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: giant paraesophageal hernia. major surgical or invasive procedure: : laparoscopic reduction of giant paraesophageal hernia, toupet fundoplication with gastroplasty. history of present illness: ms. is a 77-year-old woman with dyspnea and diffuse interstitial changes as well as emphysema on ct scan. she also suffers from extremely symptomatic reflux and was noted to have a very large incarcerated hiatal hernia. on barium swallow she was noted to have frank reflux of barium with the mild valsalva maneuvers. her manometry was near normal though did show some slight decreased motility. she is being admitted for incarcerated hiatal hernia. past medical history: pulmonary hypertension hypertension depression lyme disease osteopenia social history: married lives with husband. history of tobacco or etoh family history: non-contributory physical exam: vs: t: 96.3 hr: 72 sr bp: 130/80 sats: 92 2l general: 78 year-old female no apparent distress heent: normocephalic neck: supple card: rrr resp: decreased breath sounds with crackles 1/3 up bilateral gi: obese, bowel sound positive extr: warm 3+ edema incsions: abdominal lap clean/dry/intact neuro: non-focal pertinent results: wbc-7.5 rbc-3.48* hgb-10.1* hct-30.5* plt ct-418 wbc-8.6 rbc-3.52* hgb-10.3* hct-30.2* plt ct-457* wbc-16.6*# rbc-3.78* hgb-11.2* hct-32.9* plt ct-531* glucose-147* urean-8 creat-0.6 na-140 k-3.7 cl-100 hco3-35* glucose-129* urean-11 creat-0.6 na-141 k-3.8 cl-97 hco3-34* glucose-107* urean-11 creat-0.5 na-141 k-4.5 cl-103 hco3-31 calcium-8.8 phos-2.8 mg-2.1 calcium-8.9 phos-2.1* mg-1.9 calcium-8.3* phos-2.5* mg-2.1 cxr: : interval worsening of fluid overload. persistent left lower lobe atelectasis. interval worsening of the findings with more pronounced left retrocardiac opacity and enlarging left-sided opacity probably represent a combination of atelectasis, pneumonia. 2. interval worsening of patchy interstitial opacities particularly on the right side and this may suggest failure. the patient's interstitial lung disease on ct is noted, however, that within the last appearances appear slightly worse when compared to prior radiograph. 08:25am blood calcium-8.8 phos-2.8 mg-2.1 03:35pm blood calcium-8.9 phos-2.1* mg-1.9 brief hospital course: mrs. was admitted on for laparoscopic reduction of giant paraesophageal hernia, toupet fundoplication with gastroplasty. while in the operating room she became hypotensive requiring pressors and stress steroids. cardiac enzymes were negative. she was extubated in the operating room monitored in the pacu. weaned of pressors with sbp in the 90-100's. the nasogastric tube was removed. she transferred to the floor in stable condition. her home medications were titrated as tolerated. on pod 1 a barium swallow was done with no leak. she was started on a clear liquid diet and advanced to full which she tolerated. overnight she become volume overloaded and was diuresed. on pod 2 she continued to diuresis. was seen by physical therapy who recommended rehab. her electrolytes were repleted as needed. she continue to make steady progress and was dishcarged to at . medications on admission: prednisone 5mg daily, hyzaar 50-12.5 mg daily, pantoprazole 40 mg daily, dertraline 25mg daily, asa 81 mg daily, zolpidem 5 mg qhs, alendronate 70mg daily, calcium daily, vit d daily discharge medications: 1. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. hyzaar 50-12.5 mg tablet sig: one (1) tablet po once a day. 4. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 5. oxycodone 5 mg/5 ml solution sig: five (5) po q4h (every 4 hours) as needed. disp:*400 * refills:*0* 6. colace 100 mg capsule sig: one (1) capsule po twice a day. 7. sertraline 25 mg tablet sig: one (1) tablet po daily (daily). 8. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days: daily weights. 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days: give w/lasix monitor lytes. 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. ipratropium bromide 0.02 % solution sig: three (3) inhalation q4h (every 4 hours) as needed for wheezes. 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q4h (every 4 hours) as needed. 13. docusate sodium 50 mg/5 ml liquid sig: five (5) po bid (2 times a day). 14. diphenhydramine hcl injection discharge disposition: extended care facility: of discharge diagnosis: giant paraesophageal hernia gerd hypertension osteopenia depression lyme disease pulmonary hypertension discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased difficulty or painful swallowing, nausea/vomiting -chest pain -full liquid diet until seen by dr. followup instructions: follow-up with dr. 11:00am in the building i chest disease center. provider: , md phone: date/time: 11:30am i chest disease center. follow-up with your pcp . procedure: laparoscopic procedures for creation of esophagogastric sphincteric competence laparoscopic repair of diaphragmatic hernia, abdominal approach diagnoses: other iatrogenic hypotension esophageal reflux other chronic pulmonary heart diseases postinflammatory pulmonary fibrosis other emphysema disorder of bone and cartilage, unspecified acute edema of lung, unspecified diaphragmatic hernia with obstruction 

Answer: The patient is high likely exposed to