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: chest pain major surgical or invasive procedure: picc placement history of present illness: patient is a year old female with a history of htn, type ii dm, and paget dz who presents with chest pain for two days. difficulty obtaining history directly from patient, as patient's hearing aide was not functioning when she arrived in the icu. per report and the patient's family, patient was complaining of pleuritic right-sided chest pain for the past two days at rehab. today, she was transferred from rehab to for evaluation of both her chest pain and for monitoring her urine output in the setting of newly diagnosed bladder mass. she did not have any other symptoms. . in the ed, initial vitals were 97.2 109/55 hr 92 rr 14 100%. a chest pa and lateral was obtained with evidence of rll. the patient was going to be admitted to the floor, but developed a fever to 103.9. blood and urine cultures obtained. patient also had episode of svt (? a. fib) with rvr and received diltiazem 30 mg po x 1 and 10 mg iv x 1. she also received levofloxacin. she was then admitted to the icu given concern for svt and septic physiology. . upon arrival to the icu, the patient's hearing aide was not working, and she could not provide a history. her family was at the bedside, and corroborated the above history. . the family reports the patient has declined since a recent admission for complicated uti. she was discharged to rehab, evaluated by urology/urogyn, and reportedly has a "bladder mass" which requires a foley catheter to avoid obstruction. the patient had the catheter removed 5 days ago. she has just completed a treatment course of metronidazole for (+) c. diff. . review of systems: per family, did not have any other symptoms apart from pleuritic right-sided chest pain. past medical history: paget's disease htn dm2 social history: currently lives at rehab, has 1 daughter and 1 son and grandchildren nearby. daughter who lives in ct is hcp family history: nc physical exam: vs: hr 100s-110s, bp 120-140s, map 65-75, 98% 3 liters n/c ga: mild distress, appears hypovolemic heent: perrla. mmm. no lad. no jvd. neck supple. cards: pmi palpable at 5/6th ic space. no rvh. rrr s1/s2 heard. no murmurs/gallops/rubs. pulm: crackles at right base abd: soft, nt, +bs. no g/rt. neg hsm. neg sign. extremities: wwp, no edema. dps, pts 2+. skin: neuro/psych: cns ii-xii intact. unable to complete remainder of exam. gait deffered pertinent results: 10:55am pt-15.1* ptt-30.6 inr(pt)-1.3* 10:55am plt count-425# 10:55am neuts-87.8* lymphs-8.3* monos-3.2 eos-0.4 basos-0.3 10:55am wbc-11.9*# rbc-3.10* hgb-9.9* hct-31.3* mcv-101* mch-32.0 mchc-31.7 rdw-17.4* 10:55am estgfr-using this 10:55am glucose-143* urea n-15 creat-0.9 sodium-134 potassium-4.7 chloride-106 total co2-20* anion gap-13 11:03am lactate-1.1 11:03am comments-green top 02:05pm urine rbc-0-2 wbc-0-2 bacteria-few yeast-none epi-0-2 02:05pm urine blood-neg nitrite-neg protein-25 glucose-100 ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 02:05pm urine color-yellow appear-clear sp -1.016 : two views of the chest: the cardiac, mediastinal and hilar contours are stable. note is made of a tortuous aorta with atherosclerotic calcification. lung volumes are low and there is a right lower lobe posterior opacity. there are small bilateral pleural effusions. note is made of bibasilar subsegmental atelectasis. impression: right lower lobe opacity, worrisome for pneumonia. recommend clinical correlation as pulmonary infarct is also in the differential. if clinical picture is compatible with pneumonia, recommend follow-up chest radiograph in weeks to document resolution. : reason for examination: followup of the patient with right lower lobe pneumonia. portable ap chest radiograph was reviewed with comparison to radiograph. there is significant interval worsening of right lower lobe consolidation, findings that are most likely consistent with interval aspiration given the rapidity of the change. pulmonary hemorrhage would be another possibility if the patient has clinical condition pre-disposing to that. right pleural effusion is noted, new. there is interval improvement of the right basal consolidation, most likely consistent with partial resolution or aspiration. still present left basal opacity as well as mild vascular engorgement is seen and there is bilateral pleural effusion, small to moderate. there is no evidence of pneumothorax. cardiomediastinal silhouette is stable wbc rbc hgb hct mcv mch mchc rdw plt ct 13.3* 2.69* 9.0* 26.3* 98 33.3* 34.1 17.7* 275 pt ptt inr(pt) 22.7* 36.3* 2.1* urine cx (-) blood cxs pending unable to obtain sputum cx brief hospital course: year old female with history of type ii dm, htn, paget disease presents with 2 days of pleuritic chest pain with radiograph consistent with pneumonia. . # hcap- must consider pneumonia health care associated, as patient was transferred from long-term care facility. rll locale consistent with recent aspiration event. patient has minimal o2 requirement, but is hypoxic, likely v/q mismatch in setting of infiltrate and possible atelectasis. must also consider vte given tachycardia, hypoxia, and pleuritic chest pain. given more likely diagnosis of pneumonia, modified criteria is 4, which suggests deferring cta chest. patient was covered broadly for hcap with vanc, cefepime, and levoflox with intent to complete 10 day course given lack of sputum sample. legionella antigen was negative. patient received intermittent ivf boluses to maintain map > 65. she was placed on aspiration precautions, and oxygen was weaned as tolerated. patient's code status was confirmed dnr/dni with hcp. had persistent hypotension despite multiple boluses of ivf, and family meeting was held on . hcp and family wished to pursue transition from ivf and antibiotics to comfort measures only after additional family members visited with patient on . palliative care was involved and following discussion with family we decided to pursue comfort measures on . iv antibiotics and fluids were withdrawn. ms was comfortable, non-verbal at time of discharge. she was discharged to facility with goals of comfort care with po morphine for discomfort and pain. . # right-sided hemiparesis- per pcp, baseline sbp generally much higher than admission sbp. patient noted to have rue paresis day after admission, with suspected cva and watershed infarct. discussed with family, who declined further imaging evaluation. . #fen: following family meeting, hcp and family decided not to pursue nasogastric tube or peg tube for nutrition. . code status: dnr/dni / comfort measures medications on admission: acetaminophen 500 mg 2 tab q6 prn glyburide 10 mg daily hctz 25 mg daily ultram 25 mg regular insulin ss lidocaine patch 5% mom prn bisacodyl prn discharge medications: 1. morphine concentrate 20 mg/ml solution sig: po every four (4) hours: prn for pain, air hunger, discomfort . discharge disposition: extended care facility: senior healthcare of discharge diagnosis: (1) hospital acquired pneumonia (2) left sided stroke discharge condition: comfort goals, no po nutrition, no iv fluids, no antibiotics. pain / anxiety control. patient comfortable, non-responsive at time of discharge. discharge instructions: ms was admitted for worsening chest pain and signs and symptoms concerning for sepsis and pneumonia. she required a stay in the icu for treatment of her pneumonia. around this time she developed right sided upper extremity weakness likely consistent with new stroke. imaging was deferred. given her pneumonia and new stroke signs, we had a discussion with the patient's family and decided to focus on comfort for her goals of care. she was transferred from the intensive care unit to the hospital floor, where her intravenous fluids and antibiotics were withdrawn. pain control was ordered as necessary to control pain. she was discharged to an facility with comfort care goals established. followup instructions: none procedure: venous catheterization, not elsewhere classified diagnoses: acidosis acute kidney failure with lesion of tubular necrosis toxic encephalopathy unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis atrial fibrillation other persistent mental disorders due to conditions classified elsewhere other specified cardiac dysrhythmias hypoxemia hypovolemia cerebral artery occlusion, unspecified with cerebral infarction osteitis deformans without mention of bone tumor unspecified deficiency anemia history of fall bacterial pneumonia, unspecified personal history, urinary (tract) infection malignant neoplasm of anterior wall of urinary bladder 

Answer: The patient is high likely exposed to