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: left upper lobe nodule. major surgical or invasive procedure: : left video-assisted thoracoscopic surgery (vats) lingulectomy, mediastinal lymph node dissection. history of present illness: ms. is a 74-year-old woman who had undergone a workup for dyspnea prior to planned knee replacement surgery. a ct scan noted that there was growth of a left upper lobe lingular nodule. the patient also had other pulmonary nodules and it was recommended that these others be followed. specifically, there was another nodule in the left upper lobe which was in the upper division. i did not think that this would come out with a lingular bisegmentectomy; however, in discussion with her pulmonologist, dr. , he did not feel that a complete upper lobectomy would be well tolerated, given her dyspnea at baseline. this was despite her reasonable pulmonary function tests. she could not complete a cardiopulmonary exercise test due to her musculoskeletal problems, unfortunately. past medical history: arthritis bilateral knees, lumbar stenosis, bilateral hip replacement /, emphysema, myleodysplasia (chronic anemia) social history: current smoker 50 pack year lives with family family history: family history: mother - chf death at 85, colon ca father - died of lung ca siblings - brother with pancreatic, another brother with lung ca offspring - healthy other physical exam: vitals: tmax 97.5 hr 70 bp 120/64 rr 20 sao2 95% general: nad a+o x3 cardiac: rrr no mrg s1 s2 lungs: diffuse crackles no respiratory distress abd: + bs soft nt wound: vats left cdi extrmeties: no cce pertinent results: 03:40am blood wbc-5.2 rbc-2.49* hgb-8.6* hct-26.3* mcv-106* mch-34.5* mchc-32.6 rdw-27.6* plt ct-183 03:40am blood wbc-5.2 rbc-2.49* hgb-8.6* hct-26.3* mcv-106* mch-34.5* mchc-32.6 rdw-27.6* plt ct-183 03:40am blood wbc-5.2 rbc-2.49* hgb-8.6* hct-26.3* mcv-106* mch-34.5* mchc-32.6 rdw-27.6* plt ct-183 03:40am blood plt ct-183 06:40am blood glucose-100 urean-7 creat-0.5 na-139 k-3.9 cl-101 hco3-30 angap-12 06:40am blood calcium-8.3* phos-3.8 mg-1.6 01:47am blood tsh-4.3* brief hospital course: admitted for vats extubated in the or proceeded to rr and then admitted to med floor with tube. received 2 units of prbc post op day 1. had brief episode of a-fib and converted immediately with iv lopressor and amiodarone gtt. while on the floor had an episode of anxiety with sob. she also drop her o2 sats for brief period and was self limiting. she was transferred to the critical care unit and cardiology was consulted. enzymes neg for injury, echo cardiogram negative. sent urine for metanephrines (still pending). octreotide scan performed and these results are also pending. tube d/c'd on pod #4. amiodarone d/c'd, lopressor 25 mg started and patient remains in nsr transferred back to telemetry with out any further episodes of a-fib. she did have a 1- brief episodes of anxiety, sob and slight desaturation, with spontaneous recovery. patient is ambulatory and with out complaints. she was discharged to home. medications on admission: brimonidine-timolol - 0.2 %-0.5 % drops - one drop in each eye twice a day latanoprost 0.005 %drops 1 drops in each eye twice a day levalbuterol hcl 0.63 mg/3 ml solution for nebulization one vial(s) inhaled via nebulizaiton twice a day as needed for prn wheezing tiotropium bromide 18 mcg capsule w/inhalation device - one puff orally q day discharge medications: 1. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) capsule, w/inhalation device inhalation once a day as needed for copd. 2. combigan 0.2-0.5 % drops sig: one (1) ophthalmic qhs (once a day (at bedtime)) as needed for glaucoma. 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. home oxygen 2lpm continuous via nasal cannula conserving device for portability 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 9. xopenex 0.63 mg/3 ml solution for nebulization sig: three (3) ml inhalation twice a day as needed for shortness of breath or wheezing. 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/ha. discharge disposition: home with service facility: homecare discharge diagnosis: left upper lobe lingular nodule discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -cover chest tube site with a bandaid -you may shower. no tub bathing or swimming for 4 weeks -no driving while taking narcotics. take stool softners with narcotics -home oxygen 2 liters followup instructions: follow up with cardiology and pulmonology as an out patient. follow-up with dr. 2:00pm on the clinical center . report to the radiology department for a chest x-ray 45 minutes before your appointment. procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells other local excision or destruction of lesion or tissue of lung diagnoses: cardiac complications, not elsewhere classified atrial fibrillation acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to