aspirin 81 mg daily 4. sucralfate 1 gram tablet qid 5. ezetimibe/simvastatin 10/20mg daily 6. zinc oxide-cod liver oil 40% prn 7. cyanocobalamin 100mcg daily 8. hexavitamin 1 daily 9. metoprolol succinate 25 mg daily 10. benazepril 20 mg 11. levofloxacin 250mg daily for 5 days. 12. albuterol q4hr prn 13. fluticasone-salmeterol 100-50 mcg/dose discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): while in home to be given if not ambulatory . 2. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever, pain. 7. vytorin 10-20 mg tablet sig: one (1) tablet po once a day. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: mls po q6h (every 6 hours) as needed for cough. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 11. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 12. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed. 13. advair diskus 100-50 mcg/dose disk with device sig: one (1) inhalation twice a day. 14. benazepril 20 mg tablet sig: one (1) tablet po once a day. 15. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 16. zinc oxide-cod liver oil 40 % ointment sig: one (1) topical once a day as needed. discharge disposition: extended care facility: - discharge diagnosis: primary copd influenza secondary h/o endometrial cancer hypertension discharge condition: improved but still on 1l nc discharge instructions: you were admitted with shortness of breath and found to have influenza. this exacerbated your emphysema/copd. you were briefly in the intensive care unit. you were treated with tamiflu for five days. your blood pressure was elevated during your stay. you are being discharged on your home blood pressure medications. please discuss your blood pressure with your primary care physician. if you develop fevers, chills, worsening shortness of breath or other concerning symptoms, please call your doctor and return to the hospital. followup instructions: please follow-up with your primary care physician , . please follow-up with the thoracic oncolocy. md, procedure: venous catheterization, not elsewhere classified diagnoses: congestive heart failure, unspecified unspecified essential hypertension obstructive chronic bronchitis with (acute) exacerbation personal history of malignant neoplasm of other parts of uterus other and unspecified hyperlipidemia other diseases of lung, not elsewhere classified hypoxemia hypovolemia chronic diastolic heart failure influenza with other respiratory manifestations shoulder joint replacement 

Answer: The patient is high likely exposed to