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: ativan / erythromycin base / statins-hmg-coa reductase inhibitors / type anesthetics / bactrim / lidoderm attending: chief complaint: difficulty breathing major surgical or invasive procedure: : flexible bronchoscopy history of present illness: mrs. is a 60 yo f, who is 4 months s/p toupee fundoplication by dr. f or gerd and 1 year s/p right thoracotomy with tracheobronchoplasty by dr. for severe diffuse tracheobroncheomalacia who presented to thoracic clinic this am and experienced acute difficulty breathing. she was brought directly to the ed for assessment. in the ed she had no desaturation and her o2 sat remained in the high 90s on room air. she received albuterolx3 and racemic epi x2 with positive response. she had one additional epsisode of difficulty breathing in the ed that resolved with racemic epi. her chest x-ray looked clear. past medical history: trachael bronchomalacia s/p right thoracotomy with tracheobronchoplasty on gerd s/p lap toupee fundoplication coronaray artery disease lad w/< 30% stenosis migraines colonvaginal fistula vaginitis psh: cesarean section x 3 left breast lumpectomy social history: denies tobacco, ethanol and drug use. has exposure to cleaning agents. works for an electrical company. she is married and lives with family family history: mother pancreas ca father siblings ovarian ca offspring other lung ca physical exam: vs: t: 97.8 hr: 72 sr bp: 120/80 sats: 95% ra general: 60 year-old female in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no murmur resp: clear breath sounds throughout gi: benign extr: warm no edema neuro: awake, alert oriented pertinent results: wbc-10.5 rbc-4.94 hgb-13.9 hct-40.1 mcv-81* mch-28.2 mchc-34.7 rdw-15.0 plt ct-370 glucose-114* urean-11 creat-0.6 na-143 k-4.0 cl-109* hco3-22 cxr: : markedly low lung volumes are identified which limits assessment and gives the appearance of both cardiomegaly and vascular crowding which is likely artifactual. plate-like atelectasis vs. scarring is seen in the left mid lung. no focal consolidation, effusion or pneumothorax identified. impression: no acute cardiopulmonary process. brief hospital course: mrs. was admitted to the tsicu on for dynspea and close respiratory monitoring . while in the sicu she had one episode of severe dyspnea which responded to racemic epinephrine. on a flexible bronchoscopy was done and showed sub epiglottis edema possibly from reflux, vocal cord dysfunction and cervical malacia. reflux treatment was maximized, chronic pain was managed with her home regime. her respiratory status improved and was discharged to home with her husband. she will follow-up with dr. and dr. , ent and speech and swallow as an outpatient. medications on admission: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for dyspnea. 2. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. topiramate 100 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 5. ropinirole 0.25 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. morphine 30 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for pain. 9. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 2-4 puffs inhalation q4h (every 4 hours) as needed for dyspnea. 2. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. topiramate 100 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 5. ropinirole 0.25 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. morphine 30 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for pain. 9. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 10. ranitidine hcl 300 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: trachael bronchomalacia s/p right thoracotomy with tracheobronchoplasty on gerd s/p lap toupee fundoplication coronaray artery disease lad w/< 30% stenosis migraines colonvaginal fistula vaginitis psh: cesarean section x 3 left breast lumpectomy 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: -increased shortness of breath, cough or stidor followup instructions: follow-up with dr. and dr. in weeks. please call for an appointment please follow-up with ent and speech/swallow for possible vocal cord dysfunction follow-up with dr. pain clinic at hospital procedure: fiber-optic bronchoscopy diagnoses: esophageal reflux other respiratory abnormalities other diseases of trachea and bronchus edema of larynx 

Answer: The patient is high likely exposed to