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: left upper lobe squamous cell carcinoma, either metastatic versus a new primary major surgical or invasive procedure: l thoracotomy with lulobectomy history of present illness: patient is a delightful woman who has been diagnosed and treated for laryngeal carcinoma. this included surgery as well as radiotherapy. she also subsequently developed a left upper lobe squamous cell carcinoma, either metastatic versus a new primary and underwent a left thoracotomy with wedge excision in by dr. . recently, she has been found to have a recurrent mass in the left upper lobe, suspicious for either recurrent squamous cell or a new primary within the lung. obviously, it is difficult to determine whether this is a metastatic lesion or primary lung cancer; however, it is her only site of recurrence on extensive metastatic workup. we therefore took her forward for completion left upper lobectomy. past medical history: obstructive sleep apnea, left lung sqaumous ca, laryngeal ca s/p laryngectomy, tracheostomy and chemo/xrt, ue dvt on coumadin, asthma, low back pain, hypothroidism, obesity, gerd. social history: lives alone in setting tobacco free x 12 months. no etoh use family history: on contibutory physical exam: general: well appering female in nad. resp: rhonchi through out cor: rrr s1, s2 adb; protruberant, nd, nt, +bs, no masses. extrem: no c/c/e neuro: no focal neuro deficits. pertinent results: pa and lateral chest on at 07:41. indication: lul lobectomy - followup film after chest tube removal. comparison: at 16:56. findings: compared to the prior study, there is no significant interval change with a persistent small left apical pneumothorax and increased density projecting over the left lower lung field. right lung remains clear. pulmonary vascular markings are normal. impression: persistent left apical ptx and no interval change versus prior. 03:16pm urea n-22* creat-0.9 sodium-138 chloride-106 total co2-23 03:16pm wbc-6.2# rbc-4.11* hgb-12.8 hct-37.4 mcv-91 mch-31.3 mchc-34.3 rdw-14.6 brief hospital course: pt was admitted and taken to the or on for a left upper lobectomy via left thoracotomy complicated by an avulsion of the pa branch which was repaired. trach was also changed intraoperatively. an epidural was placed for pain control. pt was admitted to the icu post-operatively d/t hypotension requiring neo gtt and ivf boluses. cardiac enzymes were neg. two left pleural chest tubes were to sxn and draining mod amt serosang fluid. pod#1 extubated and trach mask. hemodynamically stable off neo. chest tubes cont'd to sxn w/ persistant air leak. pod# 3 failed bedisde swallow exam -kept npo. persistant air leak. epidural removed on pca pod#4 chest tubes to water seal. pod#5 chest tubes clamped. pod#6 purulent sputum on po levo. breathing comfortably but did not clamping trial- back to water seal w/ perisistant air leak. pod# 7, 8 kept on water seal. progressing w/ post recovery. ambulating. reg diet and po pain med. one chest tube d/c'd. remaining chest tube w/ residual air leak. pod# persistant air leak on water seal. progressing w/post recovery. pod#12 chest tube clamping trial- tolerated trial and chset tube removed. post pull cxr unremarkable. pod#13 d/c'd to home . medications on admission: coumadin, levoxyl, protonix, tramadol, norflex, quinnine discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*200 ml(s)* refills:*0* 6. colace 100 mg capsule sig: one (1) capsule po twice a day: while taking narcotics, to prevent constipation. disp:*45 capsule(s)* refills:*2* 7. norflex 100 mg tablet sustained release sig: one (1) tablet sustained release po at bedtime. 8. quinine sulfate 260 mg tablet sig: one (1) tablet po once a day: continue at prior dosage/frequency. 9. dilaudid 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puffs inhalation every six (6) hours. disp:*1 inhaler* refills:*2* 11. coumadin 3 mg tablet sig: one (1) tablet po at bedtime: 3mg every tuesday and thursday. disp:*30 tablet(s)* refills:*2* 12. coumadin 4 mg tablet sig: one (1) tablet po at bedtime: 4mg every monday, wednesday, , saturday, sunday. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: allcare vna greater discharge diagnosis: recurrent squamous cell lung cancer, lul persistent air leak osa h/o tracheostomy h/o dvt asthma hypothyroid gerd chronic back pain discharge condition: stable discharge instructions: md or chills; shortness of breath or difficulty breathing; worsening chest pain or pain no longer controlled by your pills; nausea, vomiting, diarrhea, or inability to tolerate diet; sputum or phlegm that is yellow or green or brown- or red-tinged; if incision develops redness, swelling, or drainage; or any other symptom that concerns you. usual home medications. the antibiotic course completed on the day of your discharge. do resume coumadin at your prior regular doses. please have the visiting nurse check your inr level accordingly. take percocet for pain. do not drive or drink alcohol while taking narcotic pain medicine such as percocet. for milder pain, may take tylenol instead; but do not take tylenol with percocet because percocet already contains tylenol. use a stool softener such as colace to prevent constipation from the narcotic pain medicine. shower tomorrow. do not bathe or swim for 4 weeks. no heavy lifting or straining for 4 weeks. the dressing over your chest tube site should be removed tomorrow afternoon and may then be covered with a plain gauze and tape if needed. followup instructions: follow-up with dr. (thoracic surgery) in weeks. call the office early this week for an appointment date/time. procedure: fiber-optic bronchoscopy division or crushing of other cranial and peripheral nerves regional lymph node excision suture of artery diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified acquired hypothyroidism accidental puncture or laceration during a procedure, not elsewhere classified iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung chronic obstructive asthma, unspecified thoracoscopic surgical procedure converted to open procedure personal history of malignant neoplasm of larynx malayan filariasis 

Answer: The patient is high likely exposed to