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: penicillins attending: chief complaint: t4 squamous carcinoma of the left lower lobe. major surgical or invasive procedure: 1) s/p sternotomy, exploration, biopsy, 2) s/p drainage of l pleural/pericardial effusion, 3) s/p bx mediastinal nodes, 4) s/p partial pericardectomy 5) s/p tube thoracostomy (removed ) history of present illness: ms. is an unfortunate 56-year-old woman with a prior 40 pack-year smoking history who quit several years ago and earlier this year was found to have a squamous carcinoma arising from the left lower lobe of the lung invading the left main bronchus and resulting in left main bronchial occlusion. there was no evidence for remote metastatic disease and she underwent mediastinoscopy at an outside institution that showed no metastatic mediastinal nodes. cross-sectional imaging suggested invasion of the left atrium making her t4 and stage iii-b. she was deemed inoperable based on the imaging at an outside institution. we reevaluated her with cardiac mr imaging and felt that if the tumor was confined to the atrium and did not involve the ventricle or the mitral annulus that we could consider a high- risk resection with left atrial reconstruction. this was presented to the patient who agreed to undergo exploration regarding this possibility. past medical history: htn, ^chol, scc lung carcinoma, s/p mediastinoscopy () pertinent results: echo impression: large extracardiac mass invading through the left atrial wall with possible involvement of the basal inferolateral left ventricle. right ventricular cavity enlargement with free wall hypokinesis. moderate mitral regurgitation. pulmonary artery systolic hypertension. small pericardial effusion without evidence of hemodynamic compromise. cxr chest, pa and lateral: comparison is made to five days earlier. a right ij venous catheter has been removed. the patient is status post sternotomy. there is a similar abrupt cut-off of the left main stem bronchus with near complete opacification of the left hemithorax including mild volume loss. there are small areas of residual partial aeration at the left apex, as before. the right lung is clear. impression: similar opacification of the left hemithorax with mild volume loss. brief hospital course: pt was admitted one day proir to surgey for nausea and diarrhea. on admit she was afeb,wbc was normal and no furthur episodes of diarrhea. she proceeded to the or on hd#2 as planned. the planned tumor resection was aborted as the tumor was seen to be invading the av groove - see operative note for details. the following surgical procedure was performed: bronchoscopy, exploratory sternotomy with biopsy of anterior mediastinal lymph node, drainage of pleural and pericardial effusions and subtotal pericardiectomy. post operatively pt was extubated and transferred to the cardiac surgery icu for monitoring. she was tacycardiac and remained hemodynamically stable-betablockers were initiated and was transffered from the icu. . she progressed well post operatively except for elevation of her bun/creat which responded well to hydration. her pain was controlled intially on pca which was weaned to po pain med w/ good effect. her oxygen requirement decreased but ambukatory saturations were 87% and therefore she was maintained on 2 liters nasal prongs at time of discharge. she did rec iv lasix for generalized lower extremity edema with good effect and miantained a stable bun/creat. she was d/c'd on one week of po lasix w/ potassium supplementation. medications on admission: atenolol 50, felodipin 5, lovastatin 20, oscal, centrum discharge medications: 1. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*80 tablet(s)* refills:*1* 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 5. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 6. potassium chloride 10 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. oxygen 2liters/min continuous via nasal cannula conserving device for portability discharge disposition: home with service facility: vna discharge diagnosis: 1)t4 small cell lung carcinoma of the lll with involvement of aorta & left atrium 2) pleural effusion 3) htn, 4) hypercholesterolemia, 5) s/p mediastinoscopy () discharge condition: good-oxygen dependent discharge instructions: please call dr. office if you develop: * fever (>101 f) or chills * nausea or vomiting * abdominal or chest pain * shortness of breath * any other concerns you may shower. pat your chest incision dry after showering. the steri-strips will curl up and fall off over time. do not remove them. the vna will change your chest dressing daily- call if the drainage increases, becomes yellow/green or smells foul. take a mild laxative and stool softner while you are taking pain medication to avois constipation. wear your oxygen with activity and when sleeping. you do not need it at rest unless you are short of breath. followup instructions: follow up with dr. in you have a follow up appointment with dr. on thursday at 2:30pm in the clinical center . please arrive 45 minutes prior to your appointment and report to radiology for a cxr. procedure: insertion of intercostal catheter for drainage pericardiocentesis other bronchoscopy pericardiectomy biopsy of lymphatic structure pericardiotomy diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion unspecified essential hypertension secondary malignant neoplasm of other specified sites other specified cardiac dysrhythmias malignant neoplasm of lower lobe, bronchus or lung procedure not carried out for other reasons 

Answer: The patient is high likely exposed to