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: no known allergies / adverse drug reactions attending: chief complaint: right middle lobe carcinoid major surgical or invasive procedure: : right thoracotomy and right middle lobe sleeve lobectomy (anastomosis of right lower lobe bronchus to bronchus intermedius) intercostal muscle flap buttress, mediastinal lymph node dissection and bronchoscopy with bronchoalveolar lavage. history of present illness: the patient is a 74-year-old woman who was found to have a right middle lobe carcinoid which was endoscopically resected. she was admitted for surgical resection. past medical history: thyroidectomy for fetal adenoma hyperlipidemia asthma gerd osteoporosis social history: married lives with spouse. children. never. etoh social. family history: mother copd died age 84 father died of mi at age 48 siblings mi younger brother died age 60 physical exam: vs on discharge: t 98.3, hr 77, bp 120/60, rr 18, o2 sats 96% ra resting and 94-96% ambulating general: 74 year-old female in no apparent distress card: rrr normal s1,s2 resp: clear b/l gi: soft, nt, nd extr: warm without edema incision: right thoracotomy site clean dry intact margins well approximated no erythema neuro: awake, alert oriented. pertinent results: cxr: : there is no change in the right apical pneumothorax. continued right effusion with minimal atelectatic changes at the bases. : there is minimal increase in right still small pneumothorax. the lung is well aerated on the right and on the left. there is no change in basal atelectasis. there is no appreciable increase in pleural effusion which is currently present on the right, small. surgical clips appear to be unremarkable. : following removal of one of two chest tubes, a small right apical pneumothorax is again visualized but has slightly decreased in size in the interval. appearance of the chest is otherwise without change since the recent study except for decrease in degree of subcutaneous emphysema in the right supraclavicular area. : small amount of right pneumothorax restricted to the apex is unchanged. the position of two right chest tubes is unchanged. there is small amount of pleural effusion. lungs are well aerated. cardiomediastinal silhouette is stable. : two right chest tubes are in place. there is small apical pneumothorax on the right. overall, the extension of the right lung is preserved. no appreciable pleural effusion is seen. the left lung is well aerated. mediastinal contour is stable. mild mediastinal shift to the right is expected due to surgery. labs: 07:10am blood hct-31.5* 09:44pm blood wbc-12.5*# rbc-3.56* hgb-11.2* hct-31.9* mcv-90 mch-31.6 mchc-35.2* rdw-13.5 plt ct-255 11:15am blood glucose-125* urean-10 creat-0.8 na-135 k-3.9 cl-96 hco3-30 angap-13 11:15am blood calcium-8.9 phos-1.9* mg-1.7 brief hospital course: mrs. was taken to the operating by dr. for a right thoracotomy and right middle lobe sleeve lobectomy (anastomosis of right lower lobe bronchus to bronchus intermedius) intercostal muscle flap buttress, mediastinal lymph node dissection and bronchoscopy with bronchoalveolar lavage. she was extubated in the operating room, and monitored in the pacu. while in the pacu she was hypotensive which responded to a fluid challenge and decrease titration of bupivacaine epidural and phenylphrene. once stable she transfer to the floor hemodynamically stable. respiratory: pulmonary toilet with incentive spirometery was encouraged throughout her stay. she was titrated off oxygen with ambulatory saturations of 93% on room air. chest tubes: 2 drains anteriorly and posteriorly over the apex were removed once pleural drainage decreased on and with stable postpull film revealing right apical pneumothorax, which is unchanged on followup cxr's. cardiac: the patient had an episode of atrial fibrillation which converted to sinus rhythm with 10 mg iv lopressor. her home dose lopressor was continued and she remained in sinus rhythm 60-70's with blood pressures 110-120 systolic. gi: ppi and bowel regime continued. the patient was passing gas on discharge but due for bm. diet was advanced and tolerated. renal: the patient had normal renal function with good urine output. electrolytes were replete as needed. pain: bupivacaine epidural with split dilaudid pca was used for intitial pain management with good effect. pca was dc'd with po vicodin ordered and managed by the acute pain service. the epidural was removed on and po dilaudid, tylenol, ibuprofen and neurontin were given with positive affect. disposition: she was seen by physical therapy and deemed safe for home with pt. she continued to make steady progress and was discharged to home with her family and vna on . medications on admission: albuterol sulfate, atorvastatin 40 mg daily, ezetimibe 10 mg daily, fenofibrate nanocrystallized 48 mg daily, hctz 25 mg daily, levothyroxine 125 mcg daily, metoprolol tartrate 50 mg , singulair 10mg daily, omeprazole 20 mg daily, raloxifene 60 mg daily, calcium carbonate 600(1,500), fish oil discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*0* 2. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 5. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: three (3) tablet, chewable po bid (2 times a day). 8. omega-3 fatty acids capsule sig: one (1) capsule po daily (daily). 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*100 tablet(s)* refills:*0* 13. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 14. tricor 48 mg tablet sig: one (1) tablet po once a day. 15. evista 60 mg tablet sig: one (1) tablet po once a day. 16. tylenol extra strength 500 mg tablet sig: two (2) tablet po every eight (8) hours. 17. ibuprofen 600 mg tablet sig: one (1) tablet po every eight (8) hours for 7 days. disp:*21 tablet(s)* refills:*0* 18. neurontin 100 mg capsule sig: one (1) capsule po three times a day: increase to 200mg po tid in 3 days, then 300mg po tid in a week. . disp:*130 capsule(s)* refills:*0* discharge disposition: home with service facility: home health care discharge diagnosis: right middle lobe carcinoid hyperlipidemia asthma gerd osteoporosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath cough or chest pain -right thoracotomy incision develops drainage -chest tube site cover with a bandaid until healed -should chest tube site drain cover with a dry dressing and change as needed pain: -acetaminophen 650 mg every 8 hrs as needed for pain -dilaudid 2-4 mg every 4-6 hours as needed for pain -ibuprofen 400-600 mg every 8 hours for pain. take with food and water -take stool softeners while on narcotics acvitity -shower daily. wash incision with mild soap and water, rinse, pat dry -no tub bathing, swimming or hot tubs until incision healed -no driving while taking narcotics -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily followup instructions: provider: , md phone: date/time: 3:30 on the clinical center chest x-ray radiology 30 minutes before your appointment procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision other lobectomy of lung diagnoses: other iatrogenic hypotension esophageal reflux unspecified acquired hypothyroidism atrial fibrillation other and unspecified hyperlipidemia disturbance of skin sensation osteoporosis, unspecified chronic obstructive asthma, unspecified benign carcinoid tumor of the bronchus and lung 

Answer: The patient is high likely exposed to