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: hmg-coa reductase inhibitors / sulfa (sulfonamides) / cefaclor / robitussin / macrodantin / dobutamine / ivp dye, iodine containing / penicillins / pred forte / zetia attending: chief complaint: shortness of breath major surgical or invasive procedure: pt intubated and ventilated x 2 days history of present illness: pt is a 81 yo woman who was recently dx'ed with non-small cell lung cancer and also was medicall managed for a recent nstemi. she was noted by vna to be dyspneic. referred to ed for evaluation. past medical history: nonsmall cell lung cancer undergoing therapy cad s/p recent nstemi multiple drug allergies aortic aneurysm s/p repair with graft social history: lives in with aunt in her 90's; daughter recently moved in as well: past smoker social etoh family history: nc physical exam: admission exam as per dr. : 100 126/74 78 98% pt intubated perrl, eomi elevated jvp coarse breath sounds throughout rrr nabs no ext edema no focal deficits on neuro exam pertinent results: 09:17pm type-art rates-/24 tidal vol-430 peep-5 o2-50 po2-84* pco2-51* ph-7.40 total co2-33* base xs-4 intubated-intubated vent-controlled 07:49pm type-art po2-42* pco2-68* ph-7.26* total co2-32* base xs-0 intubated-not intuba comments-non-rebrea 07:49pm lactate-2.3* 07:49pm hgb-11.4* calchct-34 07:00pm urine hours-random 07:00pm urine uhold-hold 07:00pm urine type-clean color-straw appear-clear sp -1.005 07:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 06:30pm glucose-102 urea n-11 creat-0.6 sodium-132* potassium-4.4 chloride-93* total co2-28 anion gap-15 06:30pm estgfr-using this 06:30pm ck(cpk)-47 06:30pm ck-mb-notdone ctropnt-0.01 probnp-3601* 06:30pm calcium-9.7 phosphate-3.2 magnesium-2.3 06:30pm wbc-8.8 rbc-3.34* hgb-10.9* hct-32.4* mcv-97 mch-32.8* mchc-33.8 rdw-15.6* 06:30pm neuts-71* bands-0 lymphs-13* monos-11 eos-0 basos-0 atyps-4* metas-0 myelos-1* 06:30pm hypochrom-normal anisocyt-1+ poikilocy-normal macrocyt-normal microcyt-1+ polychrom-1+ 06:30pm plt smr-normal plt count-382 06:30pm pt-13.7* ptt-31.9 inr(pt)-1.2* 06:30pm d-dimer-3258* date 6 specimen tests ordered by all all blood culture sputum all emergency inpatient sputum gram stain-final; respiratory culture-final inpatient blood culture aerobic bottle-pending; anaerobic bottle-pending emergency blood culture aerobic bottle-pending; anaerobic bottle-pending emergency 06:35am blood wbc-9.0 rbc-3.34* hgb-10.8* hct-31.2* mcv-93 mch-32.4* mchc-34.7 rdw-15.6* plt ct-387 06:35am blood neuts-72.1* lymphs-15.9* monos-8.5 eos-2.7 baso-0.9 06:35am blood plt ct-387 06:35am blood glucose-111* urean-8 creat-0.6 na-135 k-3.2* cl-95* hco3-29 angap-14 06:35am blood alt-26 ast-24 ld(ldh)-201 alkphos-150* totbili-0.6 04:25am blood ck-mb-4 ctropnt-0.02* 07:20am blood calcium-9.4 phos-3.0 mg-2.1 03:15am blood caltibc-216* vitb12-482 folate-greater th ferritn-625* trf-166* 03:15am blood osmolal-273* 07:45am blood type-art po2-104 pco2-44 ph-7.47* caltco2-33* base xs-7 intubat-intubated vent-spontaneou 07:49pm blood lactate-2.3* 07:49pm blood hgb-11.4* calchct-34 07:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 07:00pm urine type-clean color-straw appear-clear sp -1.005 03:15am urine hours-random urean-479 creat-117 na-28 03:15am urine osmolal-443 echo conclusions: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). there is borderline right ventricular hypertrophy. the right ventricular cavity is dilated. right ventricular systolic function is normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the left ventricular inflow pattern suggests impaired relaxation. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. ap chest compared to and 15: the patient has been extubated. lungs are moderately hyperinflated, but aside from the left upper lobe mass, grossly clear. heart size normal. no pleural abnormality or evidence of large central lymph nodes. thoracic aorta is heavily calcified but normal caliber. heart is normal size. us findings: -scale and color doppler son of both lower extremities including the common femoral, superficial femoral, and popliteal veins was performed. normal flow, augmentation, compressibility, and waveforms were demonstrated. intraluminal thrombus was not identified. impression: no dvt. vq scan: impression: very low likelihood ratio for recent pulmonary embolism. head ct without contrast: there is no comparison. there is no acute intracranial hemorrhage. there is no mass effect. no shift of normally midline structure is noted. the ventricles are not dilated. the osseous and surrounding structures are unremarkable. chronic small vessel ischemia. impression: no acute intracranial hemorrhage. no mass effect. please note that the mri is more sensitive for the detection of small metastasis in this patient with lung cancer. ct chest/abdomen: impression: again note is made of two subcentimeter low-density nodule in the right thyroid gland unchanged since prior study. 1. limited study due to lack of intravenous contrast . 2. 1.7 cm spiculated left lung cancer in the upper lobe, with associated opacities in the left upper lobe and lower lobe, not significantly changed compared to the prior study. 3. smooth interlobular septal thickening in bilateral lungs, especially in apices and right lower lobe, with diffuse increase of interstitial opacity. the findings can be due to pulmonary edema, however, lymphangitic spread of the tumor cannot be excluded in this patient with lung cancer. 4. slightly increased peribronchial thickening in lower lobes. 5. unchanged low-density lesion in the left kidney, most likely representing cysts. brief hospital course: hypercarbic/hypoxic repiratory failure: she was initially rx'ed empirically with vanco/levo for possible pna, hep drip for possible pe, lasix for pulm edema and nebs for copd flare. lung scan low prob for pe and bilat lenis neg. ct with evid of pulm edema and bnp in thousands. she was extubated on day 2. she was transferred to the floor on o2, lasix. echo ordered showed normal lvsf and some pulmonary hypertension. further assessment for this echo to be deferred to the clinic provider. patient was continued on chf meds - asa, plavix, lasix, beta blocker, ace inhibitor. home oxygen to be continued. hyponatremia on admission - resolved quickly with free water restriction. this should be monitored as may develop into siadh like picture given h/o lung cancer. anemia: stable hct. normocytic anemia. further work up per pcp. stage 3b nsclc s/p 3 cycles of navelbine: has a scheduled clinic follow up in . htn: blood pressure well controlled. continued home meds. hyperlipidemia: not on statin due to allergy. cad s/p nstemi : remained chest pain free. continued on asa, plavix, beta blocker, ace inhibitor. gerd: stable. cont ppi . thyroid nodules noted on ct scan - unclear duration. sent note to pcp . and reviewed finding with son in law by phone. explained this finding will need outpt f/u by dr. . full code communication: with patient and daughter medications on admission: asa, plavix, metoprolol, lisinoopril, lasix, colace, senna, omeprazole, mvi, mag oxide. celexa, oxycontin, oxycodone lactulose discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. clopidogrel 75 mg tablet : one (1) tablet po daily (daily). 3. lisinopril 5 mg tablet : 0.5 tablet po daily (daily). 4. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet : one (1) tablet po hs (at bedtime). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. folic acid 1 mg tablet : one (1) tablet po daily (daily). 8. multivitamins tablet, chewable : one (1) cap po daily (daily). 9. citalopram 20 mg tablet : 0.5 tablet po daily (daily). 10. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 11. furosemide 20 mg tablet : 0.5 tablet po daily (daily). 12. levalbuterol hcl 0.63 mg/3 ml solution : one (1) ml inhalation q6 hours (). 13. budesonide 0.5 mg/2 ml solution for nebulization : one (1) ml inhalation (2 times a day). 14. metoprolol tartrate 50 mg tablet : 1.5 tablets po tid (3 times a day). discharge disposition: home with service facility: vna/ phone discharge diagnosis: 1) respiratory failure due to pulmonary edema/ congestive heart failure, diastolic 2) nsc lung cancer 3) thyroid nodules 4) abnormal liver function tests 5) h/o cad 6) hyponatremia - resolved. hypertension, hyperlipidemia discharge condition: stable discharge instructions: call your pcp, . with any questions or concerns about your health. return to the hospital or call your doctor if you notice worsening shortness of breath or any other symptoms. talk with your doctor about further testing for the thyroid nodules at your next visit. followup instructions: f/u with dr. within one week of discharge. call to make an appointment. provider: , md phone: date/time: 10:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified other and unspecified hyperlipidemia acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung acute diastolic heart failure subendocardial infarction, subsequent episode of care nontoxic uninodular goiter 

Answer: The patient is high likely exposed to