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: no known allergies / adverse drug reactions attending: chief complaint: left leg swelling, weight gain of 6 pounds major surgical or invasive procedure: thoracentesis (right) with pigtail placement () thoracentesis (left) with pigtail placement () history of present illness: hospitalist admission note: pcp: , year-old woman who presented to her pcp on the day of admission with increasing lower extremity edema over the weeks prior to admission. she notes no associated orthopnea, paroxysmal nocturnal dyspnea, dyspnea with exertion, cough or anginal pain. she reports that the last times she had leg swelling, it was associated with the need to see her doctor and sometimes led to hospitalization. she notes that her weight had been stable for the past few months, until noted by dr. today in the office with a 7-lb weight gain (from 129 to 136.5 lb). she denies change in abdominal girth, and notes no nausea, vomiting or diarrhea. she reports her appetite is improved after her her pcp changed her medications (she believes that it is the mirtazapine, but is not sure of the name). she denies dizziness, recent falls, syncope or changes in gait. she notes walking with a rolling walker at baseline in her independent living facility, and reports planning to move to the area in the next week. in her pcp's office, she was noted to have dullness on the right side of her chest, bp 122/74, hr 106, and she was oxygenating 91% on ra. the patient's pcp referred the patient to the ed given her suspected recurrent effusion, for evaluation for chf and rate control of atrial fibrillation. in the ed, the patient was found to have a significant right pleural effusion, and was given 40mg iv lasix and levofloxacin 750mg x 1 iv. 10-system ros is otherwise non-contributory. including, patient denies changes in abdominal girth, no rashes, no changes in sleep patterns, no recent pain at any site. past medical history: diastolic chf atrial fibrillation with h/o rvr, on coumadin hypothyroidism s/p thyroidectomy htn dyslipidemia ckd stage 3 chronic venous stasis depression social history: patient reports planning to move to in the week after admission, now living in independent living. son lives in , niece is in the area ( ). never smoked, no alcohol or drugs. is a retired administrator for an xray office in . walks with a walker at baseline. family history: daughter- breast ca, died in her 40s sister- breast ca mother-esophageal ca sister- lung ca, smoker brother- mi in 40s brother- as child, died of perf appendicitis physical exam: vs on arrival to floor: temp 95.2f bp 90/60 hr 80 (afib on ekg) hr 22 95% on 2liters nc patient denies pain of any type at this time, includig her leg. gen: no dyspnea, patient conversant, thin elderly female heent: moist mucous membranes, no scleral icterus cv: irregularly irregular, s1s2, no murmurs lungs: decreased bs right side, up to on right associated with dullness to percussion. fine rales left base, up 1/3 way, without associated wheezes or rhonchi. abd: soft, non-tender. ext: left leg with 3+ pitting edema to thigh, bruising and mild ecchymosis on anterior aspect, without fluctuance or evidence of dimpling or cellulitis. neuro: alert and oriented x 3, conversant, fluent speech, global memory to events of the day intact (patient aware of medications administered in the ed, that she saw her internist earlier, why she is being admitted). sat up in bed independently. pertinent results: admission labs: wbc-8.4 rbc-3.93* hgb-11.4* hct-33.9* mcv-86 mch-29.0 mchc-33.6 rdw-15.4 plt ct-325 pt-30.0* ptt-33.3 inr(pt)-2.9* glucose-94 urean-59* creat-1.7* na-141 k-4.1 cl-99 hco3-31 angap-15 ctropnt-<0.01 probnp-3158* cxr : bilateral pleural effusions, right much greater than left. the large right effusion has enlarged in the interval since prior exam. ecg : atrial fibrillation with controlled ventricular response. possible old anteroseptal myocardial infarction. compared to the previous tracing there has been slowing of the ventricular response rate. left lower extremity ultrasound : no dvt brief hospital course: 1. chf, acute on chronic diastolic with hypoxemia and respiratory failure 2. pleural effusions 3. acute renal failure with ckd, stage 3 4. hypothyroidism 5. atrial fibrillation 6. acute blood loss anemia 7. constipation found to have significant bilateral pleural effusions. she was diuresed with iv furosemide, but this was somewhat limited by blood pressure and kidney function. on , she developed hypercarbic/hypoxemic respiratory failure, requiring transfer to the icu. she was diuresed further there, with improvement. she did not require intubation. she was transferred back to the general medical on . she underwent bedside right-sided thoracentesis with pigtail placement on , followed by left-sided thoracentesis with pigtail placement on . drains was left in place until . analysis of pleural effusion revealed transudate. the left-sided procedures once complicated by minor bleeding which resolved with pressure dressings and administration of ddavp. her acute renal failure was likely related to diuresis. this improved over the stay. medications on admission: (patient notes that she receives her medications from pharmacy at already alotted into daily dosing, and is not familiar with her doses or medications. she does report that dr has an updated list of her medications.) medications per dr note from : furosemide - 40 mg tablet - 1 tablet(s) by mouth once a day levothyroxine - 137 mcg tablet - 1 tablet(s) by mouth daily metoprolol tartrate - 25 mg tablet - 1 tablet(s) by mouth twice a day mirtazapine - 15 mg tablet - 1 tablet(s) by mouth at bedtime omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day polyethylene glycol 3350 - 17 gram/dose powder - 1 tablespoon by mouth in 8 oz water qd simvastatin - 10 mg tablet - 1 tablet(s) by mouth once a day warfarin - 1 mg tablet - 1.5 tablet(s) by mouth alternating with 2 mg in the morning medications - otc aspirin - 81 mg tablet, delayed release (e.c.) - one tablet(s) by mouth daily calcium carbonate-vitamin d3 - 500 mg calcium (1,250 mg)-200 unit tablet - 1 tablet(s) by mouth once a day cholecalciferol (vitamin d3) - 400 unit capsule - 1 capsule(s) by mouth daily docusate sodium - 100 mg capsule - 1 capsule(s) by mouth twice a day multivitamin - tablet - 1 tablet(s) by mouth once a day discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine 137 mcg tablet sig: one (1) tablet po daily (daily). 4. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 5. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po q6h (every 6 hours). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. multivitamin tablet sig: one (1) cap po daily (daily). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 10. calcium carbonate-vitamin d3 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po once a day. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 13. warfarin 1 mg tablet sig: 1.5 tablets po once daily at 4 pm. discharge disposition: extended care facility: - discharge diagnosis: 1. chf, acute on chronic diastolic with hypoxemia and respiratory failure 2. pleural effusions 3. acute renal failure 4. ckd, stage 3 5. hypothyroidism 6. atrial fibrillation 7. constipation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: ms. , you were admitted because of weight gain, leg swelling, and pleural effusions (fluid around your lungs) related to congestive heart failure. you were treated with diuretic medicines to try to remove fluid. at one point, your oxygen levels were quite low, requiring that you be transferred to the icu for closer monitoring. your oxygen levels improved, and you were transferred out of the icu. you underwent a thoracentesis (drainage of fluid fluid the right lung) on the , and the drain was left in place. this was then done on the left on . after removal of these drains the fluid did not immediately return. in the future, you may require repeat procedures if the fluid increases. followup instructions: department: cardiac services when: wednesday at 1 pm with: , m.d. building: sc clinical ctr campus: east best parking: garage procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage diagnoses: unspecified pleural effusion congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure depressive disorder, not elsewhere classified constipation, unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) acute respiratory failure alkalosis long-term (current) use of anticoagulants metabolic encephalopathy venous (peripheral) insufficiency, unspecified family history of malignant neoplasm of trachea, bronchus, and lung family history of malignant neoplasm of breast 

Answer: The patient is high likely exposed to