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: gabapentin / phenobarbital / adhesive tape attending: chief complaint: right upper lobe lung nodule major surgical or invasive procedure: : 1. right thoracotomy, right upper lobectomy. 2. wedge resection of superior segment of right lower lobe. 3. mediastinal lymph node dissection. history of present illness: the patient is a 63-year-old woman with a 4-cm lung cancer arising from the right upper lobe. preoperative imaging suggested that the lesion crossed the major fissure into the right lower lobe. given this and the tumor size, we elected to perform the lobectomy through a right thoracotomy. past medical history: metastatic breast cancer hypertension hyperlipidemia gout pancreatitis parotitis diverticulitis lumbar disc disease anxiety stress fracture of fibula past surgical history: vaginal hysterectomy multiple d&cs left foot surgery social history: former smoker (20+pk yrs, quit x20yrs). occ etoh. had a significant other. family history: family history: brca negative mother: died of stomach ca at age 73 father: died of renal ca at age 39 (possible related to radiation exposure in wwii) siblings offspring other: niece with breast ca in 40's physical exam: discharge vital signs: t 98.2, hr 67, bp 114/64 rr 20 o2 sats 94% ra discharge physical exam: general: pleasant in nad lungs: clear t/o chest: right thoracotomy healed. right chest tube site with suture intact. cv: rrr s1, s2, no mrg or jvd abd: soft, nt, nd ext: warm without edema pertinent results: 07:30am blood wbc-13.9* rbc-3.86* hgb-12.3 hct-35.0* mcv-91 mch-31.9 mchc-35.2* rdw-16.7* plt ct-298 07:10am blood wbc-16.7* rbc-3.91* hgb-12.1 hct-35.5* mcv-91 mch-30.9 mchc-34.1 rdw-17.2* plt ct-256 01:43am blood pt-17.8* ptt-33.6 inr(pt)-1.6* 07:15am blood glucose-135* urean-15 creat-0.6 na-136 k-4.1 cl-102 hco3-26 angap-12 07:30am blood glucose-148* urean-21* creat-0.7 na-135 k-4.0 cl-102 hco3-24 angap-13 07:10am blood glucose-104* urean-44* creat-1.4* na-137 k-4.9 cl-102 hco3-24 angap-16 11:10am blood glucose-120* urean-36* creat-2.2* na-138 k-4.5 cl-101 hco3-25 angap-17 08:10am blood alt-26 ast-37 ld(ldh)-377* alkphos-86 totbili-2.0* 07:15am blood calcium-8.4 phos-2.0* mg-1.8 cxr on discharge : stable right apical pneumothorax. renal us normal renal ultrasound. impression: suboptimal image quality. grossly normal cavity sizes and biventricular systolic function. no definite pathologic valvular flow identified. brief hospital course: ms. was taken to the operating room by dr. on where she underwent a right open thoractomy with right upper lobectomy and lymph node dissection (see operative report for full details). she remained intubated postoperatively and transfered to the icu. below is a systems review of her hospital stay. neuro: the patient remained neurologically intact throughout her stay. dilaudid iv was used in the immediate postoperative period, then switched to ibuprofen, tylenol, lidocaine patch and oxycodone, with prn cyclobenzaprine which was effective in pain relief. pulmonary: the patient was keep intubated postoperatively, and extubated pod 1. aggressive pulmonary toilet was continued to incentive spirometry, ambulation, nebulizers and mucolytics. home lasix was continued with spot dosing of iv lasix to diurese. she had a right chest tube which was discontinued initially on , however developed increasing pneumothorax, and subcutaneous air necesitating right pigtail placement with dr. of interventional pulmonology on . leak continued, therefore a talc 5gram pleurodiesis was done on . the chesttube was kept for 48hours on suction. it was eventually removed on after successful clamp trial, with stable right small pneumothorax on postpull film. cv: the patient went into atrial fibrillation on pod 1 after extubation. this resolved initially on home dose of nadolol and iv diltiazem. after transfer to the floor on she developed atrial fibrillation . at this time iv lopressor was unsuccessfull, therefore she received iv amiodarone 10g load with oral amio plus nadolol as recommended by cardiology thereafter. we did consult cardiology who recommended echo and the above described antiarrhythmic agents. the patient had afib on , but converted midday and has maintained sr since with occasional tachycardia with ecg evidence of sr with pac's. it was felt she did not need coumadin, but a full strength aspirin was started. the patient remained hemodynamically stable throughout. her nadolol was cut in half on after acute renal insufficiency as described below. echo was done on and essentially normal with normal lvef. she was set up with dr. in a month for followup and weaning off amiodarone. abd: her diet was advanced and tolerated. stool softeners were given to prevent constipation. renal: foley was removed pod 1, but replaced for retention, and dc'd on , with minimal but adequate urine output. she required iv lasix for volume overload. daily weights were followed. electrolytes were watched and replaced. on the patient's creatinine acutely rose to 2.0 then later 2.2. renal us was performed and normal. nsaids were dc'd and metformin held. amiodarone was decreased to and nadolol home dosing halved to increase renal perfusion pressures. urine lytes were done. she was felt to be dry, therefore a liter of fluid was given. the patient's creatinine was closely watched and two days later normalized, with auto diuresing. endo: sliding scale insulin was initially given for hyperglycemia. her home metformin was restarted with improved blood sugars in the low 100's. this was held during her renal insufficiency, and resumed with improved glucose. insulin sliding scale was utilized as well. id: the patient remained afebrile, and cbc trends watched. on she spiked w wbc count 23, ua was sent and positive, cipro was started and continued x 3 days. urine culture was sent and final was mixed bacteria consistent with fecal contaminant. after the cipro started her wbc trended downward. the patient noted that during past colon infections she has never mounted a fever. proph: scd's and sq heparin were given for vte prophylaxis. dispo: physical therapy evaluation was made. the patient was deemed appropriate for home with pt. she left with a walker for stabilization. on the patient was ambulating with adequate pain control, with room air saturations of 92-94%. the patient will see dr. on with a chest xray in clinic. medications on admission: aspirin 325 mg daily clonazepam 0.5 1/2-1 tablet daily potassium daily zometa iv prilosec 20 mg daily lasix 40 mg prn leg swelling cyclobenzaprine 10 mg tid prn metformin 1000mg oxycodone 5 mg q3-4 hrs prn pain nadolol 40mg discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po once a day. 2. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle spasm. disp:*90 tablet(s)* refills:*0* 3. acetaminophen 500 mg tablet sig: two (2) tablet po every eight (8) hours. 4. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): 12 hours on during day, 12 hours off at night. disp:*30 adhesive patch, medicated(s)* refills:*1* 5. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*120 tablet(s)* refills:*0* 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 9. nadolol 20 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for htn: note that this is half the dose you were taking at home. 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): x 2 weeks until then take 1 tabs by mouth daily x a month and followup with your cardiologist about future dosing. disp:*75 tablet(s)* refills:*0* 11. exemestane 25 mg tablet sig: one (1) tablet po daily (). discharge disposition: home with service facility: homecare discharge diagnosis: right upper lobe mass s/p right upper lobectomy positive for adenocarcinoma postoperative atrial fibrillation postoperative acute kidney injury, resolved postoperative urinary tract infection, resolved metastatic breast cancer hypertension hyperlipidemia gout pancreatitis parotitis diverticulitis lumbar disc disease anxiety stress fracture of fibula 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: -fevers > 101 or chills -increased shortness of breath, cough, or chest pain (it is normal to cough up small amounts of blood tinge sputum) -incision develops drainage -chest tube site: remove dressing on wednesday evening and cover site with a bandaid until healed -should site have drainage cover with a clean, dry dressing, change as needed to keep site clean and dry. -shower daily starting wednesday night. wash incisions with mild soap and water, rinse, pat dry -no tub bathing, swimming or hot tubs -no driving while taking narcotics. take stool softners with narcotics -walk 4-5 times a day day for 10-15 minutes increase to a goal of 30 minutes daily -daily weight. if up 2 # or more in a day, or 3# or more in a week take lasix 40mg and followup with your pcp. followup instructions: provider: , md phone: date/time: 9:00 on the clinical center chest x-ray 30 minutes before your appointment radiology followup with your primary care doctor dr. on at 2:40pm follow up with dr. (cardiologist) on on at 1050am office, fax procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage division or crushing of other cranial and peripheral nerves regional lymph node excision injection into thoracic cavity other local excision or destruction of lesion or tissue of lung other lobectomy of lung diagnoses: other iatrogenic hypotension abnormal coagulation profile urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified cardiac complications, not elsewhere classified gout, unspecified atrial fibrillation personal history of malignant neoplasm of breast personal history of tobacco use other and unspecified hyperlipidemia anxiety state, unspecified iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of insulin morbid obesity retention of urine, unspecified other specified complications of procedures not elsewhere classified secondary malignant neoplasm of skin emphysema (subcutaneous) (surgical) resulting from procedure esophageal varices in diseases classified elsewhere, without mention of bleeding urinary complications, not elsewhere classified removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of antineoplastic chemotherapy displacement of lumbar intervertebral disc without myelopathy diverticulitis of colon (without mention of hemorrhage) other specified disorders of liver sialoadenitis other specified misadventures during medical care other fluid overload other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation body mass index 45.0-49.9, adult stress fracture of tibia or fibula 

Answer: The patient is high likely exposed to