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: amoxicillin / naproxen attending: chief complaint: right pleural effusion major surgical or invasive procedure: right vats total pulmonary decortication, parietal pleurectomy, flexible bronchoscopy. history of present illness: patient is a very pleasant 71f with h/o mds (stable) who presents with a recurrent right pleural effusion. patient initially presented with nausea and without pulmonary complaints. cxr at that time revealed large right pleural effusion. thoracentesis performed with 1200cc sanguinous fluid moved. gram stain was negative. cell analysis showed lymphocytes concerning for a malignant effusion. cytology was ultimately negative by flow cytometry. patient was referred to our clinic for vats pleural bx, ?pleurodesis. patient notes doe over the past 2.5 weeks after 1 flight of stairs. she also has a dry cough. otherwise she is in her usual state of health. she denies hemoptysis, chest pain, abdominal pain. past medical history: mds, followed by dr. , last bmb was in with stable disease osteoporosis hyponatremia abdominal pain, w/u as above, currently initiated pt appointments social history: lives at home with husband. denies alcohol or tobacco use. family history: n/c pertinent results: wbc-7.9 rbc-2.86* hgb-8.3* hct-25.3* plt ct-492* wbc-9.2 rbc-2.81* hgb-8.2* hct-24.7* plt ct-384 wbc-16.6* rbc-3.18* hgb-10.1* hct-27.4* plt ct-397 wbc-20.9*# rbc-3.15* hgb-9.0* hct-28.1* plt ct-393 glucose-102 urean-12 creat-0.5 na-126* k-4.8 cl-93* hco3-25 glucose-110* urean-13 creat-0.5 na-129* k-5.1 cl-96 hco3-29 glucose-112* urean-21* creat-0.6 na-131* k-4.3 cl-100 hco3-17 calcium-8.4 phos-3.6 mg-2.2 tissu right superiror posterior pleural biospy. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): no growth. anaerobic culture (final ): no growth. acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): fungal culture (preliminary): no fungus isolated. potassium hydroxide preparation (final ): no fungal elements seen. tissue posterior pleural biopsy right. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): no growth. anaerobic culture (final ): no growth. acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): fungal culture (final ): no fungus isolated. potassium hydroxide preparation (final ): no fungal elements seen. / pleural fluid right. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (final ): no growth. acid fast culture (preliminary): acid fast smear (final ): no acid fast bacilli seen on direct smear. fungal culture (preliminary): no fungus isolated. potassium hydroxide preparation (final ): no fungal elements seen. cxr: since yesterday, right basilar chest tube was removed. one right chest tube is still in place, ending at the apex. loculated right hydropneumothorax is unchanged. aeration at the right base slightly improved. tiny left pleural effusion is unchanged. left linear atelectasis improved. the left lung is otherwise clear. the cardiomediastinal silhouette and hilar contours are unchanged. persistent loculated right hydropneumothoraces with two chest tubes in place. findings: one of three right-sided chest tubes has been removed. slight increase in number of multifocal loculated hydropneumothoraces in the right hemithorax, but overall similar amount of loculated pleural fluid and adjacent parenchymal opacification in the right lung except for slight improved aeration in the right upper lobe. linear atelectasis is present at the left lung base as well as a questionable small left pleural effusion. brief hospital course: mrs. was admitted on for right vats total pulmonary decortication, parietal pleurectomy, flexible bronchoscopy. she transferred to the unit intubated and extubated the next day. she was transfused 2 units prbc. three chest tubes remained to suction with a persistent airleak. she was followed by serial chest films which confirmed loculated right hydropneumothorax. pulmonary toilet continued nebs, oxygen supplements and gentle diuresis. once her respiratory status was stable she transferred to the floor. the chest tubes continued on suction then placed to water-seal. a persistent airleak remained. two of the chest-tube were removed with a the 3rd placed to pneumostat. her pain was well controlled. she tolerated a regular diet. her labs were monitored and repleted. she was seen by physical therapy. continued to do well and was discharged to home with vna. she will follow-up with dr. as an outpatient. medications on admission: risedronate - 35 mg tablet - one tablet(s) by mouth weekly as directed medications - otc calcium carbonate-vit d3-min - (otc) - 600 mg (1,500 mg)-400 unit tablet, chewable - 1 tablet(s) by mouth twice a day multivitamin - tablet - 1 tablet(s) by mouth once a day discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 2. actonel 35 mg tablet sig: one (1) tablet po once weekly (). 3. multiple vitamin tablet sig: one (1) tablet po once a day. 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po daily (daily). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. outpatient lab work chem 7 (sodium, potassium, chloride, bicarbonate, bun, creatine, glucose) please fax results to dr. at discharge disposition: home with service facility: homecare discharge diagnosis: right fibrothorax osteoporosis hyponatremia abdominal pain, w/u as above, currently initiated pt appointments h/o colon polyps, nl colonoscopy in hyperlipidemia squamous cell in situ removed from shoulder adnexal cysts chronic abdominal pain (likely msk) discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -incision develops drainage -chest pain -chest-tube bandage remove saturday pm and cover with a bandaid -pneumostat: change dressing daily. empty daily should chest tube fall out cover site immediately with a dressing and call the office or come to the emergency room for a chest x-ray. followup instructions: please call the office of dr. ( and dr. (, to set up a follow up appointment with dr. for thursday, . this will be on the clinical center . report to the radiology department for a chest x-ray 45 minutes before your appointment. follow-up with dr. your pcp procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours fiber-optic bronchoscopy thoracoscopic pleural biopsy thoracoscopic decortication of lung diagnoses: other iatrogenic hypotension hyposmolality and/or hyponatremia myelodysplastic syndrome, unspecified other and unspecified hyperlipidemia hemorrhage complicating a procedure personal history of other malignant neoplasm of skin iatrogenic pneumothorax alkalosis osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation abdominal pain, other specified site pleurisy without mention of effusion or current tuberculosis personal history of colonic polyps other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to