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: ace inhibitors / nsaids attending: chief complaint: st-elevations on ekg, concern for stemi at osh major surgical or invasive procedure: cardiac catherization history of present illness: 77 y/o woman with a pmhx of metastatic lung cancer with mets to bone & h/o malignant pleural effusion, who is transferred from hospital for cardiac catheterization after she was found to have st-elevations in v2-6, i and avl. . the patient initially presented to lmh on with right hip pain. she was found to have an intertrochanteric fracture of the r hip, which was thought to be pathologic in nature. she underwent total hip replacement and orif on , and tolerated the procedure well. post-op, her wbc rose to 17. she was found to have pansensitive ecoli uti. her hct also dropped from low 30s to 26, for which she reportedly received prbcs (per dtr). she was getting ready for dc to rehab, when she was noted to be tachycardic. ekg showed new st elevations ~2mm in v2-6, i and avl. she had no chest pain and no new sob. she was sent for a cta, which was negative pe, though study was slightly limited by motion. (cta did, however, show large r pleural effusion, which is old and has been malignant on prior taps. also seen was masslike consolidation of rul & rml w/ adenopathy). ck was 96, mb 13, trop 0.45, inr 1.1, hct 31. discussion w/ cardiology at osh was had & decision made to transfer pt for cardiac cath b/c of concern for stemi. pt & family agreed to this intervention. . in the cardiac cath lab at , there were no significant coronary lesions on angio. notably, her lv-gram showed severe anterolateral, apical, and inferoapical hypokinesis w/ lvef 20%. she had markedly depressed cardiac index (1.8), elevated wedge (34), and moderate pulm htn. she was given presumptive dx of takotsubo cmp. during the cath, the patient became confused and agitated. she was transferred to the ccu for closer monitoring. past medical history: outpatient medications: colchicine 0.6mg daily iron 300mg tid folic acid 1mg daily atenolol 50mg daily nisedapine 30mg daily asa 81mg daily compazine prn . transfer medications: lopressor 2.5mg iv at 2pm cipro 200mg iv bid colchicine 0.6mg daily colace 100mg lovenox 40mg daily-last dose 6pm iron 300mg tid folic acid 1mg daily lopressor 25mg tid-last po dose was at 8am, multivitamin prilosec oxycontin 20mg senna resteril qhs asa 325mg 12noon plavix 300mg social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. the patient lives in a two family home, where she occupies one unit and her daughter's family the other. she is independent with her adls at baseline. walks her dog a few times a day. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: physical examination: vs - 96.8, 88, 136/72, 21, 100% on ra; 1l of uop p 20mg iv lasix given in cath lab gen: slightly anxious elderly woman. oriented to self & family members in room; though thinks she's in . heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: jvp just below angle of jaw. cv: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. mild bibasilar crackles. abd: soft, ntnd. no hsm or tenderness. ext: no c/c/e. no femoral bruits. skin: no ulcers. . pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: osh cxr: large right pleural effusion and atelectasis, mass right upper lobe . ct scan of chest : large right side pleural effusion, mass like consolidation in right upper lobe and portion of right mid lobe. . ekg demonstrated sinus tach, ~2mm ste in v2-6, i and avl w/ biphasic tw i & avl. twi v4-6. . cardiac cath performed on demonstrated: 50% lmca lesion radiology final report ct head w/o contrast 8:56 am ct head w/o contrast reason: please eval for sdh or e/o mets. medical condition: 77 year old woman with known stage iv lung ca s/p cardiac cath. mental status changes. reason for this examination: please eval for sdh or e/o mets. contraindications for iv contrast: contrast w/ cath already today history: 77-year-old female with known stage iv lung cancer status post cardiac catheterization, now with altered mental status. comparison: no prior exam is available for comparison. technique: contiguous axial imaging was performed through the brain without administration of iv contrast. ct head: hypodensity involving right posterior frontal subcortical white matter along the superior convexity is noted; while this may represent old ischemic change, no prior imaging is available to establish stability and this may represent edema surrounding a metastatic lesion in this patient with known stage iv lung cancer. note is made of mild atrophic appearance, which would be more consistent with old infarct. there may also be a smaller region of hypodensity along the posterior left frontal region as well, along the superior convexity. otherwise, there is no evidence of acute intracranial hemorrhage, shift of normally midline structures, effacement of the basal cisterns, or infarction. punctate, likely extra-axial densities may represent sequelae from prior myelography versus vascular calcifications. mild prominence of the ventricles and extra- axial csf spaces is consistent with age-related involutional change. vascular calcifications are noted along the cavernous carotid arteries. patient is noted to have right lens replacement. the soft tissues appear unremarkable. no region of bony destruction is seen in the visualized calvarium. the visualized paranasal sinuses and mastoid air cells remain well aerated. impression: region of hypodensity along the posterior right frontal lobe along the superior convexity may represent old infarct, however edema due to underlying mass may also have this appearance. if no prior study is available to establish stability, mr would be recommended for further evaluation. note is also made of a smaller region of hypodensity along the left superior convexity. no evidence of acute intracranial hemorrhage. brief hospital course: . #. cardiomyopathy: 77yo woman with progressive stage iv nsclc, h/o cva, htn, hyperlipidemia, and recent r hip fx s/p replacement & orif who was noted to be in sinus tach at osh, ekg showed ste, and cardiac cath was done on arrival which was notable for absence of significant cad and presence of hypokinesis of anterolat/apex/inferoapex with severely depressed cardiac index, concerning for takotsubo cmp. her ef was found to be ~20%. there is a broad hypokinesis of broad territory w/o corresponding cad with question of takostubo cmp. possible triggers may have been recent hip fx vs. stress of being in hospital. however unclear if true stress reaction vs possibly thromboembolic event to coronaries. pt was started on metoprolol, hydralazine and isordil. she was also placed on simvastatin 10mg daily and aspirin 325mg. acei were not given secondary to a history of medication intolerance. her medications were titrated as her bp and hr tolerated for optimzal management of her cardiomyopathy. an echo was not done during her hospitilization as her ef was assessed at cath and her general goals of care were addressed given her late stage lung cancer. in addition anti-coagulation therapy with warfarin was not started given her known metastatic disease. a cardiology appointment will be scheduled for her at . if she does not hear from the cardiology dept by wed please be sure to call and have one scheduled. . #. cad: pt does have 50% lmca lesion on cath. she was placed on aspirin 325, simvastatin 10mg daily and metoprolol 50 . . # confusion: pt was initially agitated and confused during her cardiac catheterization. once in the icu and her lines removed she was re-oriented. a ct head was done which showed no hemorrage or acute event, but did show ? edema and possible mets given her lung ca. given her known lung ca, her primary oncologist was conteacted and who felt that the finding was likley not new. the pt will f/u with her oncologist for further assessment and f/u of this finding. no further intervention was felt acutely necessary. in addition goals of care were addressed and the patient and family wished to focus on getting pt to rehabilitation. . # right hip fracture: pathologic in nature. pt was treated in her post-op period for pain control with oxycodone and tylenol. in addition, she was continued on lovenox. upon discussion with orthopedics she will need to complete a 30 day course of lovnenox sc for prophylaxis, which will be finished . she should follow up with orthopedics on discharge. . # pleural effusion: pt initially had some respiratory distress. a cxr showed loculated effusion. given her known lung ca her primary oncologist was contact. this effusion was not felt to be new. in addition her goals of care were addressed wehich were to avoid invasive procedures at this time including a pleurx catheter. she was given symptom control with nebulizer treatments. she will follow up with her oncologist on discharge. . #. code: dnr/dni confirmed w/ hcp (son) - . medications on admission: outpatient medications: colchicine 0.6mg daily iron 300mg tid folic acid 1mg daily atenolol 50mg daily nisedapine 30mg daily asa 81mg daily compazine prn . transfer medications: lopressor 2.5mg iv at 2pm cipro 200mg iv bid colchicine 0.6mg daily colace 100mg lovenox 40mg daily-last dose 6pm iron 300mg tid folic acid 1mg daily lopressor 25mg tid-last po dose was at 8am, multivitamin prilosec oxycontin 20mg senna resteril qhs asa 325mg 12noon plavix 300mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 4. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 5. isosorbide dinitrate 10 mg tablet sig: one (1) tablet po q 8h (every 8 hours). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q2h (every 2 hours) as needed. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 8. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 9. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 10. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 13. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 14. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for pain. 15. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. discharge disposition: extended care facility: - discharge diagnosis: primary takostubo cardiomyopathy . secondary stage iv lung cancer discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet you were admitted to the hospital and found to have an abnormality of your heart. your heart function was felt to be depressed. the underlying cause was unclear but it is thought that this may be related to the high stress you were under after your recent surgical procedure. you underwent a cardiac cathteterization procedure for this. you were started on many new medications. your new list of medications includes: aspirin 325mg one tablet daily albuterol nebulizer treatments to help with breathing colchicine 0.6mg (you were on this at home) docusate and senna (for constipation as needed) lovenox sc injections each day to complete a 30 day course; this is to help prevent clots from forming after the surgical procedure ferrous sulfate folic acid 1mg each day hydralazine 10mg four times per day ipratropium nebulizer breathing treatments as needed isosorbide dinitrate 10mg three times per day metoprolol 50mg twice daily oxycodone as needed for pain simvastatin 10mg daily for cholesterol trazadone as needed for sleep . if you have any chest pain, shortness of breath, palpitations or other concerning symptoms please call your doctor or come to the emergency room. followup instructions: you have a follow up appointment with your primary care doctor on thursday at 11:30am you will need to be seen by a cardiologist. the cardiology office at will call you at rehab with an a appointment. if you do not hear from them, please call . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension other chronic pulmonary heart diseases secondary malignant neoplasm of pleura other and unspecified hyperlipidemia malignant neoplasm of bronchus and lung, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits secondary malignant neoplasm of bone and bone marrow takotsubo syndrome pathologic fracture of neck of femur 

Answer: The patient is high likely exposed to