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: history of present illness: the patient is an 84-year-old female with a history of dementia, alert and oriented x 1 at baseline, hypertension, diabetes, and cerebrovascular accident. per her daughter she has been having shortness of breath for approximately one month. the patient's family reports that four to six weeks ago the patient was diagnosed with pneumonia and was treated with levofloxacin and upon completion of the levaquin, she still was complaining of shortness of breath, and chest pain with cough. another chest x-ray was obtained and pneumonia was still suspected and she was treated with another secondary course of levofloxacin. she still did not improve. chronic obstructive pulmonary disease was postulated or asthma. the family was unclear, and she was started on nebulizers and inhaled steroids. however she continued to have shortness of breath during the week prior to admission and she required two liters of o2 by nasal cannula. the patient's daughter also reported that she had decreased appetite and was still complaining of shortness of breath when she came to the emergency department for work-up. at the patient had a chest ct that revealed a large filling defect at the bifurcation of the right main pulmonary artery. there were also noted to be filling defects noted within the pulmonary artery supplying the right upper lobe and left upper lobe suggestive of pulmonary embolism. also noted on the ct scan was extensive mediastinal adenopathy including at the ap window, subcarinal, paratracheal, and bilateral hila. there was no significant axillary adenopathy. there was also mild narrowing of the left main bronchus. they also commented that the right main bronchus appeared moderately narrowed with partial collapse of the right middle lobe. lung window images also demonstrated extensive emphysematous changes bilaterally and a large bulla noted in the right mid lung zone posteriorly. there was no significant pericardial or pleural effusion, and there were no noted pulmonary masses or nodules. past medical history: 1. hypertension. 2. diabetes mellitus type 2. 3. mild dementia. 4. status post stroke in with residual left-sided weakness. 5. hypothyroidism. 6. coronary artery disease. 7. gait instability. 8. status post bilateral total knee replacements. 9. status post appendectomy. admission medications: 1. norvasc. 2. levoxyl. 3. aspirin. 4. combivent. 5. aricept. 6. zoloft. 7. detrol. 8. glyburide. 9. metformin. 10. protonix. 11. plavix. 12. senna. 13. colace. allergies: the patient has no known drug allergies. social history: she came to the u.s. in . she denies any current ethanol use. the patient has an unknown smoking history. she has been at the health center nursing home since . she previously lived with her daughter. she is ukranian speaking, and her daughters communicate for her. physical examination: on examination she was a pleasant and alert but quite dyspneic elderly woman with a face mask. her blood pressure was 150s to 160s/90s, pulse 110, respiratory rate 28-32, oxygen saturations were 92% on room air but then improved to 98% on three liters. pertinent findings on examination showed diffuse wheezes throughout heard on lung examination. heart was tachycardic with no murmurs, gallops, or rubs. breast examination revealed no palpable masses. extremities showed trace edema. there was no palpable cord or calf pain. laboratory data: on 10 liters face mask the patient had an arterial blood gas of 7.34, 49, and 161. ekg showed normal sinus rhythm at 90 with small q's in 2, 3, and f, and poor wave progression noted. hospital course: the patient was admitted to the given the size of her pe as well as the patient carried other comorbidities. she was started on iv heparin drip as well as coumadin. she was continued on atrovent and ventolin nebulizers. she had a rather uneventful course. she was also started on morphine sulfate p.r.n. for dyspnea as well as fentanyl nebulizers p.r.n. she was also started on a trial of solu-medrol for a possible reactive component to her pulmonary disease. she was transferred back to the on for a bronchoscopy and possible stenting to palliate some of her symptoms. she had this procedure on . this revealed numerous black plaques in the right main segmental bronchus as well as the left main segmental bronchus. these were sent for biopsies, washings, and brushings. the impression of the pulmonary team was that this could be a possible metastatic melanoma. after the procedure the patient was continued on her atrovent and albuterol nebulizers as well as iv methylprednisolone. she was also continued on p.r.n. morphine for respiratory distress. in terms of her other medical issues for her hypertension, she was continued on norvasc. for her diabetes she was continued on her oral agents and put on a regular insulin sliding scale for her hypothyroidism. she was continued on her outpatient dose of thyroid hormone. for her history of stroke she was continued on plavix. for prophylaxis she was continued on a proton pump inhibitor. condition on discharge: guarded. discharge diagnoses: 1. mediastinal adenopathy, not otherwise specified. 2. pulmonary plaques. 3. pulmonary embolism. discharge medications: 1. flovent inhaler two puffs by inhalation b.i.d. 2. metformin 850 mg p.o. q. day. 3. nifedipine sa 30 mg p.o. q. day. 4. levoxyl 37.5 mcg p.o. q. day. 5. plavix 75 mg p.o. q. day. 6. colace 100 mg p.o. b.i.d. 7. senna 1-2 tablets p.o. q. day. 8. protonix 40 mg p.o. q. day. 9. albuterol and atrovent nebulizer solutions, q. 4-6 hours p.r.n. 10. guaifenesin ml q. 6 hours p.r.n. 11. coumadin 5 mg p.o. q. day. 12. levofloxacin 1 tablet p.o. q. day for four days. 13. tylenol p.r.n. 14. morphine sulfate 5-20 mg sublingual q. 2 hours for pain. 15. ativan 1-2 tablets sublingual q. 2 hours for nausea and agitation. 16. prednisone taper. follow-up plans: the family understands that the patient has a poor prognosis and has made the patient dnr/dni as well as dnh (do not hospitalize). she will be transferred back to health center and depending on the results of her biopsies, she will stay there for an undetermined course of stay. the plan is that the patient will eventually receive home hospice. , m.d. dictated by: medquist36 procedure: closed [endoscopic] biopsy of bronchus biopsy of lymphatic structure diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other persistent mental disorders due to conditions classified elsewhere personal history of other diseases of circulatory system other emphysema enlargement of lymph nodes other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to