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 / penicillins attending: chief complaint: cc: major surgical or invasive procedure: rul, rml, superior seg of rll resection history of present illness: 79 yo female with hx of htn, presented to a cardiologist(dr. for a 1 month hx of productive cough. there an ekg revealed new t-wave inversions and patient was sent to , where she had elevated trop i of 0.36. patient started on nirto gtt and lovenox. she also had a ct scan that revealed a ruq mass, and a bronch was done. there were no endobronchial lesions, but the r upper lobe revealed easy friability, bronchial washings were negative for malignant cells, and bronchial cx were positive for diptheroids. patient was imperically treated with levofloxacin and then switched to clindamycin. patient was recommended to have a pneumonectomy, but wanted a 2nd opinion and no furter work-up had been done. she was sent to for further work-up. at the patient was found to have ischemic ekg changes (exact same t-wave inversions in anterolateral leads), but remained asymptomatic. two sets of cardiac enzymes were negative. the patient was transferred to gen med service for further work-up of her lung mass. upon admission she had a cxr and repeat chest ct showing a necrotic mass occupying the entire right upper lobe and occluding the right upper lobe bronchus. the patient's abx were stopped due to diarrhea, c.diff toxin was sent, and the patient was started on unasyn and flagyl. a ppd was placed and the patient was put on respiratory contact precautions. the patients reports not feeling well for several months, experiencing weakness and occasional fevers. her cough produces a white sputum; no hemoptysis. she has sob at rest. she also reports a 10 lb weight loss over the last month, and decreased appetite. she denies chills, sweats, chest pain, or diarrhea. she is a lifetime non-smoker. past medical history: pmhx: 1. hypertension 2. lung mass social history: shx:widow, lives with her daughter in , lifetime non-smoker, no etoh, no hx of tuberculosis exposure, active family history: fhx: no cad and no cancer physical exam: pe: 98.9, 150/64, 94, 20, 98% on 2l nad, a and o times 3 ncat, eomi, op clear rrr, no m cta with wheexes on r +bs, soft, nt, nd, guiac negative. no c/c/e cn ii-xii intact, maew pertinent results: 07:08pm pt-12.0 ptt-31.2 inr(pt)-0.9 07:08pm plt count-494* 07:08pm neuts-85.5* lymphs-8.8* monos-3.4 eos-2.0 basos-0.2 07:08pm wbc-13.8* rbc-3.55* hgb-10.2* hct-31.1* mcv-88 mch-28.9 mchc-33.0 rdw-11.9 07:08pm albumin-3.3* calcium-8.5 phosphate-2.6* magnesium-1.9 07:08pm ck-mb-5 ctropnt-0.01 07:08pm alt(sgpt)-22 ast(sgot)-21 ld(ldh)-263* ck(cpk)-145* alk phos-77 amylase-57 tot bili-0.2 07:08pm glucose-164* urea n-9 creat-0.6 sodium-135 potassium-3.9 chloride-99 total co2-26 anion gap-14 09:44pm urine rbc-2 wbc-0 bacteria-none yeast-none epi-<1 09:44pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 09:44pm urine color-straw appear-clear sp -1.010 07:40am blood glucose-110* urean-7 creat-0.4 na-136 k-3.8 cl-101 hco3-26 angap-13 11:00am blood glucose-128* urean-11 creat-0.5 na-131* k-3.6 cl-93* hco3-29 angap-13 01:10pm blood glucose-124* urean-9 creat-0.7 na-136 k-3.2* cl-99 hco3-29 angap-11 02:51am blood glucose-107* urean-14 creat-0.8 na-142 k-3.9 cl-110* hco3-22 angap-14 12:35am blood glucose-131* urean-23* creat-0.6 na-150* k-4.2 cl-119* hco3-27 angap-8 06:34pm blood k-4.2 11:20am blood urean-6 creat-0.5 k-2.4* 05:55am blood glucose-115* urean-6 creat-0.5 na-137 k-3.2* cl-100 hco3-28 angap-12 02:49pm blood wbc-17.9*# rbc-3.24* hgb-9.7* hct-27.5* mcv-85 mch-30.1 mchc-35.4* rdw-13.8 plt ct-108*# 02:51am blood wbc-9.8 rbc-3.46*# hgb-10.3*# hct-29.5*# mcv-85 mch-29.6 mchc-34.7 rdw-14.5 plt ct-150# 03:45am blood wbc-15.9* rbc-3.64* hgb-11.2* hct-31.6* mcv-87 mch-30.6 mchc-35.3* rdw-15.2 plt ct-179 02:16am blood wbc-9.3 rbc-3.47* hgb-10.4* hct-30.1* mcv-87 mch-30.0 mchc-34.7 rdw-15.3 plt ct-235 12:35am blood wbc-6.4 rbc-3.41* hgb-10.4* hct-31.0* mcv-91 mch-30.5 mchc-33.5 rdw-15.0 plt ct-281 02:47am blood wbc-13.5*# rbc-3.89* hgb-11.9* hct-35.7* mcv-92 mch-30.6 mchc-33.3 rdw-14.6 plt ct-308 05:06am blood wbc-9.3 rbc-4.16* hgb-12.6 hct-37.5 mcv-90 mch-30.4 mchc-33.7 rdw-14.5 plt ct-283 06:43am blood neuts-73* bands-9* lymphs-11* monos-6 eos-0 baso-0 atyps-1* metas-0 myelos-0 08:35am blood neuts-85.8* lymphs-8.6* monos-4.1 eos-1.2 baso-0.2 09:48am blood ck-mb-notdone ctropnt-0.02* 06:34pm blood ck-mb-notdone ctropnt-<0.01 06:34pm blood calcium-8.1* phos-2.6* mg-1.8 05:55am blood calcium-8.2* phos-1.9* mg-1.8 06:43am blood triglyc-69 hdl-38 chol/hd-2.8 ldlcalc-54 10:21am blood type-art temp-36.6 rates-/28 fio2-50 po2-102 pco2-52* ph-7.34* calhco3-29 base xs-0 intubat-not intuba 05:57am blood type-art po2-180* pco2-47* ph-7.39 calhco3-30 base xs-3 11:25pm blood glucose-115* lactate-1.0 k-3.3* brief hospital course: ms was originally admitted to for evaluation of her ischemic ekg changes. she was stablized and transferred to medicine for work-up of her lung mass. she underwent evaluation by thoracic surgery and on hd 13 underwent an uncomplicated rul, rml, and superior segment of rll resection with placement of chest tubes and jp drain for intercostal flap. adenoca of lung was found on frozen section. please see op report for details. post-operatively she remained in the icu intubated. she gradually improved and was extubated on pod___. she was in atrial fibrillatin post-operatively and was converted into sinus rhythm on pod__, and was maintained on amiodarone. she was able to be transferred to the floor on pod___ and continued to do very well. her chest tubes were removed on pod__ and her jp drian remained. she eventually was weened off of oxygen and ambulated well. she was able to be dicharged home on pod 12 with home physical therapy and drain managment services. medications on admission: medications on transfer: 1. lopressor 12.5 mg tid 2. clindamycin 600mg iv q6h 3. lovenox 40mg sq 4. asa 325mg qd 5. nitro gtt. discharge medications: 1. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 2. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 2 days. disp:*6 tablet(s)* refills:*0* 3. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 4 days. disp:*8 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. amiodarone 400 mg tablet sig: one (1) tablet po once a day: start on after completion of twice a day dosing. disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: home care discharge diagnosis: s/p rul, rml, and superior segment rll resection with chest tubes htn a fib s/p conversion discharge condition: stable, tolerating pos, oxygenating well, afebrile discharge instructions: no heavy lifting for 4 wks. no tub bathing for 3 wks, you may shower. no driving while using narcotics. please call dr. office for fevers >101.4, chest pain, shortness of breath, increased productive cough, worsening pain, redness or drainage from insicion sites, or any concerns. followup instructions: provider: , provider: , . call for appointment in 1 wk procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures enteral infusion of concentrated nutritional substances thoracentesis closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus division or crushing of other cranial and peripheral nerves regional lymph node excision other repair and plastic operations on bronchus transfusion of packed cells diagnoses: unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation other chronic pulmonary heart diseases secondary malignant neoplasm of pleura pulmonary collapse abscess of lung malignant neoplasm of other parts of bronchus or lung other disorders of neurohypophysis secondary and unspecified malignant neoplasm of intrathoracic lymph nodes foreign body in main bronchus pneumonia due to anaerobes 

Answer: The patient is high likely exposed to