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: patient recorded as having no known allergies to drugs attending: chief complaint: ischemic necrosis of right lung with abscess formation. major surgical or invasive procedure: 01/-: right thoracotomy with extrapleural approach to completion right pneumonectomy. : flexible bronchoscopy. bronchoalveolar lavage, right lower lobe. protected specimen brush aborted, right middle lobe. history of present illness: ms. is a 65-year-old woman, now about 7 weeks after video-assisted right upper lobectomy for a t1n0 non-small cell carcinoma. postoperatively, this was complicated by a severe pneumonia treated with antibiotics with very slow resolution. she returned in followup with worsening cough and persistent infiltrate in the lung. bronchoscopy showed inability to cannulate the right middle lobe, making it worrisome for middle lobe torsion syndrome. this had previously been ruled out by a ct scan at her original hospitalization in . we did obtain an airway ct with iv contrast, which showed poor perfusion to the right lung. a perfusion scan was obtained that showed essentially no perfusion to the right lung, confirming ischemic necrosis of unclear etiology. she has agreed to a completion pneumonectomy. past medical history: right upper lobectomy for t1n0 non-small cell carcinoma autoimmune hepatitis osteoporosis social history: works as a cpa. drinks 5 glasses wine per week, quit smoking 25 years ago after smoking one pack per day for 20 years. family history: father died from colon ca physical exam: vs: t: 98.4 hr: 60-70 sr bp: 110/70 sats: 94% ra general: 65 year-old female in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr resp: faint scattered rhonchi left lower lobe otherwise clear gi: benign extr: warm no edema incision: right thoracotomy site well healed skin: coccyx region dry, flakey with sloughing of skin neuro: non-focal pertinent results: wbc-13.2* rbc-3.11* hgb-9.4* hct-27.5* plt ct-409 wbc-16.7* rbc-3.32* hgb-10.1* hct-29.2* plt ct-416 wbc-12.0* rbc-3.18* hgb-9.5* hct-27.7* plt ct-322# wbc-10.8 rbc-2.95* hgb-8.9* hct-25.2* plt ct-205 wbc-11.8* rbc-3.01* hgb-9.2* hct-25.1* plt ct-266 wbc-21.1*# rbc-3.03* hgb-8.8* hct-25.8* plt ct-442* wbc-15.5* rbc-4.09* hgb-12.0 hct-34.0* plt ct-405 glucose-90 urean-11 creat-0.7 na-138 k-3.7 cl-101 hco3-27 glucose-92 urean-10 creat-0.6 na-138 k-4.2 cl-101 hco3-29 glucose-100 urean-7 creat-0.6 na-138 k-4.0 cl-100 hco3-31 ctropnt-0.01 ctropnt-0.02* ck-mb-2 ctropnt-0.03* ck-mb-19* mb indx-2.9 ctropnt-0.07* albumin-3.0* calcium-8.3* phos-3.4 mg-2.1 albumin-3.2* calcium-8.3* phos-4.1 mg-2.1 tsh-2.5 cultures: 12:45 pm tissue site: lung right lung. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): no growth. anaerobic culture (final ): no growth. acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): fungal culture (preliminary): no fungus isolated. potassium hydroxide preparation (final ): no fungal elements seen. 9:36 am bronchoalveolar lavage rll bal. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive cocci. in pairs respiratory culture (final ): ~3000/ml oropharyngeal flora. immunoflourescent test for pneumocystis jirovecii (carinii) (final ): negative for pneumocystis jirovecii (carinii).. fungal culture (final ): no fungus isolated. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): 11:00 am blood culture line-peripheral #2. blood culture, routine (final ): no growth. cxr: again seen is the hydropneumothorax of the right lung, comprised of approximately fluid and including a small amount of air at the lung base. the mediastinum is midline. the left lung is grossly clear. the right- sided hydrothorax persists and the air-fluid level is at the height corresponding to 3 cm above the carina. as before there exist a few small air-fluid cavities within the gross fluid collection which is bordered below by the diaphragm there are several lucent regions overlying the fluid in the left hemithorax. it is unclear whether this could represent loculated gas or possibly merely the superimposed subcutaneous emphysema. opacification at the left base is consistent with atelectasis, though supervening pneumonia cannot be definitely excluded. stable appearance of right lower lobe parenchymal opacification and loculations of air in the right upper lobe space. chest ct: 1. marked attenuation of the right lower lobe blood supply, demonstrated by this first contrast-enhanced postoperative ct scan may be responsible for progression of right lower lobe consolidation to necrosis since . 2. persistent right middle lobe collapse since be due to now completely occluding stricture or impaction of inflamed or otherwise narrowed bronchus, less likely torsion. 3. no decrease in size of large, persistent, airfilled right pleural space; possible right lower lobe bronchopleural fistula. decrease in fluid volume could be due to two-way transit through the fistula. 4. left lower lobe ground-glass opacities, possibly aspiration of secretions from right bronchopleural fistula. brief hospital course: mrs. presented to the ed on with a persistent cough and low grade temps. while in the ed she was pan cultured, cxr showed right lower lobe parenchymal opacification and loculation of air in the right upper lobe space. she was started on iv vancomycin and zosyn for pulmonary infiltrate and elevated white count. thoracic surgery was consulted and recommended a bronchoscopy which was done on and showed anatomic distortion of the right middle lobe causing narrowing and compression. subsequently a chest ct showed no perfusion of the remaining right lung. a v/q scan confirmed no ventilation or perfusion. pulmonary medicine was consulted and given the functional pneumonectomy that completion of pneumonectomy is necessary. a preoperative work-up was done for ischemic necrosis of right lung with abscess formation. on she was taken to the operating room for successful right thoracotomy with extrapleural approach to completion right pneumonectomy. she was extubated in the operating room and transferred to the sicu for further management. her pain was managed by the acute pain service with an bupivacaine epidural. the chest-tube was to water-seal. a foley was in place. low dose beta-blocker was started when bp tolerated. on pod1-4 she remained in the sicu. the chest tube was removed pod 1. she was transfused 2 units of packed red blood cells for a hct 25 to 29. pressors were wean to off. the antibiotics were discontinued once her cultures were negative and she remained afebrile. she was gently diuresed to her preop weight. transferred to the floor. the epidural was removed and po pain medications were titrated for comfort. the foley was removed and she voided. on pod6 she had an episode of atrial fibrillation a rate in the 180's with spontaneous conversion to sinus rhythm. the beta-blocker was increased and electrolytes were replete. she continued to have intermittent atrial fibrillation. cardiology was consulted they recommended toprol 100 daily, an echocardiogram which was normal with an ef >55%. the tsh was 2.5. pulmonology saw the patient for the persistent cough. they recommended increasing h2 blockers to , humidification and bronchodilators. over the course of her hospitalization with aggressive pulmonary toileting, nebulizers and humidification the cough improved. her appetite was slow to return and required supplements and encouragement. on pod12 she remained in sinus rhythm for > 24 hours. oxygen saturations was 96% ra. she was followed by physical therapy throughout her hospital course. they recommended outpatient pulmonary rehab. she was discharged to home with vna and will follow-up with dr. as an outpatient. medications on admission: fosamax 70mg wkly, calcium 500+d daily, cough medicine discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. chlorpheniramine-hydrocodone 8-10 mg/5 ml suspension, sust.release 12 hr sig: five (5) ml po every twelve (12) hours as needed. disp:*30 ml(s)* refills:*0* 4. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 5. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*90 tablet(s)* refills:*0* 8. nebulizer machine saline nebs 3xday prn 9. saline solution sig: three (3) ml miscellaneous three times a day as needed for cough. disp:*100 ml* refills:*0* 10. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 11. fosamax 70 mg tablet sig: one (1) tablet po once a week. 12. calcium 500 + d 500 (1,250)-200 mg-unit tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: right upper lobe mass s/p rulobectomy h/o elevated liver enzymes, initially thought to be due to autoimmune hepatitis but liver biopsy at ruled this out. osteoporosis. discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, or sputum production -chest pain -you may shower. -no driving while taking narcotics continue incentive spirometer, walk frequently followup instructions: follow-up with dr. date/time: 3:30 pm on the clinical center, . report to the radiology department for a chest x-ray 45 minutes before your appointment. follow-up with dr. at 3:00pm on the clinical center. procedure: other repair of chest wall closed [endoscopic] biopsy of bronchus transfusion of packed cells other and unspecified pneumonectomy diagnoses: other postoperative infection cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use malignant neoplasm of upper lobe, bronchus or lung osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation abscess of lung other acute postoperative pain 

Answer: The patient is high likely exposed to