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: sulfa (sulfonamide antibiotics) / percocet / iodine; iodine containing attending: chief complaint: shortness of breath, coughing, leaking from g-tube major surgical or invasive procedure: : doboff feeding tube : flexible bronchoscopy with therapeutic aspiration. : flexible bronchoscopy with therapeutic aspiration : rigid bronchoscopy with black dumon bronchoscope. therapeutic aspiration of secretions. balloon dilatation right middle lobe. bal. tumor debridement (blood clot). : flexible bronchoscopy with therapeutic aspiration. history of present illness: patient is a 59-year-old female with h/o nsclc, malignant pleural effusion s/p pleurodesis, and nonmalignant pericardial effusion, now presenting with increasing shortness of breath and worsening cough for the past 10 days. her cough was minimally productive at first, but increased in production with slightly blood-tinged sputum after starting mucinex on her recent osh hospitalization. she also had some pleuritic chest pain with persistent coughing, rated . she otherwise denies fever, chills, chest pain or palpitations. additionally, she recently had a g-tube placement about 3 weeks ago at hospital. patient notes that it started leaking about 1 week ago. she returned to the hospital, at which point the position of the g-tube was confirmed by her surgeons. but it still continued to leak. of note, patient has also been having vaginal bleeding for the past 2 weeks, worse in the beginning, but more recently improved with only some spotting now. previous ct abdomen/pelvis (done about 5 weeks ago) had revealed a uterine fibroid, suspected as a possible cause for her menorrhagia. her oncologist also suspects metastasis and wants a biopsy done. she was then admitted to hospital on to the internal medicine service. after obtaining a pulmonology consult by dr. , ct chest was done which revealed occlusion of the right mainstem bronchus with associated collapse and consolidation of the right lobe with additional adjacent loculated pleural effusion, stable pericardial effusion, and bilateral renal masses. she was started on azithromycin and ceftriaxone. she was also evaluated by gi (dr. , who increased the tightness of the g-tube bumper to 4 cm and recommended less water to be flushed after meds are given and to palce the patient on her right side during the day to encourage tube feeds to go from stomach to duodenum. regarding her vaginal bleeding, ob/gyn consult was initiated. given her pulmonary status, patient is now being transferred here for further workup with bronchoscopy and possible stenting of the bronchus. ros: positive for shortness of breath, cough, dyspnea on exertion, abdominal pain, nausea, vaginal bleeding, bilateral lower extremity edema, back pain and occasional constipation. negative for fever, chills, headache, vomiting, tingling, numbness, seizures, loss of consciousness, chest pain, palpitations or diarrhea past medical history: -stage iv non-small-cell lung cancer, s/p radiation and 3 lines of chemotherapy -h/o malignant pleural effusion, s/p pleurodesis -nonmalignant pericardial effusion, s/p pericardial window () -radiation-induced esophagitis -type 2 diabetes mellitus -hypertension -depression -s/p g-tube placement 3 weeks ago -hyperlipidemia social history: lives at home with her family. ex-smoker, ppd x35 yrs (35-70 pk-yrs), quit 1 year ago. denies alcohol use. previously smoked marijuana. family history: non-contributory physical exam: vs: t: 98.4 hr: 111 st bp: 122/56 sats: 100% 2l general: sitting up in chair no apparent distress heent: mucus membranes dry, doboff feeding tube right nostril card: rrr resp: scattered rhonchi throughout gi: obese, bowel sounds positive extr: warm neuro: non-focal pertinent results: 06:24am blood wbc-9.3 rbc-3.26* hgb-9.4* hct-29.6* mcv-91 mch-28.8 mchc-31.8 rdw-13.9 plt ct-709* wbc-9.3 rbc-3.21* hgb-9.1* hct-28.9* plt ct-592* wbc-11.3* rbc-3.10* hgb-9.1* hct-27.7* plt ct-643* pt-15.6* inr(pt)-1.4* pt-16.2* ptt-25.8 inr(pt)-1.5* glucose-122* urean-9 creat-0.4 na-139 k-3.7 cl-93* hco3-43* glucose-103 urean-11 creat-0.5 na-138 k-3.7 cl-92* hco3-44* alt-22 ast-20 ld(ldh)-192 ck(cpk)-19* alkphos-108 totbili-0.5 : cta airway, no evidence of pulmonary embolus. occlusion of the right main stem bronchus as well as complete collapse of the right lung. an underlying obstructive mass cannot be excluded and further evaluation with bronchoscopy may be helpful. bilateral pleural effusions and a small pericardial effusion. enlarged bilateral adrenal glands as well as an l4 lytic lesion, both concerning for metastasis. ng tube malpositioned outside of the stomach body. : cxr: in comparison to study of , there are decreased lung volumes and some increasing prominence of interstitial markings, suggesting overhydration. complete opacification of the right hemithorax persists, consistent with the ct demonstration of complete occlusion of the right mainstem bronchus and complete collapse of the right lung. : abdominal film: ng tube tip coiled in the fundus of the stomach, : barium esophagus: markedly limited study, shows aspiration as well as free passage contrast through the esophagus into the stomach, without evidence of frank stricture. brief hospital course: mrs. was admitted on for further evaluation of her stage iv nsclc s/p chemo/xrt therapy now with malignant airway obstruction. on she was taken to the operating room for rigid bronchoscopy, balloon dilation, tumor debridement and therapeutic aspiration. she was extubated in the or monitor in the pacu were she was re-intubated for hypoxia, bronch with removal of a small blood clot partially obstructing the rul. she transferred to the sicu for further management. on she had bronchoscopy with aspiration for the rms & rul. she given a fluid bolus for hypotension. lenis were negative for dvt. she was sucessfully extubated and diuresed with lasix. on the ct airway revealed no evidence of pulmonary embolus. occlusion of the right main stem bronchus as well as complete collapse of the right lung.bilateral pleural effusions and a small pericardial effusion. enlarged bilateral adrenal glands as well as an l4 lytic lesion, both concerning for metastasis. ng tube malpositioned outside of the stomach body. the g-tube was removed secondary to placement in fascia. she transferred to the floor and remained stable. she remained npo and was maintained on iv fluids. she was evaluated by gi for possible esophageal stricture and feeding tube placement. pallative care was consulted and assisted with her pain control and transition to hospice. on her inr was 1.5 she was given sl vit k. on she underwent egd which showed severe gastritis and absence of gi motility. a doboff feeding tube was placed and tube feeds were started per nutrition recommendations. over the course of her hospitalization she had multiple bronchoscopy for muscus pluggings. on she was discharged to home with family and hospice. medications on admission: -lactulose 10 mg/ml spoons tid -bupropion 150 mg -lasix 40 mg daily -morphine sulfate 20 mg q1-3h prn pain -magonate 27 mg -reglan 5 mg tid -metoprolol 12.5 mg -polyethylene glycol 17g in 8oz of water daily -ranitidine 150 mg -mucinex 400 mg q6h -temazepam 15 mg qhs prn -glucerna 237 ml, 6 cans daily at rate of 50-60 ml per hour -fentanyl transdermal patch 75 mcg per hour q3d -xalatan 0.005% eye drops 1 drop in each eye qhs -alphagan 0.2% eye drops 1 drop in each eye -miracle mouthwash, swish and spit 5 ml tid -ondansetron 8 mg q8h prn -albuterol inhaler prn -ibuprofen (only for couple weeks for menstrual cramps) discharge medications: 1. replete with fiber goal 65 ml/hr. 2. morphine concentrate 20 mg/ml solution sig: 20-30 ml po every 1-4 hours as needed for dyspnea or pain. disp:*60 ml* refills:*0* 3. lorazepam 1 mg tablet sig: 1-2 tablets po every six (6) hours as needed for anxiety: crush and give sl with small amount of h20. disp:*30 tablet(s)* refills:*0* 4. hyoscyamine sulfate 0.125 mg tablet sig: one (1) tablet po every six (6) hours as needed for secretions. disp:*30 tablet(s)* refills:*0* 5. yankau suction suction set for home 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 7. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 8. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 9. nebulizer machine acetylcysteine 10% 3-5 ml nebs and albuterol 0.083% neb soln 3 ml: q 4-6 hours as needed for wheezes discharge disposition: home with service facility: of hospice discharge diagnosis: lung cancer discharge condition: stable discharge instructions: follow-up with vna care/hospice and dr. with questions and concerns. followup instructions: follow-up with dr. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract endoscopic excision or destruction of lesion or tissue of lung bronchial dilation diagnoses: pneumonia, organism unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified other and unspecified hyperlipidemia acute respiratory failure malignant neoplasm of upper lobe, bronchus or lung unspecified gastritis and gastroduodenitis, without mention of hemorrhage secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health stricture and stenosis of esophagus foreign body accidentally entering other orifice secondary malignant neoplasm of adrenal gland foreign body in other specified parts bronchus and lung malignant pleural effusion 

Answer: The patient is high likely exposed to