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: penicillins / cephalosporins / iodine; iodine containing / shellfish attending: chief complaint: right mainstem obstructive mass major surgical or invasive procedure: flex bronch: rms bronchus obstruction secondary to intrinsic compression - rigid bronchoscopy, tissue biopsy, airway dilitation, stent placement history of present illness: 64 yo f x-ferred from the for initiation of chemotherapy for small cell lung ca. pt initially presented to the osh with right-sided cp, right shoulder pain, cough w/ occ. hemoptysis, wt loss and found on cxr at osh revealed rml and rll opacification and r tracheal deviation. ct chest reportedly revealed large mass in right chest encasing rmsb and causing collapse of the rml and rll, abutting r pa and descending pa and posterolateral aspect of ivc. it also reportedly showed possible left adrenal gland involvement. bronchoscopy was not attempted b/c she developed af w/ rvr. at osh, pt had mri of brain reportedly showing possible limbic encephalitis with abnormal signals in b/l temporal lobes. . pt transferred to on for further mgmt. underwent flex bronch which showed l vocal cord edema, extrinsic rms bronchus obstuction occluding 100% of lumen on . on , underwent rigid bronch w/ tbna, balloon dilatation, 2 stents placed in rmsb c/b ptx which has persisted despite multiple chest tubes placed. currently, pt denies sob at rest but reports doe w/ flight of stairs. also c/o dry cough and reports several episodes of small amounts of hemoptysis, but some occured in setting of epistaxis. she denies f/c/s, n/v/d/c, rash, ha, diplopia, focal neurologic deficits. . past medical history: left breast lumpectomy (benign lesion) rhinoplasty social history: divorced. 42 py tob hx, 1 ppd until admission does clerical and payroll work lives alone in complex. . family history: m: alive, 84, has cancer, she does not know what type f: died at 79. cancer, she does not know what type physical exam: bp 83/60, p 74, r 18, o2 sat 96% 2l t 97.4 gen: thin female in nad. aox3, but reduced short-term memory heent: sclerae anicteric. mmm. op clear. neck: no lad. cv: rrr. no m/g/r lungs: decreased bs over right lung fields. no w/r/r abd: soft, nt, nd. +bs. no hsm ext: no c/c/e. 2+ dp pulses. neuro: strength 5/5 b/l on ue and le. intact x4. back: no spine tenderness. no cvat pertinent results: 09:35pm pt-13.2* ptt-22.8 inr(pt)-1.1 09:35pm plt count-401 09:35pm wbc-12.8* rbc-3.90* hgb-12.0 hct-34.2* mcv-88 mch-30.7 mchc-35.0 rdw-12.9 09:35pm albumin-3.6 calcium-9.4 phosphate-4.1 magnesium-2.3 09:35pm lipase-289* 09:35pm alt(sgpt)-23 ast(sgot)-16 ld(ldh)-150 alk phos-65 09:35pm glucose-101 urea n-23* creat-0.6 sodium-139 potassium-4.0 chloride-103 total co2-26 anion gap-14 09:36pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-mod 09:53pm freeca-1.26 09:53pm o2 sat-95 09:53pm type-art po2-70* pco2-38 ph-7.45 total co2-27 base xs-2 radiology final report . chest (portable ap) 5:31 pm small right pneumothorax following stent placement in right main bronchus. right upper lobe mass with partial collapse right upper lobe and separate nodular density in right midzone. . pathology path: positive for malignant cells consistent with poorly-differentiated carcinoma with features of a small cell carcinoma. immunostains performed on cytospin slides show that tumor cells are positive for cytokeratin cocktail (ae1/ae3/cam 5.2), but are negative for lca, synaptophysin, and chromogranin. the findings are compatible with a diagnosis of small cell carcinoma. . bone scan : impression: no evidence of bony metastatic disease. increased tracer uptake lateral to the left kidney is of uncertain significance. . ct torso : 1. post pneumonectomy changes with associated right hydropneumothorax and left to right mediastinal shift. 2. large abdominal nodal masses concerning for metastatic disease. 3. small left adrenal lesion does not meet ct criteria for benign lesion. . mri of head : . 1. increased t2 and flair signal within the left medial temporal lobe in the region of the hippocampus, and possibly within the right uncus. in this patient with small cell lung cancer, a paraneoplastic limbic encephalitis should be considered. alternatively, herpes encephalitis is also a consideration and a neurology consult is recommended. 2. four-mm enhancing lesion in the periphery of the left cerebellar hemisphere without associated edema, possibly representing a metastasis. . brief hospital course: 64 yo female w/ newly dx'd sclc s/p stenting of rmsb to preserve airway patency, c/b pneumothorax. admitted to oncology for chemotherapy. . 1. metastatic sclc - large r sided lung mass encassing rmsb. possible adrenal gland , lesions possibly resembling , multiple adbominal nodular lesions. bone scan negative for . clinically stable since stent placement x2. after transfer to oncology, one chemotherapy cycle with vp-16 was completed and well tolerated. percocet prn and dilaudid prn for pain control of intermittent epigastric pain. dolasetron was given for nausea as needed. patient was pain free and in good condition upon discharge. . 2. confusion: on admission, patient was mildly confused, but alert and fully oriented upon admission to oncology. patient was suspected to have paraneoplastic encephalitis vs hsv encephalitis according to an mri of the brain that also showed brain lesions likely to be . pt has a baseline short-term memory loss since yr according to daughter (pt occasionally forgets events after 1/2h). pt was started on acv b/o possible hsv encephalitis according to neurology consult, but d/c'ed again since lp from contained only 1 rbc and csf hsv pcr result was negative. however, anti- ab and anti-ma2 ab were also negative. the confusion improved considerably towards the end of her hospital stay. the patient was fully oriented on discharge although her baseline forgetfulness remained unchanged. . 3. f/e/n: iv fluid hydration as needed. electrolytes were repleted prn. . 4. ppx: h2 blocker. sq heparin. 5. code status: full. . medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed: do not take more than 4g total per day (including percocet which contains acetaminophen). disp:*30 tablet(s)* refills:*1* 2. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob. disp:*1 sq* refills:*1* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 4. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed for cough. disp:*1 sq* refills:*1* 5. codeine-guaifenesin 10-100 mg/5 ml liquid sig: one (1) po every six (6) hours. disp:*30 qs* refills:*2* discharge disposition: home with service facility: vna. discharge diagnosis: primary diagnosis: 1. metastatic lung cancer 2. encephalitis discharge condition: afebrile. hemodynamically stable. tolerating po. ambulating. discharge instructions: please call your primary doctor or return to the ed with fever, chills, chest pain, shortness of breath, bloody sputum, belly pain or any other concerning symptoms. . please take all your medications as directed. . please keep you follow up appointments as below. . please call interventional pulmonary dept/office for any post procedure issues. . , md, anan , md followup instructions: please follow up with the following physicians: provider: , md phone: date/time: 9:00 provider: , /oncology-cc9 date/time: 9:00 procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified spinal tap incision of lung fiber-optic bronchoscopy other intubation of respiratory tract closed [endoscopic] biopsy of bronchus injection or infusion of cancer chemotherapeutic substance bronchial dilation diagnoses: pneumonia, organism unspecified iatrogenic pneumothorax other malignant neoplasm without specification of site malignant neoplasm of middle lobe, bronchus or lung unspecified causes of encephalitis, myelitis, and encephalomyelitis edema of larynx 

Answer: The patient is high likely exposed to