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: transfer from for large mediastinal mass major surgical or invasive procedure: none history of present illness: patient is an 83f with hx of dm, several abdominal surgeries tx from with new mediastinal mass. pt presented earlier today at with 2 weeks wheezing, unresponsive to neb treatments at home. she went to - and cxr revealed large mass in her r lung as well as a possible post-obstructive pna. cta at with large r mediastinal mass, invading into r lung, wraps around r pa, and compresses r mainstem bronchus down to diameter of 3 cm at points. no pe. she was then transferred to for onc w/u and possible ip stenting. she received 1x levaquin for post obstructive pna. . during transfer at 6pm, she became tachycardic to 140's, but in sinus rhythm. in ed, 97.5 102/56 146 93% 4lnc. notably, hr decreased to 100s after foley placed w/copious uop. bp initially 90's w/one in 70's. pt given 2.5 liters ivf and bp stablized in 110s. baseline bp 120's. . although her vitals signs were stable in the ed, she was admitted to the icu for close monitoring given the potential risk for airway compromise as well as erosion of mass into her pulmonary artery. . upon arrival to micu, patient reports feeling better, but tired. she reporst a 12 poound weight loss since as well as increasing fatigue. her sob has gradually increased over the past 2 weeks with worsening wheezing and doe to less than a block. also, over past few days, she has developed numerous enlarged lymph nodes as well as a large mass under right axilla. she denies any night sweats, fever, chest pain, n/v, le edema, abd pain, diarhea/constipation. she denies any hx of childhood irradiation past medical history: type 2 dm htn hx of dvt s/p appy/chole osteoporosis glaucoma social history: pt lives alone. daughter lives in and is visiting family history: father: good health; mother died heart disease sister: breast cancer dx age 68 no other family hx of malignancy physical exam: vitals: 98.6 118/52 106 95%4l nc gen: nad, pleasant, breathing comfortably heent: mm dry, perrl, eom intact neck: no thyromegaly, lymph nodes: +r 2 cm firm, tender ln; numerous pulm: coarse bs more on right than left, occ wheezes chest: 3 inch large mass on right midaxillary line, slightly tender heart: tachycardic, sysolic ejection murmur, no rubs abd: soft, nt,nd ext: no edema neuro: strength 5/5 in ue and le, face symmetric pertinent results: cxr: findings: there is a dense right hilar mass with narrowing of the right main stem bronchus and inferior trachea. there is minimal mediastinal shift to the right. the left lung is clear. there is no pleural effusion. impression: right hilar mass with associated compression of the right mainstem bronchus and inferior trachea, better visualized on the concurrent cta chest examination (-). no significant interval change. . ct chest: there is a large mass centrally in the mediastinum mainly located cranially of the left atrium in the midline and expanding towards the right side where it completely encircles the right main bronchus which is for a stretch narrowed only 3 cm in diameter. it also encircles the proximal portion of the right middle lobe branch and the right lower lobe branch. the maximum diameter of the mass is about 8 cm. it encircles the right main pulmonary artery which is slightly narrowed. in addition there are two separate large rounded masses in the right upper lobe with a diameter each of about 3 cm. there is also a smaller mass with a diameter of 2 cm implanted on the dome of the right hemidiaphragm. there are no suspicious lesions in the left lung. there is also a large hiatal hernia present. impression: an 8 cm large encircling the right main bronchus and its major branches as well as the right main pulmonary artery. the right main bronchus has only a 3 mm diameter for several cms. in addition there are several satellite lesions mainly in the right upper lobe but also in the right lower lobe with pleural attachments. there are no pleural effusions. in the lower axillary portion of the right breast there is a 3 cm large mass. . lymph node, biopsy: small cell carcinoma; tumor cells are positive for cytokeratin cocktail, ck7, ttf-1, synaptophysin, and chromogranin; tumor cells are negative for ck20. immunophenotyping: non-specific t cell dominant lymphoid profile; diagnostic immunophenotypic features of involvement by leukemia or lymphoma are not seen in specimen. however, majority of the analyzed events were in the cd45-negative, variable side-scatter region area are of uncertain lineage. brief hospital course: assessment and plan: . # mediastinal mass: mass encircles the right main bronchus as well as the pulm artery indicating that it is a middle mediastinal mass. biopsy of supraclavicular node revealed small cell carcinoma. patient underwent treatment with carboplatin. as small cell carcinoma highly chemosensitive, will complete treatment with chemotherapy and evaluate response. plan is to avoid stenting of bronchus if possible. patient tolerated chemotherapy without complication. on day of discharge patient reported difficulty hearing. it was unclear if this was new onset hearing loss or age-related. on exam excessive cerumen in b/l ear canals. thought unlikely to be related to chemotherapy. attending was informed in order to follow up. . # ? pna: pt reported noted to have a possible post-ostructive pna at osh and started on levaquin. cxr here without evidence of pna. pt remained afebrile. therefore further antibiotics were held and patient remained stable. cultures remained negative. . # anemia: hct 29 today, and only other lab data from with hct 40's. mcv low as well. iron was low on iron studies. ferritin low normal. started on iron supplements. . # dm: type 2 on oral hypoglycemics. home meds continued. covered with insulin sliding scale. , # htn: had transient hypotensive episode in ed, but now bp in low 110's. as blood pressure was then stable, patient was restarted on her antihypertensives with holding parameters. . # code: dnr but ok to intubate discussed with pt and daughter . # communication: hcp: medications on admission: actos 15 mg daily glyburide 5 mg metformin 1000 mg lipitor 20 mg daily lisinopril/hctz 10/12.5 daily fosamax 70 mg weekly xalatan 0.005% eye drops each eye daily timolol 0.5% daily each eye discharge medications: 1. home o2 please provide patient with home oxygen therapy. please evaluate for conserving device. flow rate 2l-6l by nasal cannula as needed. o2 sat on room air is 87%. 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 5. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 9. actos 15 mg tablet sig: one (1) tablet po once a day. 10. glyburide 5 mg tablet sig: one (1) tablet po twice a day. 11. lipitor 20 mg tablet sig: one (1) tablet po once a day. 12. fosamax 70 mg tablet sig: one (1) tablet po once a week. 13. lisinopril-hydrochlorothiazide 10-12.5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: healthcare discharge diagnosis: primary: small cell lung cancer secondary: anemia, diabetes mellitus, hypertension discharge condition: good, with improvement in shortness of breath, requiring 02 with baseline 02sat of 87% discharge instructions: you were admitted to the hospital for shortness of breath. this was secondary to your lung cancer. you were started on chemotherapy. . you should follow up with dr. and dr on at 11:30am. . please return to the emergency room for any worrisome symptoms such as shortness of breath, chest pain, palpitations. . followup instructions: please follow up dr. at the in weeks. call ( . you should follow up with dr. and dr on at 11:30am. procedure: biopsy of lymphatic structure injection or infusion of cancer chemotherapeutic substance diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled secondary malignant neoplasm of other specified sites osteoporosis, unspecified retention of urine, unspecified iron deficiency anemia, unspecified malignant neoplasm of other parts of bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes secondary malignant neoplasm of mediastinum secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck 

Answer: The patient is high likely exposed to