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: prochlorperazine / celexa / dilaudid / ambien / methotrexate attending: chief complaint: right neck pain major surgical or invasive procedure: total thyroidectomy with right modified radical neck dissection and intraoperative nerve monitoring history of present illness: the patient is an 81-year-old woman with a previous medical history significant for coronary artery disease and status post coronary artery bypass graft, diabetes, hypertension, left carotid endarterectomy for carotid stenosis, rheumatoid arthritis, iron deficiency anemia, cholecystectomy, urinary incontinence, and factor v leiden disease. the patient presented with a relatively newly diagnosed papillary thyroid carcinoma with large and multiple lymph node metastases in the right neck lateral compartment. the patient was scheduled for total thyroidectomy and modified radical neck dissection. the patient was evaluated and cleared for surgery by cardiology and was also seen as a preoperative anesthesiology consult. past medical history: papillary thyroid carcinoma with lymph node metastases syncope due to recurrent polymorphic ventricular tachycardia cad s/p cabg diabetes htn pvd left cea for carotid stenosis rheumatoid arthritis factor v leiden depression iron def anemia hypothyroidism failure to thrive cholecystectomy urinary incontinence interstitial lung disease restless leg syndrome seizure 30 years ago recurrent anemia requiring multiple tranfusions as per son, details unknown (possible gi losses w/negative work-up) social history: per medical records: patient lives at the as does her husband. according to nurse practitioner has good and bad days, some days she is more alert, verbal and interactive than others. ambulates with a wheelchair due to knee pain. family history: her son had a papillary thyroid cancer that was removed. rare throat cancer of her sister. history of radiation exposure. physical exam: vitals: tm 98.5, tc 98.1, hr 70, bp 155/73, rr 20, o2sat 94% ra general: elderly lady in no acute distress. alert and oriented x 3. in moderate pain, hoarse sounding (baseline voice?) cardiac: rrr resp: in no respiratory distress abd: soft, nontender, non-distended, no rebound or guarding ext: warm and well perfused; pneumo boots not in place (refused by pt) incision: clean, dry and intact; edema and ecchymosis that is stable compared to previous exams at inferior incision. pertinent results: cxr: findings: in comparison with the study of , there is no evidence of elevation of the left hemidiaphragm. however, the medial aspect of the hemidiaphragm is not as sharply seen, suggesting some static change in this region. no evidence of vascular congestion or pneumothorax. thyroid pathology: pending ca: 8.2 wbc rbc hgb hct mcv mch mchc rdw plt ct 8.4 3.01* 7.6* 25.0* 83 25.2* 30.3* 17.9* 289 brief hospital course: mrs. was admitted to the surgery service following a total thyroidectomy and right modified radical neck dissection for her papillary thyroid carcinoma. she tolerated the procedure well. swelling of the inferior aspect of the incision was noted on pod0, but the swelling and ecchymosis remained soft, warm and stable throughout her stay. she denied symptoms of hypocalcemia, and her pain was well controlled once the patient was placed on her home dose of prednisone; the majority of her post-operative pain appeared to stem from her arthritis. mrs. had an episode of o2 desaturation down to 88% on pod2; this resolved quickly after humidified air and deep coughing produced a large mucus plug. she remained hemodynamically stable throughout her admission. of note, patient refused to be moved out of bed to chair day prior to discharge and also declined pneumatic boots for dvt prophylaxis. medications on admission: prednisone 5mg daily, albuterol inh q6hr prn, ipratropium inh q6hr prn, trazodone 50 qhs prn, levothyroxine 112 mcg daily, mirtazapine 7.5 qhs, donepezil 10mg qhs, lisinopril 10mg daily, simvastatin 20mg daily, amiodarone 200 , 81mg daily, ca 500mg daily, cholecalciferol 400 u daily, fe sulfate 300mg tid, docusate 100mg prn, senna 8.6mg prn, omeprazole 40mg , acetaminophen 325 q4hr prn, polyvinyl alcohol-povidone 1.4-0.6 % eye gtt, lispro, glucagon, metoprolol 12.5mg daily, levothyroxine 125mcg daily, heparin tid discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 2. albuterol sulfate inhalation 3. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 5. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 6. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 7. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 8. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 9. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 10. amiodarone 200 mg tablet sig: one (1) tablet po . 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. calcium carbonate 500 mg (1,250 mg) tablet, chewable sig: one (1) tablet, chewable po twice a day. 13. cholecalciferol (vitamin d3) 400 unit capsule sig: one (1) capsule po once a day. 14. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. senna 8.6 mg capsule sig: one (1) capsule po once a day as needed for constipation. 17. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po twice a day. 18. acetaminophen 325 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. 19. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: one (1) ophthalmic once a day. 20. insulin lispro subcutaneous 21. glucagon (human recombinant) injection 22. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po once a day. 23. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 24. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: papillary thyroid carcinoma with regional lymph node metastases discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the surgery service following a total thyroidectomy and right modified radical neck dissection. please call your doctor or go to the emergency department if: *you experience new chest pain, pressure, squeezing or tightness. *you develop new or worsening cough, shortness of breath, or wheeze. *you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience an unusual discharge. *your pain is not improving within 12 hours or is not under control within 24 hours. *your pain worsens or changes location. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *you develop any concerning symptoms, such as symptoms associated with low calcium: tingling near your mouth or fingertips, muscle spasms in your hands. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. incision care: *please call your surgeon or go to the emergency department if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until cleared by your surgeon. *you may shower and wash incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please call dr. office for a follow-up appointment: ( provider: , md phone: date/time: 2:20 provider: , md phone: date/time: 10:00 md, procedure: radical neck dissection, unilateral complete thyroidectomy percutaneous insertion of other extracranial artery stent(s) diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified depressive disorder, not elsewhere classified nausea with vomiting postinflammatory pulmonary fibrosis iron deficiency anemia, unspecified rheumatoid arthritis primary hypercoagulable state accidents occurring in residential institution secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck restless legs syndrome (rls) foreign body in larynx inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation malignant neoplasm of thyroid gland 

Answer: The patient is high likely exposed to