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: bactrim ds attending: chief complaint: shortness of breath major surgical or invasive procedure: intubation central venous line placement bronchoscopy x2 arterial line placement history of present illness: 69 f with h/o copd (4l nc at home at baseline; frequent admissions for exacerbations) and h/o small cell lung ca with post-xrt fibrosis of the right lung who presents with 1 week of fatigue, lethargic, increasing shortness of breath, sleeping much more than usual, "not functioning normally" --not participating in household activities. per her husband, she has had no fevers, no cough, no urinary sx. . in the ed: tmax 100.7, bp 90s/50s, satting 88% on 4l (on 4l nc at home) but then desatted to 90% on a nrb. she was quite tachypnic w/ rr in 40s, therefore was intubated due to respiratory distress. cxr notable for "white out" of r lung. given levofloxacin 750mg iv, 2l ns. . no further history is available as pt is intubated on arrival to the icu. past medical history: pmh: 1. small cell lung ca -- diagnosed ~14 years ago -- s/p xrt and chemo (cisplatinum). 2. copd, on 4l nc home oxygen. 3. history of atrial fibrillation 4. history of perforated diverticulum status post colostomy. 5. history of peptic ulcer disease. 6. hypertension. 7. severe pulmonary hypertension on viagra. 8. status post asd repair. 9. status post ventral hernia repair. 10. status post appendectomy. 11. depression 12. chronic pe in the right middle lobe of the pa social history: history of tobacco; quit over 10 years ago. drinks a glass of wine a day. immigrated from in . used ot be a nanny. has one son family history: non-contributory. physical exam: vs: 75/43, 78, 90% on ac 500x14, 60%fio2 with 5 of peep gen: intubated, sedated heent: mmm, perrl cv: rrr, harsh sm pulm: absence of breath sounds on the r, rhonchi on l abd: soft, nt/nd ext: 2+ edema b/l pertinent results: 06:11pm wbc-10.5 rbc-3.79* hgb-10.5* hct-33.6* mcv-89 mch-27.8 mchc-31.2 rdw-14.8 06:11pm neuts-93.3* lymphs-2.6* monos-3.8 eos-0.3 basos-0.1 06:11pm plt count-368 06:22pm lactate-1.9 06:11pm glucose-135* urea n-23* creat-1.0 sodium-137 potassium-3.8 chloride-91* total co2-40* anion gap-10 . 7:28 pm sputum gram stain (final ): pmns and <10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram negative rod(s). admission cxr ap upright chest: volume loss in right hemithorax has worsened in the interim with likely compensatory enlarging right pleural effusion. the rightward mediastinal shift is therefore stable. there is no evidence of pneumothorax. the left lung is grossly clear. known spiculated right upper lobe lesion is not well evaluated on this study. moderate cardiomegaly is unchanged. cerclage wires and surgical clips are unchanged. impression: increasing volume loss and effusion on the right. stable mediastinal shift. brief hospital course: mrs was a 69 f with h/o severe copd (4l nc at home at baseline) severe pulmonary artery hypertension and a h/o small cell lung ca with post-xrt fibrosis of the right lung who was admitted to the micu with hypoxic respiratory failure and septic shock due to pneumonia. she was intubated in the ed. her condition deteriorated, and she required pressors for hemodynamic support, as well as urgent bronchoscopy x 2 for mucous plugging. her prognosis was poor. her family felt that she would not want an extended course on life support, and decided to make her comfort measures only on . she died shortly after extubation. her family and pcp are aware. an autopsy was declined. medications on admission: warfarin 3 mg daily sildenafil 50 mg digoxin 125 mcg paroxetine hcl 20 mg daily combivent 18-103 mcg qid albuterol 90 mcg prn montelukast 10 mg daily alprazolam 0.25-0.5 mg qhs sotalol 40 mg qam, 80 mg qpm calcium 500+d lasix 80 mg daily spironolactone 25 mg tylenol #3 two tabs tid prednisone 20 mg daily atovaquone 750 mg/5 ml suspension 1 tsp po bid flonase 50 mcg discharge medications: na discharge disposition: expired discharge diagnosis: primary: respiratory failure, pneumonia, sepsis secondary: copd, pulmonary artery hypertension discharge condition: expired. discharge instructions: na followup instructions: na procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube other bronchoscopy arterial catheterization diagnoses: pneumonia, organism unspecified unspecified essential hypertension unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure septic shock primary pulmonary hypertension long-term (current) use of anticoagulants malignant neoplasm of other parts of bronchus or lung personal history of venous thrombosis and embolism 

Answer: The patient is high likely exposed to