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 / codeine / vibramycin / erythromycin base / phenergan / prochlorperazine / lactose attending: chief complaint: left lower lobe lung cancer. major surgical or invasive procedure: 1/6/101. left thoracotomy and left lower lobectomy. mediastinal lymph node dissection. buttressing of bronchial staple line with intercostal muscle flap. flexible bronchoscopy. flexible bronchoscopy. flexible bronchoscopy with therapeutic aspiration. flexible bronchoscopy with therapeutic aspiration. flexible bronchoscopy with therapeutic aspiration. history of present illness: ms is a 74 yo f returning to thoracic surgery for a left lower lobe lobectomy for a left lower lobe nsclc (adenocarcinoma). she recently a mediastinoscopy and all nodes sampled returned as negative for malignancy. her mri of the head was negative for metasasis and her pet-ct demonstrated uptake at the site of the lll nodule but without other nodal uptake. she recently saw her cardiologist who started her on metoprolol 25 and cleared her for surgery. past medical history: past medical history: 1. htn 2. gerd 3. dm ii dx 2 years ago, diet controlled 4. bilateral knee replacement 5. arthritis 6. vertigo social history: lives with family. tobacco: 35 pack year quit . family history: non-contributory physical exam: temp: 97.6 hr:95 reg bp: 155/81 rr: 18 o2 sat: 95% ra obese, severe dyspnea on exertion aaox3 nad heent ctab rrr no m/r/g abd soft nt/nd ext no c/c/e pertinent results: 139 99 14 -------------<183 4.3 30 0.7 ca: 8.9 mg: 2.4 p: 3.9 15.6 > 38.2 < 330 pt: 12.9 ptt: 25.3 inr: 1.1 brief hospital course: ms. was admitted to the sicu following her left lower lobectomy on after she required re-intubation in the pacu postoperatively. the following summarizes here sicu course from - : neuro: pain control was achieved with an epidural, which was split to bupivacaine with a dilaudid pca. the epidural was removed on and she was transitioned to po pain medications, which she tolerated well. cv: home cardiovascular medications were started postoperatively when patient was able to tolerate pos. she remained hemodynamically stable throughout her icu course. resp: ms. was extubated on pod #1 and transitioned to face mask. overnight she required noninvasive cpap to maintain o2 saturations > 90%. bronchoscopy demonstrated no abnormality postop. cxr on demonstrated lul collapse and a bronchoscopy was performed with mucus plug extraction. throughout the next several days ms. daily bronchoscopy as she continued to have l-sided mucus plugging with lul collapse on cxr. on she ct chest with again demonstrated lul collapse. repeat bronchoscopy on and yielded decreasing amounts of mucus and on her cxr began to show signs of improvement. meanwhile her o2 requrement decreased from nightly cpap to 6l o2 by nc and finally to 3l o2 by nc with pulmonary toilet. gi: diet was npo for the first 48 hours postoperatively and then advanced to a regular diet, which she tolerated without difficulty. she did not have a bowel movement for several days and was given colace, senna, and dulcolax in the sicu prior to transitioning to the floor. gu: a foley catheter remained in place until due to her poor mobility and decreased urinary continence at baseline. it was replaced after multiple episodes of incontinence overnight. heme: hemodynamically stable without requirement for transfusions of blood products. id: she was treated with vancomycin and levaquin for presumed pneumonia, with gpcs and gnrs on bal and . wbc remained < 10 and she was afebrile throughout her hospital course. vanc and levaquin were discontinued on and , respectively. endo: regular insulin sliding scale was used for hyperglycemic control. patient was transferred to the floor and continued her hospital course. the following summarizes her hospital course from to : on (pod10) patient was transferred to the floor after a bronch revealing no mucous plug and a post-bronch cxr that showed improved aeration of the left lung. on pod11 patient was feeling better, was out of bed twice and releived her constipation, responding to a bowel regimen. between pod12 and pod14 she continued to improve progressively from a respiratory standpoint and walking short distances progressively. her foley catheter was placed again per patient request, and after multiple advices from the medical team to discontinue it, as it could raise the possibilities of urinary tract infections, but due to her morbid obesity she felt more comphortable to keep it for a few more days on her postop period. no evidence of uti was found during her hospital stay and this will be pulled at her rehab facility. her cxrs continued to show a moderate amount of pleural fluid on the left base, so it was felt that she would benefit from an ultrasound with possible tap of her pleural effusion. interventional pulmonology was able to drain 800cc of serosanguinous fluid and samples were sent for analysis, culture and cytology (pending). she felt her breathing was better after that and will continue to work on her incentive spirometer, and overall pulmonary toilet. as per physical therapy's recommendations she will need a short term rehab to be able to get to her baseline activities, and will follow up as an outpatient with dr. . , md pgy1 general surgery medications on admission: medications: 1. bumex 1mg tab daily or more as needed for fluid retention. 2. clindamycin prn dental procedures 3. famotidine 40 mg po daily 4. meclizine 25 mg po prn vertigo 5. diovan "80/12.5" po daily 6. mvi 7. lopressor 25mg discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) sc injection tid (3 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed for rash. 4. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 7. guaifenesin 100 mg/5 ml syrup sig: ten (10) ml po q6h (every 6 hours). 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q 12h (every 12 hours). 9. valsartan-hydrochlorothiazide 80-12.5 mg tablet sig: one (1) tablet po once a day. 10. bumetanide 1 mg tablet sig: one (1) tablet po once a day. 11. lopressor 50 mg tablet sig: 0.5 tablet po every twelve (12) hours: hold hr < 60 . 12. motrin 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain: give with food & water. 13. insulin sliding scale per your sliding scale discharge disposition: extended care facility: nursing & rehab center - discharge diagnosis: stage ia lung ca status post left thoracotomy and left lower lobectomy hypertension gerd dm ii dx 2 years ago, diet controlled bilateral knee replacement arthritis vertigo discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:out of bed with assistance to chair or wheelchair discharge instructions: call dr. office if experience. -fevers > 101 or chills. -increased shortness of breath, cough or sputum production -chest pain -incision develops drainage followup instructions: follow-up with dr. date/time: 10:00 on the clinical center . chest x-ray 9:30 am radiology department procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube thoracentesis other bronchoscopy other bronchoscopy other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract closed [endoscopic] biopsy of bronchus graft of muscle or fascia division or crushing of other cranial and peripheral nerves regional lymph node excision other lobectomy of lung diagnoses: pneumonia, organism unspecified acidosis obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified pleural effusion urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] knee joint replacement malignant neoplasm of lower lobe, bronchus or lung foreign body accidentally entering other orifice arthropathy, unspecified, site unspecified foreign body in main bronchus other hyperalimentation other acute postoperative pain 

Answer: The patient is high likely exposed to