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: penicillins / cephalosporins / carbapenem attending: chief complaint: hypotension s/p cardiac arrest major surgical or invasive procedure: 1. rigid bronchoscopy with argon therapy 2. endotracheal intubation 3. bronchial embolization: a-gram showed patchy blush in the region of lul --> embolized with gelfoam. history of present illness: 72 y/o female with h/o nsclc s/p radiation, pe s/p ivc filter, dm, htn, copd admitted to for persistent hemoptysis. she was initially evaluated at osh for nsclc diagnosed by biopsy. she was also found to have pes and was started on anticoagulation. however, then developed hemoptysis and anticoagulation was stopped which was followed by ivc filter placement. patient then transferred to for further evaluation of persistent hemoptysis. . today, patient went to the or with interventional pulmonary for rigid bronchoscopy. patient was found to have bleeding in lul and l lingula. l lingular bleeding was treated with 3 rounds of argon laser coagulation which patient tolerated well. or course was otherwise uncomplicated except for a brief episode of hypotension treated with phenylephrine, attributed to propofol. she was in and out of afib and sinus on tele. patient then received a final round of argon therapy. however, following final laser treatment, patient lost o2 pleuth and there was concern for ansent pulses although there is question of whether she maintained a faint carotid pulse. cpr was initiated and patient received atropine and epinephrine boluses. a femoral cvl was placed along with an a-line. pulses were regained but pressures remained low. an intraoperative tee showed air in the ra, rv, lv, aorta, and rca. tee also showed clot in the ra and severe biventricular systolic dysfunction. . patient was treated with epinephrine gtt and levophed gtt with improvement in his bps. she was noted to be in afib at that time and was given 150 mg of amiodarone with conversion to sinus rhythm but also further drop in her blood pressures requiring increase in her epinephrine gtt. bleeding continued in the lul and her r mainstem bronchus was selectively intubated (23 at the lip. at 24, tube occludes rul. at 22, no longer selective r bronchus intubation). following resusitation, tee showed resolutiion of air in rca and improved biventricular function. she was then transferred to the icu for further managment. past medical history: # nsclc (lul) - dx'ed by biopsy - complicated by hemoptysis # type 2 dm # h/o pe s/p ivc filter # htn # hypercholesteremia # copd # s/p tonsillectomy # s/p cholecystectomy . social history: 54 pk-yr smoking history. quit 2 wks ago. no etoh, drugs. lives alone. family history: mother-dm. father-cad. physical exam: t: 95.9, bp: 181/88, hr: 120 , rr: 18, o2: 100% on 1.0 fio2 gen: intubated, sedated heent: pupils fixed and dilated but equal. et tube in place neck: supple, no lad. jvp cannot be visualized cv: regular. tachycardic. no murmurs appreciated. lungs: absent breath sounds on l. r lung fields cta. abd: nabs. soft, nt, nd. ext: no edema. 2+ dp on r. dopplerable only on l. neuro: intubated. sedated. face symmetric. pupils fixed and dilated. . pertinent results: 09:21pm glucose-105 urea n-17 creat-0.5 sodium-141 potassium-3.9 chloride-104 total co2-28 anion gap-13 09:21pm estgfr-using this 09:21pm calcium-9.1 phosphate-3.4 magnesium-2.2 09:21pm wbc-11.0 rbc-3.84* hgb-11.2* hct-34.0* mcv-89 mch-29.1 mchc-32.9 rdw-16.6* 09:21pm plt count-428 09:21pm pt-10.9 ptt-26.5 inr(pt)-0.9 ekg : sinus tach. qws v1-2. poor rw progression. st elevation in . cxr: opacification of the majority of the l lung fields sparing the superior lul . tee (intraoperative): large air in aorta seen tracking into coronary sinuses with severely depressed lv systolic dysfunction. . op report: bronchoscopy surgeon: , assistant: , m.d. procedure performed: rigid and flexible bronchoscopy with argon plasma coagulation. indications: ms. has been recently diagnosed with non-small cell lung cancer s/p x-rt and presents with massive hemoptysis, worsening over the last 1 day, from an outside hospital. the procedure is being performed for airway evaluation and control of hemoptysis. procedure in detail: informed consent was obtained from the patient after explaining the risks and benefits of the procedure. she was placed supine on the operating table and general anesthesia was initiated. she was intubated without difficulty with a 12.2/13.2 rigid bronchoscope. jet ventilation was initiated. initial evaluation revealed frank blood in the trachea and bilateral mainstem bronchi which was suctioned clean. evaluation of the right-sided airways did not reveal any evidence of active bleeding. frank bleeding was seen to originate from the left upper lobe. the rigid bronchoscope was then advanced into the left mainstem bronchus to isolate the lung. using a flexible bronchoscope, an argon plasma coagulation probe was advanced into the left upper lobe and coagulation was performed x3. the patient continued to bleed . while repeat apc was being performed, the patient developed acute st segments on the ekg monitoring and the procedure was discontinued. she remained intubated with the rigid bronchoscope while the cardiac status was stabilized. however, she progressed to pea/cardiac arrest requiring resuscitation. the rigid bronchoscope was removed and she was easily intubated over a cook catheter with an endotracheal tube #7. using the flexible bronchoscope, the endotracheal tube was advanced into the right mainstem bronchus to isolate the left lung. the patient also received epinephrine and norepinephrine for blood pressure support. cpr was performed for aproximately 1-2min, until spontaneous return of circulation. a transesophageal echocardiogram performed in the operating room -ventricular failure, blood clot in raand pa, gas in aorta and small pfo. the patient was transferred in a critical condition to the intensive care unit for further care. impression/complications: 1. lung cancer 2. massive hemoptysis 3. pea arrest secondary to gas embolism/ pulmonary embolism. 3. biventricular failure. , md i certify that i was present in compliance with hcfa regulations. dictated by: , m.d. head ct without contrast history: 72-year-old woman status post air embolus in aorta and status post cardiac arrest, now with decreased mental status. assess for cva. technique: contiguous axial images of the head were obtained without the administration of iv contrast. comparison: there were no prior studies for comparison. findings: there is marked effacement of the sulci and loss of -white differentiation. the ventricular system as well as the basal cisterns are not visualized. there is evidence of a tonsillar herniation. this is consistent with anoxic brain injury with diffuse cerebral edema. there is no definite evidence of hemorrhage. impression: 1. there is diffuse effacement of the sulci and loss of -white matter differentiation with effacement of the ventricular system and basal cisterns. there is also evidence of tonsillar herniation. this is consistent with anoxic brain injury and diffuse cerebral swelling. brief hospital course: a/p: 72 y/o female with h/o nsclc s/p radiation, pe s/p ivc filter, dm, htn, copd admitted to for persistent hemoptysis now s/p rigid bronchoscopy and argon laser anticoagulation complicated by air embolus stemi, and cardiac arrest. . # hypotension: likely cardiogenic shock s/p stemi secondary to air embolus. lv function reportedly severely depressed intraoperatively but with some improvement following resuscitation and resolution of air on coronaries. levophed was being weaned on the night of with good results. all hemodynamic parameters as measured by swanz ganz were in good standing. after her ir embolization procedure, levophed was weaned off. 30 minutes after total weaning, pt experienced acute episode of hypotension. pcwp and cvp both dropped so the patient was given ivf boluses and levophed was increased. she responded well to these measures. given drop in pcwp and cvp with maintained cardiac output, this could be due to septic shock. broad spectrum antibiotic treatment begun - tx with levo, vanc, flagyl - treat air embolus with high flow supplemental o2 to maximize air diffusion through pulmonary vasculature - cardiology consulted, no treatment given source of stemi was air emoboli. anticoagulation not indicated, only treatment is high flow o2. - minimize peep if possible to allow for air diffusion out of blood - hold antiplatelet agents and other anticoagulation given recent hemoptysis and air embolus presumed as etiology - levophed and fluids for goal cvp 8-12 and sbp > 140. - goal hct>30, transfuse as necessary . # stemi: presumed secondary to air embolus. fam hx of cad, diabetes, smoker, but no known hx of cad. doubt plaque rupture and patient has contraindication to anticoagulation. - hold anticoagulation as above - transfuse for goal hct>30 - hold beta blocker in the setting of hypotension - cardiac enzymes elevated but are trending down - serial ekgs . # ams: pt with ams likely neurological damage during cardiac arrest vs. air emboli stroke. pt has a negative doll's eye maneuver which is likely brainstem damage. -- consult neuro for eeg and/or ct of brain/mri brain -- ct head result: severe diffuse cerebral edema, consistent with anoxic/low perfusion brain injury . # hemoptysis: patient found to have lul and lingula bleeding on rigid bronch. lingula coagulated with argon laser. however, no intervention on lul. due to suspected continued bleeding, r mainstem selectively intubated. pt underwent ir embolization procedure on the night of for lul bleeding, pt tolerated procedure well. - maintain et tube at 23 at lip. further advancement obstructs rul, and further removal, no longer selective intubation. . # pe: patient w/ h/o pe now s/p ivc filter. did not tolerated anticoagulation in past secondary to hemoptysis. mobile clot seen in ra on intraoperative tee. greatly increases risk of recurrent large pe. - hold anticoagulation - f/u repeat tte to evaluate for presence of persistent ra thrombus . # post-obstructive pna: presumed given cxr findings on admission. - levofloxacin day # days - vanc, flagyl . # nsclc: s/p radiation therapy. poor prognosis given concurrent pes prior to todays events. . # dm: type 2. on oral regimen as outpatient. - oral meds held - insulin gtt for bgs>150 . # copd: currently intubated for respiratory support. - albuterol and atrovent mdis - prednisone burst as written per ip . # htn: bp meds held in the setting of hypotension and pressor dependence. . # depression: cont celexa . # fen: npo. . # ppx: ppi. pneumoboots. ivc filter. bowel regimen . # access: radial a-line, swanz ganz catheter in left subclavian . # code: dnr, comfort measures only . # dispo: after discussing the patient's prognosis and pertinent test results with the family, the decision was made by the family to make the patient "comfort measures only" and withdraw care. the patient expired at 1750 on . medications on admission: protonix 40 mg qday celexa 10 mg qday glucotrol xl 10 mg qday colace 100 mg nictotine patch levaquin 750 mg qday lopressor 25 mg vantin 200 mg morphine 1-2 mg prn duonebs ativan 0.5-1 mg prn tylenol prn discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart other bronchoscopy other surgical occlusion of vessels, thoracic vessels diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care pure hypercholesterolemia tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation depressive disorder, not elsewhere classified cardiac arrest malignant neoplasm of upper lobe, bronchus or lung personal history of venous thrombosis and embolism other pulmonary embolism and infarction anemia in neoplastic disease family history of diabetes mellitus air embolism 

Answer: The patient is high likely exposed to