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: biaxin / ibuprofen / amoxicillin attending: chief complaint: asymptomatic right upper lobe and paraesophageal nodules. major surgical or invasive procedure: 1. flexible bronchoscopy. 2. cervical mediastinoscopy. 3. right upper lobe vats wedge resection. 4. right upper lobectomy. 5. resection of paraesophageal mass. 6. repair of tracheal laceration. history of present illness: 78 year old woman who had undergone a resection of a left frontal atypical meningioma in and is also followed for cll. as part of her preoperative work up in , she was found to have right upper lobe nodule on ct scan. this persisted over several months and is pet positive. she presents for resection. in addition, the patient is noted to have a 1.5 cm paraesophageal mass which was thought to possibly be a lymph node. an esophageal ultrasound did not clarify this further, so she presents for resection of this simultaneously. past medical history: -- cll diagnosed in -- left frontal meningioma s/p resection -- peptic ulcer disease -- colon adenoma -- multinodular goiter with hypothyroidism -- osteoporosis -- osteoarthritis -- hypercalcemia -- emphysema based on ct, but not on inhalers -- s/p cholecystectomy social history: retired lived with husband prior to surgery, has 3 daughters and a son, all healthy. resides half year in . smoked ppd for 27 years, quit . etoh prior daily glass of wine. no recreational drug use. family history: mother died from bile duct ca age 89. sister died from gastric ca age'. sister died from esophageal ca age 74. sister died from lower extr dvt age 82. father died from ?mi age . physical exam: general: pleasant female in nad. heent: peerla, eomi, sclera non-icteric. neck-supple, no lad. cor: rrr lungs: cta bilat abd: soft, nt, nd, +bs, incision well healed. extrem: no c/c/e wound: dry, clean, no drainage brief hospital course: patient admitted on for correction of coumadin-induced anticoagulation prior to surgery on . please refer to detailed operative report for additionnal information. post operative course without major complication. patient spent first 2 nights in icu for cardio-respiratory monitoring and neo weaning. the 2 chest tubes were initially on suction, then to water seal, eventually removed on pod4 and pod6 respectively. serial cxr revealed no pneumothorax. pain management achieved with epidural catheter, maintained by pain service, until pod4 (), then switched to po meds. patient's hematocrit decerased slowly post operatively and was 25.5 on pod4 (). patient was then transfused w/ 1 unit prbc. because of her hx of dvt, ivc filter, patient is anticoagulated with iv heparin, starting on pod2; coumadin is started on pod5. on pod6, patient presents episode of atrial fibrillation, treated w/ iv metoprolol, followed by po regimen, continued upon d/c. on pod8, patient is d/c home, able to ambulate and in good condition. coumadin dosing, inr level monitored by clinic. medications on admission: coumadin, colace, fosamax 70 qweek, lasix 20', mvi, paroxetine 10hs, ranitidine 150",synthroid 100', tylenol es discharge medications: 1. alendronate 70 mg tablet sig: one (1) tablet po qthur (every thursday). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 4. zantac maximum strength 150 mg tablet sig: one (1) tablet po twice a day. 5. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 7. senna 8.6 mg tablet sig: one (1) tablet po daily (daily) as needed. 8. ipratropium bromide 0.02 % solution sig: one (1) puff inhalation q6h (every 6 hours). 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*120 tablet(s)* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*75 tablet(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 13. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: all care vna of greater discharge diagnosis: -- rul nodule -- esophageal nodule -- cll (99) -- left frontal meningioma s/p resection -- peptic ulcer disease -- multinodular goiter with hypothyroidism -- osteoporosis -- osteoarthritis -- hypercalcemia -- emphysema based on ct, but not on inhalers discharge condition: good discharge instructions: call dr. office if you experience any chest pain, shortness of breath, fever, chills, redness or drainage from you incision site. do not drive while you are taking pain medication. take coumadin 5 mg evening , . have blood drawn for inr, coumadin level at , clinic on monday. wait for results to know dosage for monday night and until next blood draw. resume all your pre-hospitalization medications. see specific instructions for coumadin dosing. take all new medications as directed. followup instructions: call dr. office for a follow up appointment in days.. please follow up inr (coumadin level) on monday and follow up with primary care physician for level check procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells mediastinoscopy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt suture of laceration of trachea local excision of other lesion or tissue of esophagus diagnoses: unspecified acquired hypothyroidism atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified malignant neoplasm of upper lobe, bronchus or lung osteoporosis, unspecified other emphysema long-term (current) use of anticoagulants hemangioma of other sites personal history of venous thrombosis and embolism chronic lymphoid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to