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: penicillins attending: chief complaint: mediastinal mass major surgical or invasive procedure: ressection of mediastinal mass and repair of diaphramatic hernia medial sternotomy, radical thymectomy, and repair of diaphragmatic hernia with 2-mm -tex mesh. history of present illness: 61f with crohns who presented with acute onset of chest pain and shortness of breath. she states that she was up and walking around a sales show and suddenly noted severe substernal chest pain radiating to the back which was accompanied by shortness of breath. she has not had symptoms like this before. she was not dizzy or lightheaded. she denies fever, chills or cough. she called her husband who picked her up and transported her to the ed. the chest pain resolved after roughly 15 minutes although the sob persisted. ecg showed non-specific st deviations though cardiac enzymes were negative x1. in the ed she underwent cta to r/o aortic dissection and pe. however the contrast bolus was suboptimal and while the overnight prelim read by the radiologist was able to rule out issection, pe could not be ruled out definitively. past medical history: crohn's disease, on remicade every other week, last dose , reports last flair several weeks ago. osa, not currently using bipap but was prescribed osteopenia depression htn hyperlipidemia social history: smoking: 1ppd x 20 years, quit 30 years ago. no etoh or drug use. lives with husband, works in an pediatric orthodonic surgery office. family history: mother with breast cancer diagnosed at age 30, died at age 34; sister deceased of breast cancer age 47; 2 maternal cousins with breast cancer; 1 maternal aunt with ? ovarian or stomach cancer per pt; father with leukemia, died at age 77; pt has 1 living brother who is healthy; has 1 son and 1 daughter who are healthy. physical exam: vital signs: t: 98.2 hr: 70-80's sr 20 bp: 130/76 o2 sats: 97% 2 liters nc general: a+ o nad lungs: end expiratory wheeze otherwise clear cardiac: rrr abd: lg soft, nt nd + bs ext: neg edema incision: sternal site clean and dry w/o redness or swelling. pertinent results: wbc-6.3 rbc-3.72* hgb-9.8* hct-30.1* plt ct-301 wbc-12.0*# rbc-3.59* hgb-8.9* hct-28.6* plt ct-324 glucose-113* urean-10 creat-0.7 na-139 k-4.4 cl-101 hco3-26 glucose-115* urean-17 creat-1.2* na-141 k-5.0 cl-106 hco3-24 cxr: the left lung remains clear. the appearance of the chest with elevation of the right hemidiaphragm is unchanged. cardiomediastinal contours are stable. the visualized right upper lung is grossly clear. there is no pneumothorax, if any, there is a small right pleural effusion. the sternal wires are aligned the patient was extubated in the meantime interval. the ng tube has been removed. there is again a high position of the right hemidiaphragm unchanged compared to the prior study or even slightly higher. the right chest tube is unchanged in location. the upper lungs and the left lung base are essentially clear. right middle lobe is newly collapsed. postoperative elevation of the right hemidiaphragm is severe but unchanged. atelectasis at the medial aspect of the left lung base has not improved. upper lungs clear. large postoperative cardiomediastinal silhouette unchanged, right pleural tube still in place. renal us normal son assessment of the kidneys on this technically limited assessment. ecg: sinus rhythm. left axis deviation. left anterior fascicular block. left ventricular hypertrophy. possible anterior myocardial infarction, age undetermined. however, the late precordial qrs transition is non-specific. path thyoma brief hospital course: 61f with crohns who presented with acute onset of chest pain and shortness of breath. she states that she was up and walking around a sales show and suddenly noted severe substernal chest pain radiating to the back which was accompanied by shortness of breath. she has not had symptoms like this before. she was not dizzy or lightheaded. she denies fever, chills or cough. she called her husband who picked her up and transported her to the ed. the chest pain resolved after roughly 15 minutes although the sob persisted. ecg showed non-specific st deviations though cardiac enzymes were negative x1. in the ed she underwent cta to r/o aortic dissection and pe. however the contrast bolus was suboptimal and while the overnight prelim read by the radiologist was able to rule out dissection, pe could not be ruled out definitively. additionally ct of chest showed anterior mediastinal mass on anterior mediastinal mass,anteromedial diaphragmatic hernia (morgagni)medial sternotomy, radical thymectomy, and repair of diaphragmatic hernia with 2-mm -tex meshthymectomy with diaphragmatic repair. developed postop hypotension requiring 750 cc ns. cr level climbing renal ultrasound done negative for obstruction. patients uop minimal and sob. iv lasix given with no response. respiratory distress with no transfered to icu and ntubated. transfused 1 u prbcs, hct 24.2>25.5. switched to levo, off during the day and then back on overnight. : switched to cpap w/ ps, pt eventually got tired and couldn't tolerate, switched back to cmv for rising pco2 : on cpap/ps. weaning ps. tf in am. ogt 550 t/o day. +ua w/ gnr. treated with cipro last dose . : extubated. on nc. : passed s/s. cpap fitting. dc ct. cxr showing elevated r hemidiaphram. transfered to the floor on nasal cannual 7 liters, cxr continues with elevated right hemidiaphram, diet adv, oob, nebs q 4 hours and pt consult rehab. medications on admission: dicyclomine 10mg before each meal and at bedtime humira injection q 2 weeks stopped alendronate 70 mg qmonday zyrtec qd vit b12 im q6 weeks cardizem cd 240 mg qd flonase 50mcg 2 sprays each nostril qd lamictal 200 mg qd levothyroxine 125 mcg qd lisinopril 20 mg qd mesalamine 1000 mg qid pantoprazole 40 mg qd zoloft 200 mg qd aspirin 81 mg qd vit d vit b6 discharge medications: 1. mesalamine 250 mg capsule, sustained release sig: four (4) capsule, sustained release po qid (4 times a day). 2. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 3. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 7. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching. 8. aripiprazole 2 mg tablet sig: one (1) tablet po daily (daily). 9. sertraline 100 mg tablet sig: two (2) tablet po daily (daily). 10. lamotrigine 100 mg tablet sig: two (2) tablet po daily (daily). 11. ipratropium bromide 0.02 % solution sig: three (3) ml inhalation q4h (every 4 hours). 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q4h (every 4 hours). 13. fosamax 70 mg tablet sig: one (1) tablet po once a week: monday. 14. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 15. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: anterior mediastinal mass discharge condition: good discharge instructions: please call dr. office with any questions or concerns. call with fevers greater than 101.5. call with increased shortness of breath, and or chest pain. call with drainage, redness or swelling from incisions. call dr. office if experience: -fever > 101 or chills. -increased shortness of breath or cough -sternal incision develop drainage or clicking followup instructions: you have a follow up appointment with dr. 3:00pm on the shapairo clinical center . please arrive 45 minutes earlier for a chest x-ray on the radiology department. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube excision or destruction of lesion or tissue of mediastinum other total excision of thymus other and open repair of diaphragmatic hernia, abdominal approach diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diaphragmatic hernia without mention of obstruction or gangrene regional enteritis of unspecified site swelling, mass, or lump in chest 

Answer: The patient is high likely exposed to