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: codeine attending: chief complaint: progressive sob major surgical or invasive procedure: intubation history of present illness: this is a 67yof with a history of breast cancer(dx ') s/p left mastectomy and metastatic non small cell lung cancer of lul lesion s/p xrt to brain and chemo who was brought by ems to osh w/severe progressive sob. per report, she had had 2 days of progressive sob. not much other hx was able to be taken due to respiratory distress. . at the osh, initial vitals were t 99.9 hr elevated 120s bp 140/70 rr 40s. she got etomidate/succinylcholine and had rsi w/7.5cm ett and then received norcuron versed for further sedation. she also received vanc 1gm iv, flagyl iv, and levo iv, and hydrocortisone 100mg iv x 1 for possible copd. he lactate 3.2 wbc 33.6 and bandemia 24. per report, she did have diarrhea x 1. . ros: pt is unable to give hx as she is intubated and sedated. per oncologist's report she has had diarrhea for 3 weeks on and off. recent ct scan revealed smaller mass and resolving empyema. currently, s/p taxol, carboplatin, avastin therapy. past medical history: -1 cycle of chemo, pleurex at for malignant effusion. c/b empyema. -metastatic non small cell left lung cancer lul: pet-ct on at in showed a 3.2 x 1.7 cm lesion in the left upper lobe at the fissure, which may extend into the left lower lobe, fdg avid with an suv of 6; +prevascular, paratracheal, pretracheal, and subcarinal lymph nodes meeting size criteria for being pathologic, mild increased fdg avidity suspicious for metastases; on my review, a subcarinal lymph node had an suv of 2.4; no adrenal or bone metastases -2 doses of brain xrt-8 -status post pleurex catheter insertion for malignant pleural effusion and partial lung collapse c/b empyema -left breast ca s/p left mastectomy in followed by chemotherapy and radiation therapy at the medical center; treated with tamoxifen for 5 years, no evidence of recurrence of the breast cancer -history of cad with prior ??????silent?????? mi -chronic obstructive pulmonary -history of 'valvular heart disease' -h/o c.diff -hypertension -hyperlipidemia -osteoporosis -s/p appendectomy -s/p cholecystectomy -s/p back surgery in . social history: the patient is married and lives with her husband 3 children, ages 47, 43, and 41. she has a 60-pack-year history of cigarette smoking but quit in . no etoh. family history: father died at age 48 from a myocardial infarction, mother died at age 81 from complications of crohn's disease; brother had a myocardial infarction; the patient??????s paternal grandmother had gastric cancer, and a maternal aunt also had gastric cancer; a paternal aunt also had cancer- site of origin is unknown. . physical exam: vitals: t: 98.4 bp: 116/72 hr: 129 rr: 12 o2sat:100% on ac 50% 500x12 peep 5 gen: intubated, sedated, no acute distress heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea neck: flat jvp, no cervical lymphadenopathy, trachea midline cor: tachy rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: crackles in lul o/w ctab, no w/r/r abd: scars noted, soft, nt, nd, +bs, no hsm, no masses ext: no c/c/e, no palpable cords neuro: sedated, paralyzed. skin: + peripheral skin mottling, no jaundice, rash, gross dermatitis. no ecchymoses. pertinent results: admission labs: 03:34pm blood wbc-24.4* rbc-3.10* hgb-9.3* hct-30.5* mcv-98 mch-29.8 mchc-30.3* rdw-19.3* plt ct-462* 03:34pm blood neuts-97* bands-1 lymphs-0 monos-1* eos-0 baso-0 atyps-0 metas-1* myelos-0 03:34pm blood pt-16.9* ptt-29.9 inr(pt)-1.5* 03:34pm blood plt smr-high plt ct-462* 03:34pm blood glucose-126* urean-24* creat-1.1 na-135 k-3.9 cl-110* hco3-14* angap-15 03:34pm blood alt-6 ast-15 ld(ldh)-285* ck(cpk)-65 alkphos-196* totbili-0.2 03:34pm blood ck-mb-3 ctropnt-<0.01 03:31am blood ck-mb-3 ctropnt-<0.01 03:34pm blood albumin-1.5* calcium-6.3* phos-5.2* mg-1.5* 02:38pm blood type-art po2-405* pco2-55* ph-7.14* caltco2-20* base xs--10 03:55pm blood lactate-3.0* cxr impression: single chest view indicating appropriate position of ett and left-sided lung mass in periaortic position as well as extensive pleural thickening and left-sided volume loss. ct head: impression: 1. multiple extra-axial, supratentorial punctate densities along the sulci may be vascular in origin or could represent prior cisternogram, however given the clinical history secondary hemorrhagic metastasic deposits are also included in the differential. 2. no evidence of acute intracranial hemorrhage, new region of edema, or new mass effect. 3. previously described ring-enhancing lesion is not well demonstrated today, but could be due to differences in technique. for more sensitive evaluation for metastasic disease and infarction direct comparison with prior mr, repeat mri may be performed as clinically indicated. ct chest/abd/pelvis: impression: 1. allowing for respiratory motion, no large or central pulmonary embolism seen. 2. moderate-sized left loculated and septated hydropneumothorax. the patient is status post recent procedure (reportedly vats at osh) in the left posterior thorax with skin staples in place and small locules of subcutaneous gas. 3. subcutaneous collection in left posterior chest wall deep to surgical incision could represent postoperative hematoma although communication with pleural fluid cannot be excluded. 4. left upper lobe atelectasis/mass with attenuation of pulmonary artery and bronchi. correlation with prior imaging is recommended. 5. diffuse abnormality of the colon and rectum with mucosal enhancement, submucosal thickening and pericolonic stranding. findings are nonspecific and could represent, for example, an infectious colitis. ischemic colitis less likely. trace fluid tracking along the left paracolic gutter with small fluid in pelvis. no free air. 6. multiple sclerotic lesions in the axial skeleton concerning for metastatic disease in this patient with history of malignancy. correlation with prior bone scan or other imaging recommended. anterior wedge compression deformity of t12 of indeterminate chronicity without comparison. 7. presacral hyperattenuating lesions likely representing enhancing soft tissue, the more superior one abutting the sacrum with possible bony involvement, concerning for metastases. 8. diffuse atherosclerotic disease, with focal ectasia of infrarenal abdominal aorta. brief hospital course: this is a 67yof with a history of breast cancer and metastatic non small cell lung cancer who was intubated at an osh for respiratory distress and transferred for further management of respirator failure. # respiratory failure: in the setting of known nsclc. she had leukocytosis at osh prior to transfer w/bandemia. otherwise, cxr revealed mass and left sided effusion, but no other acute changes. exam is w/o evidence of copd flare and cxr does not reveal evidence of pna. respiratory distress may have been secondary to primary metabolic acidosis. unlikely high tumor burden causing respiratory failure. ct chest ruled out pe. repeated attempts to wean the pt or extubate her were complicated by tachypnea and high auto peep to the 40s only relieved with sedation of versed and fentanyl gtts in large amounts. when sedated to this degree, the pt did have significant drops in her bp requiring pressor support. in the early afternoon of , given her lack of improvement and inability to wean from the vent, a family meeting was held and the pt was made cmo. she was continued on a/c vent settings, fentanyl and versed gtts titrated to comfort. pressors were discontinued. her family was present in the icu during this time. dr. was notified of these decisions. she was pronounced at 5:50 pm , the family refused autopsy. . # metabolic acidosis - nongap at time of presentation to osh ed; pt did have diarrhea with later positive c diff.; no h/o fevers and pt had been afebrile prior to admisison but w/leukocytosis to 33.7 and impressive bandemia and lactate of 3.2. vent settings were continually changed based on abg's. pt was best maintained on a/c with large amts of fentanyl and versed gtts. her c diff was treated with po flagyl and vanco. . # nsclc - had xrt to brain and per report had scheduled chemo prior to admission. dr. (her outpatient oncologist) was consulted and continuously involved in her care during her icu stay. medications on admission: lorazepam 1 mg at bedtime p.r.n. prozac 10 mg p.o. daily xanax 0.25 mg p.o. t.i.d. detrol la 4 mg p.o. daily zocor 10 mg p.o. at bedtime prilosec 20 mg p.o. daily mom 30 cc p.o. p.r.n. advair diskus 500/50 one puff b.i.d. enoxaparin 40 mg subq until ambulatory aspirin 325 mg p.o. daily duoneb one vial q.6h. inhaled oxycodone one to two tablets q.3h. p.o. p.r.n. for pain. discharge medications: pt expired discharge disposition: expired discharge diagnosis: pt expired. discharge condition: pt expired. discharge instructions: . followup instructions: . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified malignant neoplasm of liver, secondary urinary tract infection, site not specified unspecified essential hypertension unspecified septicemia hyposmolality and/or hyponatremia severe sepsis personal history of malignant neoplasm of breast anxiety state, unspecified acute respiratory failure secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung intestinal infection due to clostridium difficile antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use other disorders of plasma protein metabolism secondary malignant neoplasm of bone and bone marrow mixed acid-base balance disorder other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms acquired absence of breast and nipple 

Answer: The patient is high likely exposed to