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: metastatic papillary carcinoma of the thyroid major surgical or invasive procedure: bilateral neck dissection of levels ii-iv and l ij removal. history of present illness: reason for micu transfer: monitor for airway obstruction history of present illness: 69 year old female with history of htn, hep b, pulmonary sarcoid, and metastatic papillary thyroid cancer to the supraclavicaular lymph nodes, now s/p bilateral modified radical neck dissection (in which they removed lymph nodes and the l ij) on , now pod2. she has had continued oozing from superficial b/l wound sites on neck since the surgery. on , five stitches were placed in the r neck incision for oozing, on two sutures were placed in the l neck incision. on scope on , unilateral laryngeal edema was seen in the morning, which was treated with decadron 10 and sch was dced. repeat afternoon scope showed worsening edema b/l with significant epiglottic, ae fold, and post-cricoid edema with epiglottic ecchymosis. heme was consulted for concern that edema and oozing were coagluopathy. the patient was transfered to the icu for closer management of airway. a ct neck was done to r/o fluid collection. per wet read, ct scan showed laryngeal edema but no fluid collection. a subsuquent scope was planned for 9 pm to follow up edema and assess for need for possible elective intubation. review of systems: (+) per hpi (-) denies blood in the stool, change in stool, abdominal pain, thigh pain, joint pains. past medical history: metastatic papillary carcinoma of the thyroid: diagnosed with papillary thyroid cancer in , when she was found to have a thyroid nodule. she was treated with left thyroidectomy at that time. in , she was found to have enlarged l neck lymph nodes that was attributed to a local recurrence and underwent completion right thyroidectomy, followed by radioactive iodine treatment. in , she developed new lymphadenopathy in the thyroid bed and received additional radioactive iodine treatment. in , she was again found to have multiple enlarged lymph nodes in the thyroidectomy bed and a biopsy-proven metastasis in a left supraclavicular node. in , she had an ultrasound that revealed interval enlargement of the metastasis along the left cervical chain and a stable left supraclavicular node. in , she had a left neck dissection with an excision of 27 lymph nodes with one being positive for metastatic papillary carcinoma of the thyroid. one left cervical lymph node that contained thyroid carcinoma on biopsy was unable to be removed due to its proximity to the carotid artery and jugular vein. in , she underwent further radioactive iodine treatment. more recently, she has had further enlargement of the left neck lymphadenopathy and left paratracheal mass. ct of the neck with contrast on , revealed a 2.9 x 2.5 x 2.8 cm paratracheal mass at the site of the thyroid gland, which was in close contact with the vertebral artery posteriorly and the left common carotid artery anteromedially. there were also multiple enlarged lymph nodes in levels 1b, 2a, 2b, and 3 in the supraclavicular region on the left side, the largest measuring 2 x 1.6 cm at the level 1b on the left. there are also enlarged lymph nodes in level 2a on the right. the larynx and trachea appeared normal despite the paratracheal mass, which was deemed inoperable. - hepatitis b - heart murmur - hypertension - pulmonary sarcoid social history: she is originally from the and immigrated to the us in . she lives with one of her daughters. she is a never smoker and does not currently drink any alcohol (rare use in past). she used to work in a solar panel plant on an assembly line, but the solar panel company has recently closed last year and she has not worked since that time. family history: her brother had thyroid carcinoma and died at age 49. no family history of bleeding disroders. her daughter has dm. physical exam: admission exam general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi neck: b/l neck incision with clean dressings, wound is clean, no current oozing cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-distended, no organomegaly, no tenderness to palpation, no rebound or guarding ext: warm, well perfused, 2+ pulses, trace pedal edema which the patient states is her baseline neuro: grossly intact pertinent results: 04:04am blood wbc-8.2 rbc-3.38* hgb-10.9* hct-32.2* mcv-95 mch-32.2* mchc-33.7 rdw-13.6 plt ct-136* brief hospital course: : 69 year-old with pmh of htn, hepatitis b, pulmonary sarcoid, and metastatic papillary thyroid cancer to the supraclavicaular lymph nodes, now s/p bilateral modified radical neck dissection pod2. she has been oozing from the surgical site b/l for the last 2 days, and developed laryngeal edema seen on scope that worsened during the day, prompting transfer to for close airway monitoring. acute issues: ------------- # laryngeal edema: during her admission the patient was monitored closely for signs of airway obstruction or labored breathing labored breathing. she was given one dose of amicar. she underwent a repeat scope by ent which showed improvement from the day of admission. she did not require repeat intubation and was stable at the time of transfer. her laryngeal edema continued to improve on steroids until the date of discharge (). # metastatic papillary thyroid cancer: the patient was continued on her home dose of levothyroxine and will follow up with ent regarding treatment of her cancer. chronic issues: --------------- #hypertension: the patient was continued on lisinopril, atenolol and furosemide at her home dose. transitional issues: ------------------- will need follow-up with ent regarding treatment of metastatic papillary thyroid cancer. medications on admission: lisinopril 40 mg po daily - already got today levothyroxine 137 mcg po daily - already got today furosemide 60 mg daily - already got today atenolol 50 mg daily - already got today dexamethasone 10 mg iv q8h aminocaproic acid 4 gm iv once -- per heme onc recs discharge medications: 1. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 2. levothyroxine 137 mcg tablet sig: one (1) tablet po daily (daily). 3. furosemide 20 mg tablet sig: three (3) tablet po daily (daily). 4. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: tablet, chewables po qid (4 times a day) as needed for heartburn. discharge disposition: home discharge diagnosis: metastatic papillary carcinoma of the thyroid discharge condition: in good condition. mental status is intact, and patient is ambulatory independently. discharge instructions: -please refrain from any strenuous activity for one week. -you may change your dressings daily. followup instructions: -you have a follow up appointment with dr. in clinic on at 3:15 pm. procedure: laryngoscopy and other tracheoscopy other surgical occlusion of vessels, other vessels of head and neck radical neck dissection, bilateral diagnoses: unspecified essential hypertension sarcoidosis hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck lung involvement in other diseases classified elsewhere personal history of malignant neoplasm of thyroid edema of larynx other pulmonary insufficiency, not elsewhere classified, following trauma and surgery 

Answer: The patient is high likely exposed to