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: back pain major surgical or invasive procedure: t3,2,1, decompression, instrumentation c5-t4 history of present illness: the patient is a 58 year old female with a history of 2 ppd x 20 year smoking history and now metastatic lung cancer (initial presentation in ) to bone who originally presented to the orthopedic service on with back pain secondary to known spine metastases. she underwent a t3,2,1 decompression & instrumentation c5-t4 on . she had received 3 units of blood intra-operatively. her post-operative course was complicated by a painless lower gi bleed with bright red blood per rectum and maroon stools on . the patient's hematocrit dropped from 37 to 25 and she was transferred back to the sicu where she received an additional 3 units of blood and 4 units of ffp. the patient remained hemodynamically stable. gi was consulted and she underwent a tagged rbc scan on which showed no active bleeding. the patient is undergoing a colonoscopy on with concern for a possible diverticular bleed or disease related to her metastatic lung cancer. meanwhile, the patient denies any abdominal pain, nausea, or vomiting. she herself had not noted any blood and the nurses report no bloody stools for 24 hours. her hct has remained stable at 29-32 over 24 hours. she has never had a colonoscopy and never had gi bleeding before. she denies any epigastric burning associated with meals. ros: denies any chest pain, shortness of breath, cough. denies current weight loss, fevers or chills. past medical history: *metastatic lung cancer with history of rul pancoast tumor s/p chemo, radiation, and rul lobectomy in which was complicated by a bronchopleural fistula, mets to spine. pet in showed an intensely fdg avid large left apical lung mass with destruction of the left t2 through t4 ribs and t2 through t4 vertebral bodies and/or posterior elements with extension of the mass into the spinal canal at the t3 level without definite evidence for spinal cord compression. negative head mri in for metastatic disease. * s/p right shoulder fracture s/p fall * lul lung cancer recurrence in social history: the patient lives with her husband and 2 daughters. she formerly smoked 2 ppd x 20 years. denies etoh. family history: mother died from ovarian cancer. father alive with htn. has 6 children. physical exam: tc -98.8 p=101 bp=180/79 (a-line in left upper extremity) bp range from 93-180 rr=22 99% o2 on 3 liters o2 gen - nad, aox3, appears much older than stated age heent - ng tube in place, mmm, no jvd heart - increased rate, regular rhythm, grade ii/vi holosystolic murmur at lusb lungs - ctab anteriorly back - staples in place cervical, thoracic spine abdomen - soft, nt, nd, no hs, + bs ext - no c/c/e, scd bilaterally, +2 d. pedis bilaterally pertinent results: ct abd w&w/o c 2:59 pm 1. no evidence of free intraperitoneal air or fluid. 2. multiple hepatic cysts. 3. bilateral small to moderate pleural effusion. 4. a widespread soft tissue edema. gi bleeding study impression: no evidence of active bleeding. c-spine non-trauma views 2:05 pm ap and lateral radiographs of the cervical and thoracic spine: comparison is made to . appearance of paraspinal hardware construct is unchanged. ct t-spine w/o contrast 4:43 pm impression: large left apical mass and paraspinal mass producing marked destructive changes of the first three thoracic vertebra with invasion of the spinal canal. ct c-spine w/o contrast 4:42 pm impression: large left apical calcified mass is again demonstrated and paraspinal mass with extensive destructive change of the upper thoracic spine with material present within the spinal canal that appears to surround the cord. cxr : a single portable ap view is compared to a previous examination of . there is a new right ij line with the tip in right atrium proximally. there is no evidence of pneumothorax. the right upper ribs have been resected with signs of thoracoplasty. there is a left pancoast tumor with post-radiation changes in left paramediastinal region. the remainder of the lungs are clear without evidence of consolidation. colonoscopy : diverticulosis of the sigmoid and descending colon internal hemorrhoids bleeding likely secondary to diverticulosis. brief hospital course: the patient is a 58 year old female with a history of metastatic lung cancer to bone who initially presented for spinal decompression secondary to mets and subsequently developed what appears to be a lower gi bleed transferred from the sicu to the medical service #.lower gi bleed - switched to po ppi. - colonoscopy on showed no active bleeding with diverticulosis and internal hemorrhoids, recommended high fiber diet. - the patient received a total of 6 units of blood during this hospitalization and her hematocrit has remained stable with no more significant bleeding with her last hct being 28. - she tolerated a regular diet with boost post colonoscopy without difficulty. - goal hct >28. - she has had no additional bloody stools for >48 hours. . #. metastatic lung cancer with bony mets - her pain is well-controlled on oxycontin 30 mg po q12 and vicodin prn. - continue good bowel regimen. . #. hypoxia - the patient had an o2 requirement of liters in the icu which was likely secondary to bilateral effusions after multiple blood products in icu and malignancy as well. her continuous ivf was discontinued. - no echo on record. however, the patient has an s3 on exam. - the patient on the day of discharge was sat'ing 95% on ra. . # right scapular wound - plastics consulted on . she had formerly seen dr. at for this. plastics here felt that this was most likely a pressure ulcer and recommended wet to dry dressings . they feel that the patient is not a surgical candidate for a closure/flap given her current condition. . # hyponatremia - urine lytes confirmed that the etiology of her hyponatremia is siadh. her urine sodium was high at 157 and urine osmolality 187. - fluid restrict to 2 liters. #. fen - regular diet with boost tid, monitor electrolytes . # code status - presumed full . medications on admission: medications on admission: vicodin oxycontin . meds on transfer to floor: anzemet prn ppi iv q12 ssi oxycodone 10 mg po q12 dilaudid 1-2 mg iv q3-4 prn megace 30 mg po qd golytely as directed discharge medications: 1. megestrol 40 mg tablet sig: two (2) tablet po daily (daily). 2. oxycodone 10 mg tablet sustained release 12hr sig: three (3) tablet sustained release 12hr po q12h (every 12 hours). 3. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 6. dolasetron mesylate 12.5 mg iv q8h:prn nausea discharge disposition: extended care facility: - discharge diagnosis: lower gi bleed secondary to diverticulosis metastatic lung cancer to bone with spinal compression blood loss anemia discharge condition: stable. tolerating pos. discharge instructions: please keep incisions clean and dry. dry sterile dressing daily as needed. please call your primary care physician or return to the er if you experience any fevers, chills, bleeding from your rectum, lightheadedness or dizziness. followup instructions: you have an appointment with dr. , your orthopedic surgeon, on thursday, at 2:40 pm on the of the building, . please call should you have any questions. please call ( to schedule an appointment with dr. at his office next week. he is aware of your hospitalization and asked that you call for an appointment next week. md procedure: venous catheterization, not elsewhere classified local excision of lesion or tissue of bone, other bones colonoscopy transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique transfusion of other serum fusion or refusion of 9 or more vertebrae diagnoses: unspecified pleural effusion acute posthemorrhagic anemia personal history of malignant neoplasm of bronchus and lung personal history of tobacco use pressure ulcer, other site other disorders of neurohypophysis diverticulosis of colon with hemorrhage secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health paraplegia internal hemorrhoids without mention of complication myelopathy in other diseases classified elsewhere family history of malignant neoplasm of ovary 

Answer: The patient is high likely exposed to