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: zestril / codeine / ibuprofen attending: chief complaint: left vocal fold immobility. non-small cell lung cancer. major surgical or invasive procedure: : left thoracotomy. left upper lobectomy. mediastinal lymph node dissection : oropharyngeal videofluoroscopic swallowing history of present illness: the patient is a 57-year-old woman with a biopsy-proven cancer arising from the left upper lobe. the cancer was 4 cm in size and given the size of the tumor we recommended an open approach. the patient had limited pulmonary function and we consented the patient for lobectomy, but also were hopeful that the lesion could be resected by an upper division segmentectomy. past medical history: diabetes patient dka-hypertension diastolic chf, preserved ef mitral stenosis,w mild to moderate ar, tr pulmonary hypertension worsening vision, to be eval'd by optho soon for "legal blindness," leg braces for bilateral drop foot and neuropathy depression/anxiety, migraine pshx: bioprosthetic valve complicated by wound infections, dehiscence social history: patient lives alone, smoke 1 pack/day, no alcohol or recreational drug use. family history: father died from mi at age 45 physical exam: 99.2 98.7 68 120/62 18 97-ra gen: nad heent: op clear, edentulous, raspy voice neck: supple, full rom, no lad cv: rrr, s1/s2 lungs: breath sounds bilaterally, diffuse wheezes abd: s/nt/nd ext: warm/dry incision: well-approximating without evidence of infection pertinent results: chest ct : postoperative changes status post left upper lobectomy with leftward mediastinal shift. there is a large left hydropneumothorax with a left chest tube terminate within the apical aspect of the hydropneumothorax. near complete atelectasis of the left lung with opacification of the left bronchus and its visualized branches, suggesting mucous plug or blood. patchy ground-glass opacity throughout the right lung concerning for developing pnemonia vs. edema. mildly enlarged main pulmonary artery measuring 3.7 cm. cxr: : the fluid component of the moderate left hydropneumothorax is slightly increased. subcutaneous gas in the left chest wall is unchanged. multifocal opacities in the right upper and lower lung and left lower lobe are improved, possibly due to improving pneumonia. cardiomediastinal silhouette is stable. : left-sided hydropneumothorax is slightly decreased. more focal parenchymal opacities, greatest in the right upper lobe could represent aspiration. the heart size is mildly enlarged, however, unchanged. there is mild tortuosity of the aorta. an aortic valve replacement is unchanged in position. deformity of the left posterior rib is unchanged. : the left apical lateral pneumothorax. however, in the interval, a large pleural effusion has also developed, the effusion occupies approximately two-thirds of the volume of the left hemithorax. there is thus, now, a large fluidopneumothorax. the left lateral air collection in the soft tissues is unchanged. also unchanged are the post-operative rib defects. brief hospital course: 57 year-old female admitted for left thoracotomy, left upper lobectomy. mediastinal lymph node dissection and direct laryngoscopy with operating telescope. local fold injection with radiesse voice gel. she was extubated in the operating room, transfer to the pacu with a right chest, foley and bupivacaine epidural managed by the acute pain service. she transfer to the floor in stable condition. events: chest ct negative for pe. possible aspiration pneumonia on right flexible bronchoscopy with bal and large mucus plug removal. id: spike temp 101, bal with gnr, ucx with e.coli, started on ceftriaxone. outpatient antibiotics switched to po cipro, with fluconazole/clotrimazole for thrush seen on bronchoscopy. respiratory: aggressive nebs, ambulation, incentive spirometer; her oxygen requirements improved with saturations of 95% @rest, 91-97% 1l activity chest-tube: left with moderate serousanguious discharge, removed . serial chest films showed left-sided hydropneumothorax is slightly decreased, with slightly increased fluid component. focal parenchymal opacities showed improvement by the day of discharge. cardiac: history of diastolic heart failure. her home medications were titrated as her hr and blood pressure tolerated. she remained in sinus rhythm 70's blood pressure 110-140's. gi: ppi and bowel regime. speech/swallow: seen by speech for soft signs and possible symptoms of aspiration of thin liquids during today's bedside evaluation. given her recent surgery and history, she is felt to be at high risk for silent aspiration. pureed solids and nectar thick liquids were started. video-swallow no aspiration safe for a po diet of thin liquids and regular consistency solids. laryngology followed for left vocal cord immobility. voice should improve over 1-2 weeks. mild hoarsness while hospitalized endocrine: blood sugars initially 200-300's, insulin sliding scale adjusted lantus 10 continued. am bs low 48-99. consulted recommended d/c pm lantus and start humalog sliding scale at 180. her blood sugars improved, lantus pm dose was slowly restarted prior discharge. renal: iv fluids were maintained until taking po's. urine output improved. gentle diureses was restarted on pod2. electrolytes replete as needed pain: bupivacaine/fentanyl epidural managed by the acute pain service. the epidural was split on with bupivacaine and home ms contin dose with good control. anxiety: very anxious following surgery requiring ativan 1-2 mg every 4-6 hours. once she restarted her home dose opioids her anxiety improved. disposition: she was seen by physical therapy. she was discharged on . she will follow-up with dr. as an outpatient. medications on admission: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 2. carbamazepine 200 mg tablet sig: two (2) tablet po bid (2 times a day). 3. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. trazodone 100 mg tablet sig: 1-2 tablets po hs (at bedtime). 7. metoclopramide 10 mg tablet sig: one (1) tablet po q 12h (every 12 hours). 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 9. sertraline 100 mg tablet sig: one (1) tablet po once a day. 10. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day). 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation prn (as needed) as needed for wheezing. 13. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 14. morphine 30 mg tablet extended release sig: one (1) tablet extended release po q8h (every 8 hours) as needed for chronic pain. 15. morphine 15 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for breakthrough pain. 16. lorazepam 1 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. 17. carvedilol 25 mg tablet sig: two (2) tablet po twice a day. 18. valsartan 320 mg tablet sig: 1-2 tablets po at bedtime. 19. docusate sodium 100 mg tablet sig: one (1) tablet po twice a day. 20. insulin detemir 100 unit/ml solution sig: ten (10) units subcutaneous twice a day. 21. humalog insulin sliding scale 0-70 mg/dl proceed with hypoglycemia protocol proceed with hypoglycemia protocol proceed with hypoglycemia protocol 71-100 mg/dl 0 units 0 units 0 units 101-150 mg/dl 2 units 2 units 2 units 151-200 mg/dl 4 units 4 units 4 units 201-250 mg/dl 6 units 6 units 6 units 251-300 mg/dl 8 units 8 units 8 units 301-350 mg/dl 10 units 10 units 10 units 351-400 mg/dl 12 units 12 units 12 units 22. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation every 4-6 hours as needed for sob/wheezes. 23. ipratropium bromide 0.02 % solution sig: two (2) ml inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 24. lactulose 10 gram/15 ml solution sig: one (1) dose po once a day as needed. discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 2. carbamazepine 200 mg tablet sig: two (2) tablet po bid (2 times a day). 3. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. trazodone 100 mg tablet sig: 1-2 tablets po hs (at bedtime). 7. metoclopramide 10 mg tablet sig: one (1) tablet po q 12h (every 12 hours). 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 9. sertraline 100 mg tablet sig: one (1) tablet po once a day. 10. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day). 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation prn (as needed) as needed for wheezing. 13. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 14. morphine 30 mg tablet extended release sig: one (1) tablet extended release po q8h (every 8 hours) as needed for chronic pain. disp:*21 tablet extended release(s)* refills:*0* 15. morphine 15 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for breakthrough pain. disp:*28 tablet(s)* refills:*0* 16. carvedilol 25 mg tablet sig: two (2) tablet po twice a day. 17. valsartan 320 mg tablet sig: 1-2 tablets po at bedtime. 18. docusate sodium 100 mg tablet sig: one (1) tablet po twice a day. 19. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation every 4-6 hours as needed for sob/wheezes. 20. ipratropium bromide 0.02 % solution sig: two (2) ml inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 21. lactulose 10 gram/15 ml solution sig: one (1) dose po once a day as needed. 22. ciprofloxacin 750 mg tablet sig: one (1) tablet po every twelve (12) hours for 14 days. 23. fluconazole 100 mg tablet sig: one (1) tablet po once a day for 6 days. 24. lorazepam 0.5 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 25. clotrimazole 10 mg troche sig: one (1) troche mucous membrane qid (4 times a day) for 7 days. 26. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous qam. 27. insulin glargine 100 unit/ml solution sig: five (5) units subcutaneous at bedtime. 28. humalog 100 unit/ml solution sig: sliding scale subcutaneous four times a day: per insulin flowsheet. disp:*qs * refills:*2* 29. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. discharge disposition: extended care facility: livingcenter - elmhurst - discharge diagnosis: non-small cell lung cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid bilateral prothetes discharge instructions: please follow the attached insulin flowsheet for insulin dosing. call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough (it is normal to cough up blood tinge sputum for a few days) or chest pain -incision develops drainage or increased redness -chest cover site with a bandaid until healed. pain -acetaminophen 650 every 6 hours as needed for pain -morphine 30 mg , 15 mg prn as needed -take stool softners with narcotics activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tubs until incision healed -no lotions, creams or ointment applied to incision site followup instructions: provider: , md phone: date/time: 10:00 on the clinical center chest x-ray 30 minutes before your appointment procedure: injection or infusion of other therapeutic or prophylactic substance laryngoscopy and other tracheoscopy closed [endoscopic] biopsy of bronchus division or crushing of other cranial and peripheral nerves regional lymph node excision injection of larynx other lobectomy of lung diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified hyposmolality and/or hyponatremia other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other and unspecified hyperlipidemia hemorrhage complicating a procedure anxiety state, unspecified malignant neoplasm of upper lobe, bronchus or lung long-term (current) use of insulin heart valve replaced by transplant removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation diastolic heart failure, unspecified legal blindness, as defined in u.s.a. diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy unilateral paralysis of vocal cords or larynx, partial other acquired deformities of ankle and foot foreign body in main bronchus inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation bacterial pneumonia, unspecified other specified forms of effusion, except tuberculous muscular wasting and disuse atrophy, not elsewhere classified dysphonia acute post-thoracotomy pain 

Answer: The patient is high likely exposed to