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: hemoptysis major surgical or invasive procedure: rigid bronchoscopy with electrocautery () history of present illness: 25 yo female with newly diagnosed nhl. pt had cxr in in early for sob eval which showed large medicastinal mass. pt had first cycle of chop on . this evening was eating cereal and started coughing up blood. the blood was liquidy with some clots- approximately 1 cup worth. no lh, no dizziness, never done this before. in ed, the patient coughed up 1-2 more tablespoons of blood so sent to for observation. +nausea but no emesis. +lbp, urinary urgency- felt like had uti. constipation but taking colace. past medical history: iddm hypothyroidism social history: was in school at and working at a music store. she has taken a leave of absence from both for treatment. she has 2 younger brothers and lives at home with her parents . both her parents accompany her today. no etoh, no tobacco, no ivdu. family history: noncontributory physical exam: 98.4 63 118/64 16 98%ra nad, aaox3, lying in bed, speaking in full sentences. perrla< eomi, mmm, op clear- no blood in nose or pallate. good insp effort, rhonchi in lll. rrr no m soft, nt/nd +bs, mild tenderness suprapubically. no c/c/e, warm, no bruising, no rash. moves all 4 extremities. pertinent results: 09:50pm wbc-6.9 rbc-3.86* hgb-11.4* hct-33.6* mcv-87 mch-29.4 mchc-33.9 rdw-13.1 urea n-19 creat-0.6 sodium-141 potassium-4.1 chloride-106 total co2-28 anion gap-11 pt-13.1 ptt-25.1 inr(pt)-1.2 urine blood-mod nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg cxr: impression marked decrease in the size of mediastinal mass and resolution of pleural effusion. the hemoptysis is likely secondary to necrosis of the tumor that was involving the left main stem bronchus. ct scan of chest: impression: 1. marked decrease in size of the mediastinal mass and decrease of the mass effect associated with it. there is interval decompression of the left main stem bronchus, which is still slightly irregular reflecting invasion by the tumor. there is persistent severe narrowing of the left upper lobe bronchus. 2. interval resolution of pleural effusion. 3. 2 hypodense areas in the medial aspect of the spleen. these areas had the increased fdg uptake in the past. however, the size of these lesions cannot be compared with the pet since the pet ct was performed without iv contrast. 4. there is marked narrowing of the left main pulmonary artery by this tumor. however, the vessel is still patent. brief hospital course: this is a 25 year old female with newly diagnosed non-hodgkins lymphoma that is admitted status post 1st cycle of chop on who presents with hemoptysis. . 1) hemoptysis- likely secondary to shrinking tumor burden surrounding the left bronchus. had rigid bronch that showed clot in l mainstem bronchus with friable mucosa underneath, which was cauterized. post-procedure chest x-ray showed complete left lung white-out, likely due to complete left lung atelectasis from blood pooling in left mainstem bronchus. hematocrit was stable and remained stable with excellent o2 sats on room air and no respiratory distress. repeat cxr showed improvement in aeration of the l lung so no further invasive intervention was planned. patient and interventional pulmonology were in agreement with the plan and patient was discharged with improvement in her hemoptysis and planned close follow-up as an outpatient. . 2) nhl- s/p 1 cycle of chop. followed by oncologist dr. . portacath placed in ir for continued chemo treatments. . 3) iddm- blood sugar better controlled. managed on nph and humalog ss. . 4) hypothyroid- outpatient levoxyl continued. . 5) full code discharge medications: 1. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for nausea, anxiety. 5. azithromycin 1 g packet sig: one (1) packet po once: please take azithromycin 500mg 2 tabs today and then azithromycin 250mg 1 tab by mouth once daily for next 4 days until . disp:*1 packet* refills:*0* discharge disposition: home discharge diagnosis: 1) non-hodgkin's lymphoma s/p chop cycle #1 2) hemoptysis s/p rigid bronchoscopy with electrocautery now resolving discharge condition: good discharge instructions: please take z-pak (azithromycin) as prescribed . please resume your outpatient medications as prescribed: 1) levothyroxine sodium 125 mcg (1) tablet by mouth daily 2) docusate sodium 100 mg (1) capsule by mouth 2 times a day 3) senna 8.6 mg one (1) tablet by mouth 4) lorazepam 0.5 mg 1-2 tablets by mouth (every 4 hours) as needed for nausea, anxiety. 5) please resume your outpatient insulin regimen. please call your pcp or return to the emergency room if you have increased bloody sputum, difficulty breathing, fevers/chills, nausea/vomitting or any other concerning symptoms. followup instructions: provider: chair 1a date/time: 2:00 provider: , rn where: hematology/oncology phone: date/time: 2:00 provider: 13 date/time: 12:00 procedure: insertion of totally implantable vascular access device [vad] endoscopic excision or destruction of lesion or tissue of bronchus diagnoses: unspecified acquired hypothyroidism long-term (current) use of insulin diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled reticulosarcoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to