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: irbesartan attending: chief complaint: progressive pain and shortness of breath major surgical or invasive procedure: cardiac catheterization with drug eluting stent to the left circumflex artery. history of present illness: 80 year old female with history of coronary artery disease status post stents to the lad and rca, who presented for cath today secondary to recently progressive anginal symptoms. she is the primary caregiver for her husband whom she transfers in and out of a wheelchair; lately she has noted progressive, intermittent discomfort of her left arm, associated with dizziness and shortness of breath that are brought on by exertion and are relieved with rest. she has been using a topical nitroglycerin patch more frequently, which has helped somewhat. of note, she had a nuclear stress in during which she exercised 4 minutes (6 mets) to 78% predicted heart rate, with possibly mild posterolateral and apical ischemia. her ef was 71%. she declined a catheterization, but agreen to ct angiography on which revealed significant in-stent restenosis within the proximal lad and proximal rca, as well as moderate to severe plaque in the proximal lcx, prompting referral to . past medical history: 1) cad: found to have multi-vessel disease at in at which time her physicians recommended cabg, however the patient preferred a more conservative approach, and proceeded with 3 stents to the rca and 2 stents to the lad. had left heart catheterization 2 years ago with clean coronaries. 2) hyperlipidemia 3) left breast cancer, status post xrt and lumpectomy approximately 7 years ago 4) cholecystectomy 5) right hip fracture status post repair 6) melanoma of the right arm, status post resection 7) short term memory deficits (per daughter) social history: married, husband is wheelchair bound. she has been his primary caretaker, however he is currently in a nursing home. family history: father and brother with cad. physical exam: on arrival to ccu after cath: 97.1, 125/72, 121, 19, 98% on 2l nc. general: obese caucasian female appearing slightly uncomfortable. ms: responds to questions appropriately. heent: dry mucous membranes. anicteric sclerae. cor: rr, tachycardic, no murmurs/rubs/gallops. lungs: clear to auscultation bilaterally. abd: normoactive bowel sounds. large mass palpated subcutaneously in r abdomen extending to midline medially and towards flank laterally, tender. extr: dp/pt palpable bilaterally, feet cool. pertinent results: hct-28.4* hct-26.6* hct-33.5* hct-31.4* hct-31.2* hct-25.5* wbc-7.7 rbc-3.62* hgb-10.8* hct-29.3* mcv-81* mch-29.7 mchc-36.7* rdw-16.2* plt ct-115* wbc-7.6 rbc-4.16* hgb-12.3 hct-33.8* mcv-81* mch-29.5 mchc-36.3* rdw-16.3* plt ct-109* hct-30.9* wbc-6.7 rbc-3.59* hgb-10.7* hct-28.7* mcv-80* mch-29.8 mchc-37.2* rdw-16.2* plt ct-103* hct-35.1* wbc-6.9 rbc-3.94* hgb-11.4* hct-32.6* mcv-83 mch-29.0 mchc-35.0 rdw-15.9* plt ct-135* pt-14.2* ptt-26.1 inr(pt)-1.3* glucose-166* urean-18 creat-0.8 na-143 k-3.9 cl-112* hco3-22 calcium-7.8* phos-3.1 mg-1.5* ekg : sinus bradycardia right bundle branch block probable left anterior fascicular block cath : comments: 1) selective coronary angiography in this right dominant system revealed two vessel coronary artery disease. the lmca was normal. the lad was diffusely diseased with up to 30% stenoses. the lad stent was widely patent. the lcx had diffuse disease with a 70% proximal and a 50% mid segment stenosis. the rca had diffuse disease with a 40% stenosis in the mid segement. the rca stents were patent. 2) left ventriculography was deferred because the ejection fraction was assessed non-invasively. 3) central aortic pressure was elevated at 174/72 mmhg. final diagnosis: 1. two vessel coronary artery disease. femoral vascular ultrasound right : findings: duplex color doppler of the right femoral area was performed. no pseudoaneurysm or av fistula was identified. a small hematoma was seen. ct abdomen and pelvis : impression: 1. large retroperitoneal hematoma measuring 25 x 10 x 6 cm. 2. small/moderate right pleural effusion with associated atelectasis. these findings were discussed with dr. at 2:30 p.m. on . brief hospital course: in brief, 80 year old female with cad status post multiple prior lad and rca stents, who presented for cath in evaluation of progressive angina, found to have 70% lcx lesion that was stented, with post-cath hypotension and hematocrit drop secondary to large retroperitoneal hematoma, supported with blood products with return of hemodynamic stability, and no further anginal symptoms while in house. hospital course summarized in more detail as follows: 1) coronary artery disease: the patient underwent cath, which demonstrated patent lad and rca stents, with 70% proximal and 50% mid lcx stenoses, the proximal of which was stented with a 3.0 cypher stent. the access site was quite high (above the inguinal ligament), so angioseal was used. she was transfered to the floor hemodynamically stable, however shortly thereafter her blood pressure was noted to decline to 80s-90s systolic, along with a hematocrit drop from 35.1 to 28.4. dopamine was started peripherally on the floor, with aggressive prbc resuscitation, however the blood pressure remained low and the patient was taken back to the cath lab. in the cath lab there was suggestion of a slow ooze from near the access site, however it was difficult to conclusively identify the a source. nevertheless, the hematoma along the right inguinal area had rapidly expanded in size, and was felt likely to be a large pseudoaneurysm, possibly with retroperitoneal bleed. left and right sided pressures were both low, with a wedge of 4. she was transferred to the ccu where, over the course of the subsequent 3-4 days she received aggressive volume resuscitation with 10 units of prbcs and many liters of fluid. her hematocrit eventually stabilized, and her hemodynamics were stable enough to allow a ct of the abdomen, which did confirm a large retroperitoneal hematoma. she remained hemodynamically stable, without transfusion requirement for the remainder of the hospitalization. in terms of ongoing medical management of her cad, she was continued on asa and plavix throughout, and will remain on these until further notice. her beta blocker was held in the setting of her bleed, however restarted and titrated up without difficulty subsequently. her toprol xl was increased from 25 on admission to 50 mg daily. her atorvastatin was increased from 40 to 80 mg daily. she was continued on tricor for hypertriglyceridemia. 3) rash: patient developed a rash just after a dose of morphine. likely, due to mast cell reaction triggered by morphine. dissipated rapidly with iv benadryl. this should not preclude further doses of morphine should they be necessary, as this is not an allergy. 4) fen: she ate a cardiac/heart healthy diet. 5) prophylaxis: she was given pneumoboots. 6) code: full. 7) physical therapy saw the patient prior to discharge and they recommended one more session of pt. they then cleared her to go home. medications on admission: nitroglycerin patch 0.4mg qam, off qpm toprol xl 25mg qam lipitor 40mg qam triamterene/hctz 37.5-25mg qam tricor 145mg qam kcl 20meq qam aspirin 81mg qam mvi qam discharge medications: 1. aspirin 325 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:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual q5min () as needed for chest pain. disp:*30 tablet, sublingual(s)* refills:*0* 4. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*20 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: coronary artery disease unstable angina retroperitoneal hematoma blood loss anemia secondary: hyperlipidemia hypertension discharge condition: improved, stable hematocrit, ambulating independently. discharge instructions: please take all of your medications as directed. we have started you on one new medication called plavix (clopidogrel) that you must make sure to take every day without fail. this medication keeps the stents in the vessels of your heart open, and missing even one day can lead to recurrent blockage of your arteries. we have increased you daily aspirin to 325 mg (this is a higher dose than the 81 mg you were previously taking). you can buy this over the counter if it is less expensive for you. we have discontinued your triamterene/hydrochlorothiazide tablet since your blood pressure was well controlled without it while you were here. you should not take this medication anymore. we have increased your atorvastatin to 80 mg daily (this is double your old dose, so you may take 2 of your old pills at a time until you run and and fill your new prescription). we have also increased your dose of toprol xl from 25 mg daily to 50 mg daily for better blood pressure control. please seek medical help if you experience any further chest pain, shortness of breath, lightheadedness, or just have concerns. followup instructions: please call to make an appointment with dr. within the next 1-2 weeks (). you should also see your primary care doctor, dr. , within the next month (). md, procedure: left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension acute posthemorrhagic anemia hematoma complicating a procedure personal history of malignant neoplasm of breast other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to