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: right upper lobe nodule. major surgical or invasive procedure: video-assisted thoracoscopic right upper lobe wedge resection and mediastinal lymph node dissection. history of present illness: ms. is a pleasant 68 year old female who underwent cabg x 3 in at . during postoperative evaluation of her carotid stenosis, she underwent cta neck which found an incidental r apical nodule concerning for malignancy. she has an 80 pack year history of smoking, just quitting this past week. she underwent pet-ct which was fdg avid in this 14x11mm rul nodule. a 12x9mm lul ground glass appearing lung nodule was seen but not fdg avid. she was admitted for right upper lobe wedge resection. past medical history: -cabg x3 at -r carotid stenosis with complete occlusion. -l carotid stenosis with 45% occlusion -moderately controlled dm with oral hypoglycemics -htn -hyperlipidemia -gerd social history: married with two boys, worked as a waitress. 80 pk yr hx of smoking, recently quit. no etoh, no known exposures. family history: mother- lung cancer died at age 74 father- died age 79 of prostate ca, cad sister with breast ca oldest son diabetes physical exam: vs: t: 100.1->96.7 hr: 75 sr bp: 147-156/70-90 sats: 95% ra bs 122-131 general: 68 year-old female doing well heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr resp; decreased breath sounds otherwise clear gi: benign extr: warm no edema incision: right vats site clean dry intact neuro: awake, alert & oriented. strengths: right full extension with 4/5 strength, left 3-4/5 with full extension, + dysmetria finger-nose on left, sensation intact bilateral pertinent results: wbc-11.1* rbc-4.20 hgb-11.6* hct-34.4 plt ct-217 hct-36.7 glucose-121* urean-14 creat-0.7 na-136 k-4.9 cl-101 hco3-27 glucose-88 urean-18 creat-0.7 na-132* k-4.9 cl-98 hco3-24 urean-20 creat-0.8 na-138 k-5.0 cl-104 hco3-26 calcium-8.9 phos-4.2 mg-2.2 micr0: : mrsa screen (final ): no mrsa isolated. tissue culture no growth to date cxr: : right pneumothorax has decreased in size. : small-to-moderate right pneumothorax with apical lateral and basal component has increased since following removal of the right pleural drain. subcutaneous emphysema in the right chest wall is smaller and there is no appreciable right pleural fluid. small left pleural effusion is stable. left lung clear. heart size normal. : there is again seen a small right apical pneumothorax. the chest tube on the right side is unchanged in position. there remains soft tissue emphysema within the right lower chest wall. there is minimal blunting of bilateral costophrenic angles suggestive of small pleural effusions. cardiac silhouette is within normal limits. there are no signs of overt pulmonary edema. : sternotomy wires and mediastinal clips are unchanged. a small-to-moderate right apical pneumothorax is relatively unchanged in size. chest tube unchanged in position. suture lines in the right upper lung with adjacent opacity related to post-surgical change is stable. small left-sided pleural effusion is unchanged. cardiomediastinal and hilar contours are stable. ct: head impression: 1. unchanged complete occlusion of the right ica extending from the bifurcation to the petrous portion with the recalzed segment possibly representing antegrade collaterals, which are not directly visualized on ct. 2. evidence of large territory right mca ischemia with a central smaller area of decreased blood volume suggestive of a core infarct. interpretation of the ct perfusion study, particularly the mtt, is complicated by the proximal right ica occlusion. 3. no evidence of hemorrhage. 4. previously seen right upper lobe spiculated opacity is less well visualized given adjacent atelectasis however refer to prior ct for characterization. 5. unchanged left upper lobe apical opacity. 6. unchanged right apical pneumothorax and moderately severe background emphysema. mri head: : acute infarcts in the distribution of right middle cerebral artery with cortical infarcts in the right posterior frontal region as well as in the watershed distribution and subcortical region. no blood products seen. severe changes of small vessel disease. chronic right fontal lobe watershed infarct. absent flow void in the right internal carotid artery. echo: : the left atrium is mildly dilated. a patent foramen ovale is present. the estimated right atrial pressure is 0-5 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a prominent fat pad. impression: patent foramen ovale. normal global and regional biventricular systolic function. mild pulmonary hypertension brief hospital course: ms. was brought to the operating room by dr. on for rul vats wedge resection of her fdg lung nodule suspicious for cancer. she was extubated in the operating room, monitor in the pacu. while in the pacu she was slow to recover. once aroused she transfered to the floor, in stable condition. over night she developed left sided weakness and the stroke team was consulted. neuro: findings and recommendations: probable right fronto-parietal infarct due to embolism from an occluded right proximal ica. she is not a candidate for revascularization because she has complete occlusion of the right ica. risk factors include inflammation as a result of the lung surgery and possibly hypercoagulability from cancer. also, aspirin was held for seven days prior to the surgery. she was not a candidate for iv tpa given the surgery. allow bp to autoregulate from sbp 140-180, continue zocor 80mg qhs & aspirin 325mg daily. she slowly improved with residual left upper extremity weakness. head ct and mri confirmed acute infarcts in the distribution of right middle cerebral artery with cortical infarcts in the right posterior frontal region as well as in the watershed distribution and subcortical region. respiratory: aggressive pulmonary toilet, nebs and chest pt were continued. her oxygenation requirement improved with room air saturations of 92-95% at rest and with activity. chest film: serial chest film were performed and showed a stable small to moderated right apical pneumothorax improving. cardiac: hemodynamically stable hr 80-90 sinus rhytm. bp 130-150's stable gi: ppi and bowel regime nutrition: diabetic diet endocrine: bs 120-140's. she was managed on insulin sliding scale and her home medications metformin and glizide were restarted. renal: renal function was normal with good urine output. pain: sensitive to narcotics. acetaminophen and nsiads with good pain control disposition: she was seen by physical and occupational therapy who recommended rehab. she was discharged to on . she will follow-up with dr. as an outpatient. medications on admission: -aspirin 325mg po daily -metformin 1000mg po bid -glipizide 5mg po bid -metoprolol 50mg po in am, 25mg po in pm -zocor 80 mg po qhs -lisinopril 5mg po daily -spiriva 18mcg inh daily discharge medications: 1. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 2. glipizide 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po twice a day. 3. lisinopril 5 mg tablet sig: one (1) tablet po once a day: hold sbp < 110. 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 6. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 7. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 8. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): while on bedrest. 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 14. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 15. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain: give w/food and water. discharge disposition: extended care facility: - discharge diagnosis: - rul lung nodule - coronary artery disease - r coronary artery bare metal stent ; cabg x3 - carotid artery disease - r ica complete occlusion, l carotid stenosis with 45% occlusion -moderately controlled dm with oral hypoglycemics -hypertension -hyperlipidemia -osa -copd -gerd discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fever > 101 or chills -increased shortness of breath, cough or chest pain -incision develops drainage -chest tube remove dressing tuesday and cover site with a bandaid -you may shower. no tub bathing or swimming until incisions healed followup instructions: follow up with dr. date/time: 2:00 on the clinical center chest x-ray radiology 30 minutes before your appointment procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision thoracoscopic excision of lesion or tissue of lung diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction other and unspecified hyperlipidemia iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung ostium secundum type atrial septal defect other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cerebral embolism with cerebral infarction iatrogenic cerebrovascular infarction or hemorrhage family history of malignant neoplasm of trachea, bronchus, and lung occlusion and stenosis of carotid artery with cerebral infarction other musculoskeletal symptoms referable to limbs other facial nerve disorders 

Answer: The patient is high likely exposed to