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: recurrent right pleural effusion major surgical or invasive procedure: 1. right thoracoscopy 2. right thoracotomy with partial lung decortication 3. talc pleurodesis 4. flexible bronchoscopy history of present illness: ms. is a 48 year old woman with hepatitis c induced cirrhosis. she developed a large right effusion over a year ago and was treated with a pleurx catheter with continuous drainage. she was referred for further management at that time. she underwent a thoracoscopy with partial lung decortication and a mechanical as well as talc pleurodesis. postop course was complicated by a staph aureus pleural infection. ultimately she had a reasonably good result but recently has had progressive dyspnea once again and was found to have recurrence of her right sided pleural effusion. ct imaging demonstrated a fibrothorax as well and trapped lung. after long discussions about a high risk of recurrence and the fact that she needs a liver transplant, she decided she did not want to continue to live dyspneic as she is and is willing to move forward with surgery, understanding that there is a high risk of recurrence. due to the fact that she has a high pt it was elected not to place an epidural. her bun and creatinine were elevated preoperatively. her hepatologist, dr. , felt this was due to her aggressive diuresis. he felt it was okay to move forward with surgery. past medical history: 1. hep c with variceal bleed s/p band 2. 30ppy tobacco 3. h/o etoh use 4. recurrent pleural effusion. pleurx catheter placement and management of recurrent pleural effusion. s/p vats decort, pleurodesis social history: lives alone in 2 story home, bed and bath upstairs. 30ppy smoking history. family history: father - copd pertinent results: post-op: 12:29pm wbc-7.6 rbc-3.85* hgb-11.4* hct-33.1* mcv-86 mch-29.7 mchc-34.5 rdw-13.6 12:29pm plt count-117* 12:29pm glucose-143* urea n-48* creat-1.4* sodium-134 potassium-5.1 chloride-106 total co2-22 anion gap-11 12:29pm calcium-8.2* phosphate-3.5 magnesium-2.0 . micro: 9:15 am pleural fluid right pleural fluid. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (final ): no growth. fungal culture (preliminary): no fungus isolated. . pathology: diagnosis: right pleural tissue: fibrous tissue with extensive foreign body giant cell reaction with associated polarizable foreign material. focal reactive mesothelial hyperplasia. small fragment of lung parenchymal tissue. no malignancy identified. cytology: diagnosis: pleural fluid, right: negative for malignant cells. lymphocytes, monocytes, macrophages and rare mesothelial cells. . imaging: cxr: clinical history: status post decortication on the right chest. chest: post-op chest shows position of two chest tubes on the right side in satisfactory position and resolution of the pre-operative right effusion. blunting of the right costophrenic angle is present. no pneumothorax is identified. the left lung is clear, some atelectasis is seen on the right side. impression: chest tubes in satisfactory position. resolution of effusions. no pneumothorax. . cxr: impression: ap chest compared to and 2 at 5:39 a.m.: lung volumes only mildly lower following tracheal extubation. right pleural tube is unchanged in position. little if any right pleural effusion has accumulated, and there is no pneumothorax. heart size normal. right basal atelectasis is more pronounced. left lung grossly clear. subcutaneous emphysema in the right neck has increased and needs to be followed to exclude a communication between the pleural space and subcutaneous tissues. gaseous distention of the stomach persists. heart size normal. . cxr: single portable radiograph of the chest demonstrates no interval change in the three right-sided chest tubes seen on . there is a small right-sided pneumothorax, slightly more conspicuous than seen previously. right basilar atelectasis persist. left lung is clear. no left-sided pleural effusion. trachea is midline. subcutaneous emphysema is again noted. no consolidation is evident. . cxr: impression: ap chest compared to through : low lung volumes suggest this film was taken at suboptimal inspiration accounting for worsening atelectasis in the region of surgery at the base of the right lung. there is no appreciable right pneumothorax. a small amount of right pleural thickening or fluid along the lateral costal pleural surface is stable. small left pleural effusion is new or newly apparent and there is increasing atelectasis at the left base. the upper lungs are grossly clear, the heart is normal size, and the mediastinum midline. subcutaneous emphysema in the right chest wall and right neck is stable. . cxr: chest pa and lateral: cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is unremarkable. the appearance of the right chest is stable with three chest tubes in place. two of the chest tubes appear somewhat acutely angulated. right lateral lower lung opacities are again identified. adjacent subcutaneous emphysema is improved. the left lower lobe atelectasis and possible small effusion is improved. osseous and soft tissue structures are unremarkable. impression: slight interval improvement in post-operative appearances. . cxr: history: right thoracotomy and decortication. 3 chest tubes are present in the hemithorax as previously demonstrated with subcutaneous emphysema in the right chest wall. no pneumothorax. pleural effusion or thickening is present in the right costophrenic region and focal asymmetric pleural density at the right lung apex, unchanged. atelectasis at the right lung base. the left lung remains clear. . cxr: portable ap chest radiograph compared to . one of the two right chest tubes has been removed, the lower one. minimal apical pneumothorax is still present. no significant change in the right pleural thickening/effusion and atelectasis of the adjacent lung is demonstrated. the rest of the lung is unremarkable. the cardiomediastinal silhouette is stable. no increase in pleural effusion is demonstrated. impression: minimal residual apical pneumothorax on the right. no change after discontinuation of one of the chest tubes. brief hospital course: ms. was admitted on after a decortication and mechanical pleurodesis. for details of the procedure please see the operative report. of note, the procedure was unable to be completed thoracoscopically necessitating a right thoracotomy. she tolerated the procedure well and was admitted to the sicu postoperatively intubated. 2 chest tubes and a tunneled pleurex catheter were left in place postoperatively. both chest tubes were placed to suction with an air leak noticed immediately. she was extubated without difficulty on pod1. post operatively she was noted to be tachycardic with a heart rate ranging from 115-130. this was noted to be a sinus tachycardia and as her blood pressure was stable and she was not hypoxic it was felt to be secondary to pain and hypovolemia. she continued to be tachycardic after adequate volume resusciation, but she continued to have significant difficulties with pain control. once her pain was stablized on her home regimen of oxycontin and lamotrigine the tachycardia resolved. postoperatively her renal function was stable with a creatinine of 1.4 initially on pod1. she was restarted on her lasix but her aldactone was held. she was also started on salt tabs and a fluid restriction once adequate resuscitated for hyponatremia (sodium as low as 128). this remained stable throughout her hospital stay and she was restarted on aldactone on pod 6. both chest tubes remained on suction postoperatively for several days in order to ensure full expansion and adhesion formation of the right lung. the air leak resolved after several days and the ct output was minimal at the time of removal. one ct was removed on pod 7 and the second was removed on pod 8 with only a small, stable apical pneumothorax noted after removal. after removal of the second chest tube, the pleurex catheter was attached to pleurovac on suction. at the time of discharge on pod9 the pleurex catheter was capped and her pain was adequately controlled. she was ambulating without difficulty and tolerating a regular diet. medications on admission: 1. maphyton 10mg qday 2. lactulose 2mg/day 3. slow mag 64mg 4. oxycontin 80mg q8hours 5. lamotrigine 100mg 6. lasix 60mg qday 7. protonix 40mg qday 8. spironolactone 200mg qday discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. lamotrigine 100 mg tablet sig: one (1) tablet po bid (2 times a day). 4. oxycodone 40 mg tablet sustained release 12 hr sig: two (2) tablet sustained release 12 hr po q8h (every 8 hours). 5. spironolactone 100 mg tablet sig: one (1) tablet po daily (daily). 6. lasix 20 mg tablet sig: three (3) tablet po once a day. discharge disposition: home with service facility: home care discharge diagnosis: recurrent right pleural effusions hepatitis c discharge condition: good discharge instructions: call your doctor greater than 101f, chills, worsening chest pain not controlled by pain medication, shortness of breath, worsening redness/discharge from incisions or other symptoms concerning to you. you may remove the dressings tomorrow, . you may place a bandaid over the ct sites if there is any drainage present. do not remove the steristrips, they will fall off on their own. you will be discharged home with a pleurex catheter in place. you may shower tomorrow after the dressing is removed. cover the catheter when showering. do not tub bathe or swim while the pleurex catheter is in place. no heavy lifting, greater than 15 lbs, for 4 weeks. do not drive while taking narcotic pain medication. drain the pleurex catheter once a day. followup instructions: follow up with dr. , call office for an appointment. (. follow up with your hepatologist, dr. in weeks. follow up with your primary care doctor in weeks. procedure: fiber-optic bronchoscopy decortication of lung other incision of pleura injection into thoracic cavity diagnoses: esophageal reflux unspecified pleural effusion alcoholic cirrhosis of liver hyposmolality and/or hyponatremia other and unspecified alcohol dependence, in remission unspecified viral hepatitis c without hepatic coma pulmonary collapse other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation emphysema (subcutaneous) (surgical) resulting from procedure tachycardia, unspecified thoracoscopic surgical procedure converted to open procedure pleurisy without mention of effusion or current tuberculosis 

Answer: The patient is high likely exposed to