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: lithium / neurontin / effexor / cymbalta / abilify attending: chief complaint: fatigue/palpations/lightheadedness major surgical or invasive procedure: bilat. thoracoscopic mini-maze/resect. laa history of present illness: 60 year old female with a history of paroxysmal atrial fibrillation first diagnosed 15 years ago. she was started on inderal and digitalis and has been well for several years. her atrial fibrillation returned in and has been paroxysmal since this time despite medical therapy. she is quite symptomatic with her atrial fibrillation and experiences bothersome paplitations and lightheadedness. she also claims she feels fatigued all the time possibly related to all the medications she takes however it is difficult to distinguish whether this is caused by her antiarrythmics or her neuropsychiatric medications. given that she is quite symptomatic of her atrial fibrillation, she has been referred for mini maze. past medical history: paroxysmal atrial fibrillation diabetes mellitus type 2 chronic obstructive pulmonary disease hypertension hyperlipidemia hepatitis b migraines depression/anxiety bipolar disorder obsessive compulsive disorder attention deficit disorder borderline personality disorder turret's syndrome stable lung nodule fibromyalgia nephrolithiasis s/p lithotripsy w/ stent empyema pneumonia hypothyroid irritable bowel syndrome arthritis positive ppd pelvic inflammatory disease past surgical history: chest tube for empyema c-section x 3 tonsillectomy social history: lives with: husband and 30yo son occupation: disabled nurse tobacco: quit 3.5 yrs ago but formerly smoked 1ppd x 37 years. etoh: stopped drinking 9 months ago, previous 1-2 drinks weekly family history: ++++ mother and father with in their 50's. strong family history of cancer. physical exam: bp 143/82, hr 69, rr 16 with o2 sat of 97% on room air. height: 62" weight: 177 general: well-devloped obese female in no acute distress skin: dry intact heent: ncat perrla eomi neck: supple full rom jvd chest: lungs clear bilaterally - expiratory wheezing noted bilaterally heart: rrr irregular murmur - none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ no femoral bruit noted @ right cath site pertinent results: 07:09am blood wbc-5.6 rbc-2.83* hgb-8.7* hct-24.9* mcv-88 mch-30.8 mchc-35.1* rdw-15.0 plt ct-196 04:22pm blood wbc-6.8 rbc-4.22 hgb-12.9 hct-36.4 mcv-86 mch-30.5 mchc-35.3* rdw-14.9 plt ct-164 04:44pm blood pt-12.9 ptt-22.7 inr(pt)-1.1 04:22pm blood pt-12.4 ptt-24.0 inr(pt)-1.0 04:20am blood glucose-104* urean-18 creat-0.5 na-138 k-3.7 cl-104 hco3-28 angap-10 04:22pm blood glucose-123* urean-15 creat-0.6 na-139 k-4.0 cl-105 hco3-25 angap-13 04:22pm blood alt-33 ast-24 ld(ldh)-205 alkphos-38 totbili-0.2 , f 60 radiology report chest (pa & lat) study date of 6:26 pm , fa6a 6:26 pm chest (pa & lat) clip # reason: eval for ptx medical condition: 60 year old woman with removal of left chest tube reason for this examination: eval for ptx wet read: ygd sun 12:27 am also note anterior chest wall subcutaneous emphysema, likely postoperative change. x pg wet read audit # 1 ygd sun 12:14 am status post l chest tube removal without ptx. r ij central venous catheter tip in distla svc. bilateral peripheral reticular opacities over mid lungs could represent evolving infection. alternatively interstitial edema is a consideration. small effusions may be present. cardiomediastinal silhouette is within normal limits. old rib fracture on the right. x pg final report pa and lateral views of the chest reason for exam: chest tube removal. assess for pneumothorax. comparison is made with prior study performed a day earlier. there is no pneumothorax. right ij catheter tip is in the mid to distal svc. cardiac size is top normal. small bilateral pleural effusions are associated with bibasilar atelectasis enlarging from prior study. interstitial abnormality and haziness of the vessels due to mild new interstitial edema. there is an old right rib fracture. there is subcutaneous emphysema better seen in the lateral view in the anterior chest wall. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sun 11:43 am imaging lab brief hospital course: admitted for iv heparin and pre-op workup. underwent surgery with dr. on for a bilateral mini-thorocotomy/maze/left atrial appendage resection/and flx bronchoscopy. please refer to dr operative report for further details. transferred to the cvicu in stable condition. she awoke neurologically intact but was kept intubated due to airway edema and difficult airway placement. pod#1 she was extubated without incident, weaned off all drips and her preoperative psych and antiarrhythmics were resumed. aspirin/beta-blocker/diuresis and statin was initiated. she remained on the preopertive antibiotics initiated for urinary tract infection.pod#2 she was transferred to the step down unit for further monitoring. chest tubes remained in until drainage criteria was met. indomethicin and colchicine were initiated per dr. x 1 month. no anticoagulation per dr.. physical therapy was consulted for strength and mobility evaluation. pod#4 pulmonary performed a bronchoscopy that revealed no tracheal stenosis; however, she does have left vocal cord paralysis and some subglottic granulation tissue. she was referred for discharge to rehab in for <30 day recovery anticipated. pod#5 dr. cleared her for discharge. all follow up appointments were advised. medications on admission: lantus 70units at bedtime humalog sliding scale metformin 850mg twice daily metoprolol 25mg daily topiramate 50mg - 4 tabs qhs, 2 tabs qam fluoxetine 1800mg daily ativan 1mg prn at bedtime diltiazem sr 180mg daily digoxin 250mcg daily zocor 40mg daily in the evening ***coumadin goal inr 2.0-3.0 ambien 10mg prn at bedtime synthroid 75mcg daily flecainide 100mg twice daily promethazine 25mg tablet prn trazadone 100mg 2 tablets at bedtime discharge medications: 1. lopressor 50 mg tablet sig: 0.5 tablet po twice a day: hold for hr<60, sbp<90. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. simvastatin 40 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 9. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 10. flecainide 50 mg tablet sig: two (2) tablet po q12h (every 12 hours). 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 12. vitamin e 400 unit capsule sig: one (1) capsule po daily (daily). 13. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 14. topiramate 100 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 15. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 16. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching. 17. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily): x 1 month. 18. indomethacin 25 mg capsule sig: one (1) capsule po tid (3 times a day): x 1 month. 19. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: one (1) tablet po bid (2 times a day). 20. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 21. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) ml inhalation q 4 () as needed for dypnea/wheezing. 22. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime). 23. insulin glargine 100 unit/ml cartridge sig: seventy (70) units subcutaneous at bedtime. 24. humulog sig: one (1) unit subcutaneous achs: per sliding scale. 25. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 26. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). 27. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for sore throat. 28. lorazepam 2 mg/ml syringe sig: one (1) injection q8h (every 8 hours) as needed for anxiety. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: paroxysmal atrial fibrillation s/p bilat. thoracoscopic mini maze /res.left atrial appendage diabetes mellitus type 2 chronic obstructive pulmonary disease hypertension hyperlipidemia hepatitis b migraines depression/anxiety bipolar disorder ocd/add borderline personality disorder turret's syndrome stable lung nodule fibromyalgia nephrolithiasis s/p lithotripsy w/ stent empyema pneumonia hypothyroid irritable bowel syndrome arthritis positive ppd pelvic inflammatory disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with.......... incisions: right chest...... left chest ............ edema .......... discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. tuesday @ 1:15 pm 2a please call to schedule appointments with your: primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: other bronchoscopy other bronchoscopy excision or destruction of other lesion or tissue of heart, open approach cardiac mapping excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation myalgia and myositis, unspecified viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta unilateral paralysis of vocal cords or larynx, partial edema of larynx 

Answer: The patient is high likely exposed to