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: history of present illness: the patient was transferred from due to hypoxia and mild hypotension secondary to newly diagnosed pulmonary embolism. the patient is a 79-year-old female with a known history of coronary artery disease, chronic obstructive pulmonary disease and recent diagnosis of non-small cell lung cancer. the patient was admitted to on for elective wedge resection of a right lower lobe mass. the mass was found to be non-small cell lung cancer. the patient did well postoperatively and was transferred to the transitional care unit for rehabilitation. reportedly, the patient was ambulating freely until five days ago. two days prior to admission to , she developed dyspnea with oxygen saturation decreasing to the 80s in room air. the patient was transferred to the micu at . there, she was hypotensive. her blood pressure improved with fluid administration. she was found to have bilateral pulmonary emboli on ct angiogram. since the patient had recently undergone wedge resection of the right lower lobe, she was not a candidate for systemic thrombolytic therapy. the patient was transferred to for further management. at , review of chest ct disclosed segmental bilateral pulmonary emboli. doppler ultrasound of the lower extremities did not disclose evidence of deep venous thrombosis. the patient was admitted to the micu for further management. past medical history: 1. squamous cell carcinoma. the patient is status post wedge resection of the right lower lobe on . 2. chronic obstructive pulmonary disease. 3. coronary artery disease, status post right coronary artery stent placement in . cardiac catheterization in : ejection fraction 57%, inferior hypokinesis 4. osteoporosis, status post compression fracture. 5. peptic ulcer disease. 6. status post cesarean section x2. 7. status post appendectomy. 8. status post hysterectomy. 9. renal artery stenosis, status post bypass in . 10. hypertension. 11. hypercholesterolemia. 12. esophageal stricture, status post dilation. 13. psoriasis. outpatient medications include pepcid 20 mg b.i.d., flovent 2 puffs b.i.d., serevent 2 puffs b.i.d., digoxin 0.25 mg q day, miacalcin 1 spray nasally q day, ambien q h.s. and albuterol and atrovent nebulizer treatments p.r.n. allergies: e-vista, fosamax, darvocet, percocet, erythromycin. medications on transfer from outside hospital: risperidone 2 mg q h.s., coumadin 5 mg q h.s., lopressor 25 mg b.i.d., neutra-phos 1 t.i.d., enteric coated aspirin 325 mg q day, guaifenesin p.r.n., miacalcin spray, digoxin 0.25 mg q day, albuterol and atrovent nebulizer treatments p.r.n., salmeterol 1-2 puffs b.i.d., fluticasone inhaler 2 puffs b.i.d., pepcid 20 mg b.i.d., intravenous heparin. social history: the patient is a widow and lives at home. she has a 60+ pack/year history of tobacco use, quit smoking. patient lives with her daughter. family history: father had a history of coronary artery disease. mother and two uncles had cancer. physical examination: general: well-appearing, resting in bed. vital signs: afebrile, heart rate 90-105, respiratory rate 20-29, blood pressure 84/36, saturation 97% on 2 liters. heent: pupils equal, round and reactive to light. extraocular movements intact. sclerae anicteric. edentulous. neck: well-healed mediastinoscopy scar. no lymphadenopathy. no thyromegaly. lungs: poor air movement. right posterior incision healing well. heart: tachycardiac. normal s1 and s2. no murmurs. abdomen: soft, non-tender and non-distended with positive bowel sounds. extremities: no clubbing, cyanosis or edema. no cords and no swelling. neurologic: alert and oriented to name and place. ekg: sinus tachycardia at 105, qrs interval 60??????, normal intervals, q waves in 2, 3 and f, v3 through v6, right bundle branch block, biphasic t in v2 through v6. laboratories from the outside hospital showed a white count of 68, a hematocrit of 39.2, a glucose of 123, a sodium of 132, a potassium of 3.5, a chloride of 98, a bicarbonate of 30, a bun of 5, a creatinine of 0.6, a glucose of 105, a calcium of 8.1 and a magnesium of 2.3. impression: 79-year-old female with chronic obstructive pulmonary disease, coronary artery disease and non-metastatic squamous cell lung carcinoma, status post resection, who presents with shortness of breath, desaturation and hypotension. she was found to have bilateral pulmonary emboli on ct angiogram. the patient was transferred from for further management. hospital course: 1. pulmonary: the patient was admitted to the micu for management. the patient was maintained on 2 liters of oxygen by nasal cannula. ct angiogram from was reviewed by radiology. review confirmed bilateral pulmonary emboli but no saddle emboli. the patient was placed on heparin. the patient underwent lower extremity doppler ultrasounds which were negative. the cause of the pulmonary emboli was thought to be multifactorial and due to malignancy, a history of smoking, immobility and the presence of a recent internal jugular central line. inferior vena cava filter was considered, but, since there were no clots by lower extremity ultrasound, it was decided that the patient would not benefit from this procedure. the patient was also administered her inhalers and atrovent and albuterol nebulizer treatments. during her hospital stay, she began to feel less short of breath. she was transferred out of the micu on to the medical floor. her oxygen saturation was stable on liters of oxygen by nasal cannula. it was decided that the patient would be initiated on lovenox for treatment of her pulmonary emboli. 2. cardiovascular: on admission, the patient was hypotensive and required fluid boluses to maintain her systolic blood pressure over 80. an arterial line was placed, and it was noted that her systolic pressure was significantly greater with the arterial line than with the non-invasive pressure. the patient's blood pressure should be checked in the right arm. on ekg, the patient has evidence of an old infarction. the patient's cardiac enzymes were cycled and found to be negative. she was administered aspirin and beta blockers. regarding the patient's rhythm, she was noted to be tachycardiac. rhythm seemed consistent with multifocal atrial tachycardia. the patient's rate has been controlled with beta blockers. the patient is also on digoxin 0.25 mg q day. 3. infectious disease: the patient has a history of mrsa in her sputum. the patient remained afebrile during her hospital stay. 4. oncology: as noted above, the patient is status post wedge resection of the right lower lobe for non-small cell lung cancer. the patient also underwent mediastinoscopy which was negative for metastatic disease to the lymph nodes of the mediastinum. 5. hematology: on , the patient was noted to have a hematocrit of 24.8. the patient was administered two units of packed red blood cells. dic panel and hemophilus workup were negative. the patient was anticoagulated with heparin and coumadin during her hospital stay. due to difficulty maintaining the patient's inr, she will be anticoagulated with lovenox. 6. neurology/psychiatry: the patient was noted to have periods of delirium during her hospital stay. she was managed with risperidone q h.s. 7. physical therapy: the patient underwent evaluation by physical therapy. the patient will continue to require physical therapy upon discharge. 8. nutrition: the patient was seen by the nutrition service. the patient has refused supplements but is willing to try other supplemental forms of nutrition. discharge condition: fair. discharge status: the long term plan is for the patient to live in an facility in . the patient will require rehabilitation prior to discharge to the facility. discharge diagnoses: 1. non-small cell lung cancer, status post wedge resection of right lower lobe in . 2. chronic obstructive pulmonary disease. 3. coronary artery disease. 4. osteoporosis. 5. hypertension. discharge medications: 1. lopressor 25 mg p.o. b.i.d. 2. enteric coated aspirin 325 mg p.o. q day. 3. miacalcin 1 spray to nostril q day. 4. digoxin 0.25 mg p.o. q day. 5. salmeterol 1-2 puffs b.i.d. 6. fluticasone propionate 110 mcg, 2 puffs b.i.d. 7. lovenox 40 mg subcutaneously b.i.d. x6 months. 8. pepcid 20 mg p.o. b.i.d. follow up: the patient will follow up with her new primary care physician in . , m.d. dictated by: medquist36 procedure: arterial catheterization diagnoses: coronary atherosclerosis of native coronary artery chronic airway obstruction, not elsewhere classified other specified cardiac dysrhythmias hypotension, unspecified malignant neoplasm of bronchus and lung, unspecified precipitous drop in hematocrit other psoriasis other pulmonary embolism and infarction delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to