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: history of present illness: this is a patient who has known breast carcinoma with questionable metastatic disease who is receiving radiation therapy and she was brought onto the medical service and evaluated for shortness of breath. a ct scan showed a large chronic dissection of her aorta with an aneurysmal enlargement below the renal. her left renal artery is noted to come off the false lumen. the patient returns now for elective aortic aneurysm repair. past medical history: congestive heart failure, hypertension. the patient has a history of arthritis, history of depression. the patient has undergone a cardiac catheterization on which showed clear coronary arteries. the patient is a type 2 diabetic, controlled. the patient has pruritus and periorbital edema. past surgical history: bilateral lumpectomies with radiation therapy and cmp. the patient's ejection fraction is 25%. she also has a history of hyperlipidemia. the patient is a known smoker. she quit 20 years ago. she smoked 13 pack years. she does admit to a gin and tonic at bed time. allergies: sulfa. medications on admission: diovan, coreg, lasix, simvastatin, ativan, omeprazole, paroxetine, lisinopril, colace. physical examination: unremarkable. she had dopplerable dp and pts bilaterally and palpable dps bilaterally. hospital course: the patient was admitted to the preoperative holding area on . she underwent an abdominal aortic resection. she was transferred to the pacu in stable condition. her postoperative hematocrit was 32.5, bun 6, creatinine 0.9. the patient was neurologically intact. she had palpable dps bilaterally. the patient went into flash pulmonary edema on postoperative day 1 and was transferred to the icu for continued care from the pacu. the patient remained intubated. the patient's postoperative pain was controlled with epidural infusion. pressors were weaned off. lasix for diuresis was begun. her triple lumen catheter was rewired. she remained in the sicu. beta-blockade was increased for heart rate management. on postoperative day #3, the patient had an episode of mental status change. a ct was done which was negative for acute bleed or infarct. ativan was discontinued. she continued to be diuresed for a goal of 1.5 l/24 hours. the patient was extubated on postoperative day 3 and transferred to the vicu for continued monitoring and care. lopressor was increased and hydralazine was discontinued. subcu heparin was continued. physical examination showed diminished breath sounds at the bases. the remaining exam was unchanged. she had palpable dp and pt bilaterally. she was afebrile. her white count was 8.7, hematocrit 31.8. the patient's ekg postoperatively was without any st changes. her troponin was less than 0.01. ambulation to chair was begun on postoperative day 4. physical therapy was requested to see the patient in anticipation for discharge planning. the epidural was discontinued. she was converted to oral agents. the patient demonstrated on postoperative day 5 with a much improved lung exam. chest x-ray was improved. ambulation was begun. diet was advanced as tolerated with aspiration precautions. hyperkalemia was repleted. on postoperative day #6, the patient was weaned by physical therapy. we felt the patient would be able to be discharged to home with physical therapy. the patient continues to progress. she will need to be evaluated for rehab. ot was requested to see the patient to evaluate cognitive of function. the patient will be discharged when medically stable and cleared by physical therapy. discharge medications: pentamidine 20 mg b.i.d., metoprolol 50 mg t.i.d., valsartan 150 mg daily, simvastatin 20 mg daily, acetaminophen 325-650 mg q.4-6 hours p.r.n. pain, oxycodone immediate release 2.5-5.0 mg q.4 hours p.r.n. pain, aspirin 81 mg daily, senna tablets 1 b.i.d. p.r.n., colace 100 mg b.i.d. p.r.n. discharge diagnosis: 1. abdominal aortic aneurysm status post open resection. 2. postoperative pulmonary edema, resolved. 3. postoperative confusion, resolved. 4. type 2 diabetes, diet controlled. 5. history of hypertension, controlled. 6. history of congestive heart failure, last episode prior to this was . 7. history of cardiomyopathy with systolic dysfunction and diastolic dysfunction. 8. history of hypertension. 9. history of mild coronary artery disease. 10. history of cardiac evaluation status post catheterization on , no coronary artery disease, mild mitral regurgitation with severe systolic ventricular dysfunction, ejection fraction was 26%, mild pulmonary hypertension. 11. episode of syncope secondary to fall resulting in a subdural hematoma and left wrist fracture on , resolved. 12. history of breast cancer, bilateral, status post lumpectomies with chemotherapy with cmp and radiation therapy. the patient is a former tobacco smoker. has not smoked for 14 years. prior to that was 10 pack-year history. 13. history of mild depression with sleep disorder. the patient should follow-up with dr. in 2 weeks' time. she may shower but no tub baths. no driving. she is continued on all medications as directed. she should not lift anything heavier than 2 pounds for the next 4 weeks. she should call his office if she develops fever greater than 101.5, if the wounds become red or drain. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours pulmonary artery wedge monitoring monitoring of cardiac output by other technique resection of vessel with replacement, aorta, abdominal transfusion of packed cells insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt perioperative autologous transfusion of whole blood or blood components diagnoses: other primary cardiomyopathies mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta other chronic pulmonary heart diseases personal history of malignant neoplasm of breast unspecified transient mental disorder in conditions classified elsewhere personal history of tobacco use hypopotassemia other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation obesity, unspecified accidents occurring in residential institution personal history of irradiation, presenting hazards to health acute edema of lung, unspecified dissection of aorta, abdominal acquired absence of breast and nipple chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to