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: history of present illness: the patient is a 64 year old female smoker with 1+ pack year smoking history, status post median sternotomy with intrapericardial left pneumonectomy and radical mediastinal lymph node dissection on , for stage iv, nonsmall cell lung carcinoma of the left upper lobe who was recently discharged from the on . the patient was readmitted complaining of anxiety and feeling short of breath since being at home and described noting chest pain in the inferior aspect of the rib cage bilaterally which served as an intermittent pain and became pain that was not tolerable even with pain medication at home. at that time, the patient denies having any fevers or chills but has nausea without any vomiting. given this intense pain and nonresolving nausea, the patient was unable to eat while being at home. past medical history: her past medical history as noted above is significant for nonsmall cell carcinoma of the left upper lobe, stage t4 with involvement of the left laryngeal nerve. the patient was also noted to have a hiatal hernia and a history of radiation esophagitis. the patient also has a medical history significant for hypertension and anxiety. pagical history: significant for median sternotomy and intrapericardial left pneumonectomy with radical mediastinal lymph node resection on by dr. and dr. . medications on admission: the patient's medication on admission was protonix 40 mg p.o. q.d., ativan 0.5 mg p.o. b.i.d., percocet 5/325 mg one to two tablets p.o. q. 4-6 hours prn pain, colace 100 mg p.o. b.i.d., levaquin 250 mg p.o. q.d. times one week. allergies: no known drug allergies. social history: the patient is a busdriver. she has a smoking history of 40+ pack year and she quit several months ago. family history: significant for coronary artery disease and myocardial infarction at age 60 for father and breast cancer for mother. sister also has a breast cancer. physical examination: on admission temperature was 100.4, the patient was tachycardiac with a heartrate of 110. blood pressure was 125/53, respiratory rate 20. oxygenating at 80% on room air and 95% on 2 liters of nasal cannula. the patient was alert and oriented times three and not in apparent distress at that time. the patient's cardiac examination was sinus tachycardiac with regular rate and rhythm, s1 and s2, no murmurs appreciated. the patient's right lung fields were clear to auscultation. there were no breathsounds appreciated on the left side, as expected. the patient was slightly tender at the inferior aspects of the ribs bilaterally, near the incision sites. the abdomen was with bowel sounds, soft, nontender, nondistended. laboratory data: laboratory values on admission revealed white count of 10.4 with hematocrit of 25.4, platelets 373. the differential on white count was 87% neutrophils, 4% bands, 5% lymphocytes and 2% monocytes. pt/ptt were 14.0 and 33.5 with an inr of 1.3. urinalysis was clear yellow with specific gravity of 0.013, ph of 7.0, trace blood, otherwise negative. sodium was 129 initially with chloride of 99, repeat sodium was 133, potassium 0.7, chloride 94, carbon dioxide 25, bun 6, creatinine 0.7 and glucose of 119. chest x-ray done at the emergency department showed large hydropneumothorax at the left lung fields with a fluid level noted at the extreme apex. there was some displacement of the heart in the mediastinum to the right. the right lung appeared well inflated and structurally unremarkable with minimal blunting of the costophrenic angle. hospital course: the patient was admitted under dr. care in the thoracic surgery service. the patient was found to have fever on hospital day #2 with a temperature maximum of 102.2. blood cultures were sent. the patient also underwent a left chest thoracentesis on hospital day #2. the analysis of the left pleural fluid showed a white count of 3,444 cells/ml, 90% pmns and 7% lymphocytes. the gram stain analysis of the pleural fluid again showed 1+ pmns and no microorganisms seen in the cultures of those pleural fluids. culture of the pleural fluid eventually grew back no aerobic or anaerobic bacteria and no fungus. on hospital day #2 the patient also received packed red blood cell transfusions for a hematocrit of 25.4 and symptoms of shortness of breath and was found to have fevers with chills with a temperature of 103.1. at the time a transfusion miss-match was suspected and appropriate measures were taken. the repeat test of the transfused packed red blood cells and the patient's blood sample showed no reaction against each other. the patient received tylenol, intravenous morphine and also was started on intravenous zosyn and ampicillin empirically. later on that night, the patient remained tachycardiac to a heartrate of 130 to 140 and remained tachypneic with increasing oxygen requirement of 4 to 6 liters/minute, nasal cannula to remain saturated at 94%. the patient was hypertensive as well with a systolic blood pressure to 170. at the time the patient was very uncomfortable, anxious and agitated. stat chest x-ray showed a worsening mediastinal shift to the right, away from the left pneumonectomy site. the patient also underwent an urgent transthoracic echocardiogram to assess the status of the right heart and that showed no obvious strains or ischemic events to the right side of the heart. given the concern for tension left hydropneumothorax, the patient was emergently transferred to the cardiac surgery recovery unit for urgent left tube thoracotomy. a left chest tube was placed and was connected to a balanced system, draining at approximately 2 liters of fluid. at the time the patient verbally reported feeling better and her vital signs, heartrate, respiratory rate and oxygen saturations improved. the patient remained in the cardiac surgery recovery unit and again was found to be tachycardiac to 101 with blood pressures 95/62. the patient underwent emergent thoracic angiogram to rule out any aneurysms of the thoracic aorta which was found to be negative. the patient was started on neo-synephrine to maintain a mean arterial pressure of 60 and cardiology service was consulted. review of the transthoracic echocardiogram showed a global hypokinesis with an ejection fraction estimated at 25 to 30% with unknown etiology. the patient was initially start on dopamine drip in order to wean off of neo-synephrine but the patient responded with tachycardia of greater than 120 beats/minute. the patient was eventually started on milrinone at a low dose in addition to a neo-synephrine drip to maintain a mean arterial pressure of greater than 90. the patient was gradually weaned off of milrinone and neo-synephrine drips and by hospital day #6 the patient was maintained on a blood pressure of 114/56 without any milrinone or neo-synephrine. because of her tachycardia, the patient was started on low dose lopressor and captopril for her hypertension. therefore on hospital day #6 the patient was transferred to the floor from the cardiac surgery recovery unit. while the patient remained anxious as she had been throughout her admission and often not able to sleep at night, the patient did well on the floor. while on the floor she was discontinued from zosyn and ampicillin and was switched over to p.o. levaquin, and was discharged home on hospital day #8. condition on discharge: stable. discharge status: discharged to home. discharge diagnosis: 1. status post left intrapericardial pneumonectomy and left tension hydropneumothorax. 2. congestive heart failure 3. anxiety 4. hiatal hernia 5. hypertension discharge medications: 1. protonix 40 mg p.o. q.d. 2. digoxin 125 mcg p.o. q.d. 3. lopressor 25 mg p.o. b.i.d. 4. captopril 25 mg p.o. t.i.d. 5. levaquin 250 mg p.o. q. 24 for 8 days 6. ambien 5 mg p.o. q.h.s. 7. megace 40 mg p.o. b.i.d. follow up: the patient was discharged to follow up with dr. on and also was instructed to follow up with dr. of cardiology within ten days for repeat echocardiogram. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified thoracentesis arterial catheterization arteriography of other intrathoracic vessels diagnoses: other primary cardiomyopathies anemia, unspecified congestive heart failure, unspecified anxiety state, unspecified hypotension, unspecified malignant neoplasm of upper lobe, bronchus or lung 

Answer: The patient is high likely exposed to