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: hematuria major surgical or invasive procedure: cystoscopy angiogram of the left kidney history of present illness: ms. is a 44 year old female with a history of recently diagnosed stage iv non-small cell lung cancer metastatic to brain, adrenals, and kidneys who presents with complaints of blood when she urinates. she notes that she first noticed this two days ago. she also notes pain with urination since she noticed the blood. she ntes it has been the worst between 1 am and 5 am where she can't leave the br due to constant need to urinate. she also urinates several times during the day. each time is extremely painful. she notes that since the bleeding began, the pain has begun to improve but the bleeding has continued at the same frequency. she denies any vaginal bleeding, melena, hematochezia, or hematemesis. in the ed, 98.3, 108/70, 96, 18, 100% ra. while in the ed she was noted to have frank hematuria. pelvic exam was performed without evidence of vaginal or cervical bleeding. no obvious gi bleeding was noted. she was guiaic negative. labs were remarkable for hct drop from 34->20 over 1 month. coags, wbc, and plts normal. electrolytes showed new renal failure with bun/cr 46/2.3 from 14/0.6 1 month prior. k was 6.0, bicarb 17. u/a revealed >50 rbcs, 21-50 wbcs, le and nitrite negative, and no bacteria. she received 30 grams of kayexalate, 10 mg of dexamethasone, zofran, and morphine. prior to floor transfer, she lost her iv access. bilateral femoral cvls were attempted but wire could not be passed. she then had a successful r ij cvl placement. currently, she feels well. episode of frank hematuria witnessed upon arrival to the floor, also notable for stringlike clot. on ros, she denies any fevers, chills, chest pain, sob, doe. she does note increased fatigue and recent poor po intake. she also notes intermittent nausea when taking her medications. she denies any numbness or tingling, weakness, or confusion. denies any muscle or joint pains which the exception of chronic r thumb pain which improved with steroids and has worsened with taper. all other ros negative. past medical history: # stage iv non-small cell lung cancer metastatic to brain, adrenals, kidneys (see below) # h/o intermittent asthma # h/o tooth infection & extraction between . # history of subluxation of the metaphalangeal joint in . # prior history of obesity. past oncologic history: initially presented in with complaints of weight loss, nausea and vomiting. it seems that her symptoms were initially mild. she did not have shortness of breath, cough or other complaints at that time. by , she continued to lose weight and was found to have a potential right-sided dental abscess. she was treated for that empirically with antibiotics and continued to have weight loss, diarrhea. it seems that in the end of and beginning of , the patient represented to medical attention with mild shortness of breath with exertion and chest discomfort. she also had noted at that point subjective low-grade temperatures and some cough productive of brown sputum. in , she already had a 20-pound weight loss. during the initial presentation, she also complained of one episode of hemoptysis with production of more than one teaspoon of blood. due to the above-mentioned symptoms, the patient underwent a computer tomography of the chest on that disclosed a 2.6 cm cavitary lesion in the posterior right upper lobe with additional smaller right-sided pulmonary nodules and extensive right hilar lymphadenopathy with marked narrowing of the hilar airways and vessels. at that point, further staging imaging was obtained with a computer tomography of the torso on that disclosed the chest findings as detailed above. there was also right upper lobe pulmonary interstitial thickening, which was worrisome for lymphangitic spread. there was a subtle sclerosis of the t4 vertebral body. there was no evidence of extrathoracic disease. the adrenals had 2 cm masses. there were multiple enlarged retroperitoneal lymph nodes measuring up to 1.3 cm. an mri of head was performed on and showed multiple areas of enhancement identifying with surrounding edema in both cerebral hemispheres as well as in the posterior fossa. the largest lesion measured 1.5 cm in the left frontal lobe. the patient had had some intermittent headaches that were thought to be migraines at that point. however, she had no problems with motor strength up to the time of initial mri when she developed some gait instability and required a cane. she also complained of intermittent blurry vision. she was diagnosed the etiology of the brain lesions. a brain biopsy was performed on . multiple fragments were obtained. all showed small nests of large cell undifferentiated carcinoma throughout brain lesions. d cells were positive for ck7 and ttf1. due to the presence of nonsmall cell lung cancer with brain metastasis and edema, the patient was referred to neurooncology and radiation oncology. whole brain radiation was started on . the patient received 3000 cgy to the brain. she was also started on dexamethasone. her last day of radiation was . she has most recently been on a steroid taper. she is currently in the planning stages of palliative chemotherapy. social history: lives in with fiance and three children. the patient started smoking cigarettes at age 13. ~45-pack-year history. no history of alcohol use. she has a remote history of prior intravenous drug use and cocaine use. originally from sicily. moved to usa in . she worked as a domestic cleaner and had some exposure to areas affected by asbestos and heavy chemicals. she currently is out of work and living with family members. family history: mother, grandfather, and grandmother with dm. father passed away at 76 due to "natural causes". mother is 76. maternal grandfather had a diagnosis of stomach cancer. her paternal grandfather had a diagnosis of prostate cancer. physical exam: t: 97.6 bp: 138/70, hr: 103, rr: 20 o2 98% ra gen: pleasant, chronically ill appearing female, nad heent: +alopecia. mmm. op clear. neck: supple. jvp low. r ij cdi cv: rrr. nl s1, s2. no murmurs, rubs or lungs: ctab abd: nabs. soft, nt, nd. no hsm ext: wwp, no cce. full distal pulses skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. cn 2-12 grossly intact. moving all extremities. normal gait. pertinent results: 08:28pm glucose-111* urea n-46* creat-2.3*# sodium-132* potassium-6.0* chloride-99 total co2-17* anion gap-22* 08:28pm alt(sgpt)-29 ast(sgot)-17 ld(ldh)-350* ck(cpk)-24* alk phos-58 tot bili-0.2 dir bili-0.1 indir bil-0.1 08:28pm albumin-3.4 08:28pm osmolal-290 08:28pm wbc-9.5 rbc-2.29*# hgb-6.9*# hct-20.0*# mcv-87 mch-30.2 mchc-34.5 rdw-17.3* 08:28pm neuts-82.0* lymphs-14.6* monos-1.5* eos-1.7 basos-0.3 08:28pm plt count-215 08:28pm pt-12.4 ptt-23.1 inr(pt)-1.1 08:30pm urine blood-lg nitrite-neg protein-500 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 08:30pm urine rbc->50 wbc-21-50* bacteria-none yeast-none epi-0 imaging: ======== cxr (): impression: development of focal area of increased density in the right mid lung consistent with atelectasis or consolidation. pa and lateral views may be helpful for further evaluation. renal us : 1. multiple bilateral hypoechoic renal masses, consistent with known metastases. 2. doppler ultrasound demonstrates rapid systolic upstrokes, with impaired diastolic flow, and elevated resistive indices. the main renal veins are patent. these findings most likely reflect increased vascular resistance secondary to mass effect of multiple metastatic lesions. there is no evidence for renal vein thrombosis. cxr : tip of the new right internal jugular line projects over the low svc. mediastinal widening and right hilar enlargement due to adenopathy are stable. no pneumothorax or pleural effusion. lungs are grossly clear. heart size normal. ecg : nsr @ 83. nl axis and intervals. isolated < 1 mm ste in avf. compared to prior , no sig change. renal u/s : both kidneys enlarged and heterogeneous. both contain multiple masses with indistinct borders, some appear hypervascular. no hydronephrosis. echogenic lesion in bladder likely representing blood clot. pelvic us : ct torso : 1. slight decrease in the size of right upper lobe lung nodules. there has been no substantial change in the appearance of the hilar and mediastinal lymphadenopathy. 2. slight increase in the size of the bilateral adrenal lesions. 3. increase in confluence and increase in size of some of the bilateral renal lesions. retroperitoneal and mesenteric lymphadenopathy as before. bone scan: no evidence of osseous metastatic disease. abnormal uptake in the kidneys bilaterally. recommend correlation with additional anatomic imaging, such as ultrasound, as clinically indicated. brief hospital course: 44f with metastatic nsclc (brain, bilat adrenals, bilat kidneys) p/w frank hematuria, anemia, renal failure. the bleeding was from renal mets and was localized to the l kidney based on blood seen coming from the l ureter at cystoscopy. the renal failure was believed to be due to a combination of atn, mets, and contrast. ultimately she was started on hd. the l kidney was embolized to prevent further bleeding. she is now hd dependent. her hospitalization has been further complicated by pneumonia and adrenal insufficiency. ultimately, after a trial of dialysis, the pt opted to be cmo. however, when she did not pass over a weekend, she considered this a sign that she could live longer and possbily survive cancer. a family meeting was convened and an accommodation was achieved wherein we would restart abx and try to relieve her of her anasarca using either diuretics or ultrafiltration. that said, after failing diuretics and prolonged difficulties with the dialysis catheter, another meeting was convened. antibiotics were stopped again and the patient was returned to with ultrafiltration. during an ultrafiltration treatment, she went into respiratory failure and passed. medications on admission: albuterol prn dexamethasone 1 mg four times daily (decreased , due to drop to 2 mg daily ) keppra 1000 mg lisinopril 10 mg daily lorazepam 1 mg qhs prn nystatin swish and spit protonix 40 mg daily ranitidine 150 mg tylenol prn discharge medications: none discharge disposition: home with service discharge diagnosis: primary - hematuria likely from a bleeding kidney metastasis metastatic non-small cell lung carcinoma acute renal failure requiring initiation of dialysis acute blood loss anemia hyperkalemia hyponatremia discharge condition: deceased discharge instructions: you were admitted to the hospital due to hematuria and low blood counts. you were given multiple blood transfusions and eventually your hematuria stopped. you were found to have acute renal failure and eventually needed to be placed on dialysis. you developed pneumonia and received antibiotics for that. finally, you received your first cycle of chemotherapy. please take your medications as ordered. call your primary doctor, or go to the emergency room if you experience fevers, chills, shortness of breath, chest pain, recurrent hematuria, dizziness, blood in your stool, dark black stool, or other concerning symptoms. followup instructions: n/a procedure: venous catheterization, not elsewhere classified hemodialysis venous catheterization for renal dialysis injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance injection or infusion of other therapeutic or prophylactic substance other cystoscopy transfusion of packed cells arteriography of renal arteries arteriography of renal arteries transfusion of other serum injection or infusion of cancer chemotherapeutic substance transfusion of platelets insertion of indwelling urinary catheter irrigation of other indwelling urinary catheter diagnoses: pneumonia, organism unspecified acidosis hyperpotassemia thrombocytopenia, unspecified anemia in chronic kidney disease acute kidney failure with lesion of tubular necrosis unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia hyposmolality and/or hyponatremia atrial fibrillation asthma, unspecified type, unspecified candidiasis of mouth other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung disorders of phosphorus metabolism cerebral edema dermatitis due to drugs and medicines taken internally encounter for palliative care obesity, unspecified glucocorticoid deficiency other specified antibiotics causing adverse effects in therapeutic use hematuria, unspecified other complications due to renal dialysis device, implant, and graft other drugs and medicinal substances causing adverse effects in therapeutic use secondary malignant neoplasm of adrenal gland secondary malignant neoplasm of kidney penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to