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: fatigue with murmur found on exam major surgical or invasive procedure: closure of sinus venousus asd and reconstruction of anomalous pulmonary veins w/ pericardial patch history of present illness: 38 y/o female who was found to have a heart murmur on physical exam. an echo was then performed which revealed an asd. she was then referred for surgical closure. past medical history: hypothyroidism, s/p laproscopic tubal ligation, s/p varicose vein stripping social history: denies tobacco use. admits to alcoholic beverages per week. live with husband and three kids. family history: non-contributory physical exam: admission: vs: 88 16 148/87 5'8" 167# gen: wdwn female in nad skin: w/d intact heent: eomi, perrl, nc/at, op benign neck: supple, from -jvd, -bruit chest: ctab -w/r/r heart: rrr w/ 1/6 systolic murmur abd: soft, nt/nd, +bs ext: warm, well-perfused, -c/c/e, mild varicosities neuro: a&o x 3, mae, non-focal discharge: vs: 98.6 88sr 100/62 20 96%ra gen: nad neuro: a&ox3, nonfocal exam pulm: cta-bilat cv: rrr-tachy. sternum stable, incision w/steris-cdi abdm: soft, nt/nd/nabs ext: warm, trace edema pertinent results: echo: pre-bypass: 1. right upper pulmonary vein is entering the right atrium. a sinus venosus atrial septal defect is present size of the asd is approximately 17 mm. no apparent left svc by interrogation with left peripheral iv. qp/qs approx 3. 2. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). 3. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. 4. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. post-bypass: 1. sinous venous atrial septal defect is repaired. no flow by 2d or color doppler. qp/qs 1. 2. preserved biventricular function. 3. aortic contours are intact. 06:45am blood wbc-7.9 rbc-3.21* hgb-10.3* hct-29.8* mcv-93 mch-32.2* mchc-34.7 rdw-13.8 plt ct-184 06:45am blood plt ct-184 06:45am blood glucose-97 urean-10 creat-0.7 na-139 k-4.0 cl-105 hco3-26 angap-12 01:15pm blood wbc-18.3*# rbc-3.37* hgb-10.8* hct-31.3* mcv-93 mch-32.1* mchc-34.5 rdw-13.4 plt ct-280 01:15pm blood pt-11.7 ptt-26.9 inr(pt)-1.0 02:22pm blood urean-12 creat-0.8 cl-1radiology final report chest (portable ap) 10:28 am chest (portable ap) reason: ? ptx s/p ct removal medical condition: 38 year old woman s/p closure sinus venosus asd/re-routing anom. pulm. veins reason for this examination: ? ptx s/p ct removal history: status post sinus stenosis/ac closure with recent chest tube removal. evaluate for residual pneumothorax. comparison made to prior radiographs dated and , . upright portable chest radiograph findings: there has been interval removal of endotracheal tube and nasogastric tube, right-sided chest tubes, and left central venous catheter with no pneumothorax identified bilaterally. right middle lobe/lower lobe opacity is slightly improved with worsening of retrocardiac/left lower lobe consolidation. no large effusion or pulmonary edema is identified. impression: 1. no pneumothorax status post chest tube removal. 2. improved right lower lobe opacity with interval worsening of the left lower lobe/retrocardiac opacity which may represent progression of atelectasis or superimposed pneumonia. the study and the report were reviewed by the staff radiologist. brief hospital course: ms. was a same day admit after undergoing all pre-operative work-up as an outpatient. on day of admission she was brought to the operating room where she underwent closure of asd and reconstruction of anomalous pulmonary veins. please see operative report for surgical details. following surgery she was transferred to the csru for invasive monitoring instable condition. later on op day she was weaned from sedation, awoke neurologically intact and extubated. on post-op day one her chest tubes were removed and she was started on beta blockers and diuretics. later on this day she was transferred to the sdu for further care. she was gently diuresed towards her pre-op weight and activity was advanced. on pod 2 she completed all activity guidelines for sternotomy patients and on pod3 she was discharged home with visiting nurses. medications on admission: synthroid 100mcg qd ortho tri-cyclen qd discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po every eight (8) hours. disp:*90 tablet(s)* refills:*1* 6. furosemide 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 7. potassium chloride 10 meq tablet sustained release sig: two (2) capsule, sustained release po once a day for 10 days. disp:*20 capsule, sustained release(s)* refills:*0* 8. ortho tri-cyclen lo .18/.215/.25-25 mg-mcg tablet sig: one (1) tablet po daily (). 9. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks. discharge disposition: home with service discharge diagnosis: atrial septal defect (asd) w/ anomalous pulmonary veins s/p closure of asd and reconstruction of anomalous pulmonary veins pmh: hypothyroidism, s/p laproscopic tubal ligation, s/p varicose vein stripping discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns p instructions: clinic in 2 weeks dr. in 4 weeks dr. in weeks dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery total repair of total anomalous pulmonary venous connection diagnoses: unspecified acquired hypothyroidism ostium secundum type atrial septal defect anomaly of great veins, unspecified 

Answer: The patient is high likely exposed to