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: morphine / pollen / cats / oxycodone attending: chief complaint: anterior kyphosis due to tumor t7 and t8. major surgical or invasive procedure: 1. open reduction of compression fracture t7 and t8. 2. arthrodesis from t1 to t11segmental. 3. instrumentation t1 to t11. history of present illness: dr. saw ms. as a neurosurgical evaluation follow-up after her visit in the hospital and hospitalization. she has a large lytic lesion on the vertebral body of t7 and minimal on t8 on one side. she was placed on tlso brace while she was getting radiation treatment in hopes of improving her symptoms and not needing surgery. however, she still has significant back pain and point tenderness. her strength was full in both lower extremities. no hyperreflexia, no myelopathy. ct imaging showed a lytic lesion at t7 seems to have increased in size and also there is anterior wedge collapse of the t7 vertebral body. relatively stable t8 lesion. dr. recommended a thoracic fusion and she agreed to proceed. past medical history: pmh: -t3 n0 large cell lung carcinoma with neuroendocrine features, s/p lobectomy and chemotherapy -asthma -gerd -hypercholesterolemia psh: -open appendectomy -b breast lumpectomy -left meniscus repair -right cataract -carpal tunnel social history: lives with family. tobacco 50 pack-year quit . etoh occasional family history: non-contributory physical exam: motor exam: full strength in upper and lower extremities bilaterally sensory: intact to light touch in all groups incision is with slight staple irritation redness along incision extr: no c/c/e pertinent results: mri t-spine: soft tissue mass replacing the majority of the t7 vertebral body with interval pathologic compression fracture of the t7 vertebral body. soft tissue mass extends into the t6 and t8 vertebral bodies as described above; findings are again compatible with metastatic disease. t-spine xray ap and lateral: t1-11 fusion, adequate hardware placement and alignment kub:diffuse mildly dilated loops of small and large bowel are compatible with ileus. lenis - no evidence of deep vein thrombosis either right or left lower extremity. brief hospital course: the patient was admitted to the neurologic surgery service for management of a anterior kyphosis due to tumor t7 and t8. the patient was taken to the or and underwent an uncomplicated t1-11 instrumented fusion. the patient tolerated the procedure without complications and was transferred to the pacu in stable condition. please see operative report for details. post operatively pain was controlled with intravenous medication with a transition to po pain meds once tolerating pos. the patient tolerated diet advancement without difficulty and made steady advancement with diet and ambulation. on the evening of pod 2 she developed worsening back pain and required an increase in iv pain medication for breakthrough pain. in the morning of pod3 however the patient developed an episode of delerium that cleared over 20-30 minutes, likely related to pain medication and muscle relaxants and exhaustion. ua and culture were sent. geriatrics team was consulted for recommendations on pain medications to limit delerium. she developed abdomninal pain and distension and kub demonstrated ileus. soap enema was administered for presence of larege amounts of stool on kub. she was passing flatus and was somewhat more confortable on . she was mobilized with pt and ot. her foley was discontinued. per geriatrics, trazodone replaced benadryl for her sleep aide and tylenol was made atc. patient was having some loose stools, but was having difficulty urinating. she was straight cathed several times and eventually the foley catheter was replaced. lower extremity dopplers were performed for complaint of calf tenderness and there was o dvt. follow up kub showed minimal improvment in ileus and no sbo. she was oob more on and continued to have significant flatus. she had less pain. on , patient continued to have mild nausea. as a result, patient was started on reglan to increase gastric motility. in addition, her foley was d/c'd in routine fasion. she continued to improve in terms of her constipation. she continued to pass . belly pain improved. now dod, patient is afebrile, vss, and neurologically stable. patient's pain is well-controlled and the patient is tolerating a good oral diet. pt's incision is clean, dry and intact without evidence of infection. patient is ambulating without issues. patient's brace was fitted and patient received instructions on care and appropriate use. she is set for discharge home in stable condition and will follow-up accordingly. medications on admission: albuterol sulfate - (prescribed by other provider) - albuterol sulfate hfa 90 mcg/actuation aerosol inhaler 1 to 2 puffs inhaled every 4-6 hours as needed estertest - (prescribed by other provider) - gabapentin - gabapentin 100 mg capsule 1 capsule(s) by mouth three times a day hydromorphone - hydromorphone 2 mg tablet tablet(s) by mouth every 3-4 hours as needed for pain lactulose - (prescribed by other provider) - lactulose 20 gram/30 ml oral soln 30 ml by mouth twice a day medroxyprogesterone - (prescribed by other provider) - medroxyprogesterone 2.5 mg tablet tablet(s) by mouth omeprazole - (prescribed by other provider) - omeprazole 20 mg capsule,delayed release 2 (two) capsule(s) by mouth daily valsartan - (prescribed by other provider) - diovan 160 mg tablet 1 (one) tablet(s) by mouth once a day medications - otc cholecalciferol (vitamin d3) - (prescribed by other provider) - cholecalciferol (vitamin d3) 1,000 unit capsule 1 capsule(s) by mouth daily docusate sodium - (prescribed by other provider) - colace 100 mg capsule 1 capsule(s) by mouth twice a day polyethylene glycol 3350 - (prescribed by other provider; otc) - polyethylene glycol 3350 17 gram/dose oral powder 17 g by mouth twice a day sennosides - (prescribed by other provider; otc) - senna 8.6 mg tablet 1 tablet(s) by mouth twice a day discharge medications: 1. acetaminophen 650 mg po q6h max 4g/day 2. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing administered by respiratory 3. bisacodyl 10 mg po/pr daily 4. docusate sodium 100 mg po bid 5. famotidine 20 mg po bid 6. gabapentin 200 mg po tid 7. heparin 5000 unit sc tid dvt prophylaxisi 8. hydromorphone (dilaudid) 2 mg po q4h:prn pain 9. lactulose 30 ml po q 8h 10. lidocaine 5% patch 2 ptch td daily to paraspinal muscles on each side of incision, do not place over incision. 12 hrs on, 12 hours off 11. metoclopramide 10 mg po tid 12. milk of magnesia 30 ml po q6h:prn constipation 13. ondansetron 8 mg iv q6h:prn n/v 14. polyethylene glycol 17 g po daily no bm 15. senna 2 tab po qhs 16. simethicone 40-80 mg po qid:prn gas 17. valsartan 80 mg po daily hold for sbp < 100 18. vitamin d 1000 unit po daily discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: anterior kyphosis due to tumor t7 and t8. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? you should wear your brace when out of bed or when your head of bed is above 30 degrees. ?????? you may put the brace on at the edge of your bed. ?????? you may use a shower chair to bathe without the brace on. ?????? no tub baths or pool swimming for two weeks from your date of surgery. ?????? do not smoke. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. pain medication should be used as needed when you have pain. you do not need to take it if you do not have pain. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. for two weeks. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. followup instructions: ??????please return to the office in days (from date of surgery) for removal of your staples. this appointment can be made with the physician assistant or practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. to be seen in 4 weeks. you will need ap and lateral thoracic spine x-rays prior to your appointment. md procedure: dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture fusion or refusion of 9 or more vertebrae diagnoses: other iatrogenic hypotension esophageal reflux unspecified essential hypertension personal history of malignant neoplasm of bronchus and lung asthma, unspecified type, unspecified personal history of tobacco use other and unspecified hyperlipidemia paralytic ileus surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in residential institution secondary malignant neoplasm of bone and bone marrow other alteration of consciousness pathologic fracture of vertebrae other kyphosis (acquired) other digestive system complications 

Answer: The patient is high likely exposed to