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: afib from pcp major surgical or invasive procedure: mvr (25 mm onx mechanical, ligation of , removal of la mass history of present illness: 47 yo female w/ no sig past med history presents from pcp's office with afib and rvr. patient was in usoh until 1 week ago when noted cough. thereafter developed sob, coryza, sob, and sore throat. went to her pcp today and was found to be hypertensive w/ irreg irreg pulse. sent to ed. . @ ed found to be in atrial fibrillation. rec'd diltiazem iv. past medical history: htn social history: no tobacco, etoh lives with sister, brother in law and nephew moved to us in family history: nc physical exam: t 99.2 hr 90-110 afib 105/61 nad irregular heart rate, decreased breath sounds at both bases, coarse o/w abdomen benign extrem cool pertinent results: 03:00pm blood wbc-9.4 rbc-4.85 hgb-14.7 hct-43.8 mcv-90 mch-30.3 mchc-33.6 rdw-14.7 plt ct-351 03:00pm blood neuts-81.9* lymphs-15.7* monos-1.9* eos-0.2 baso-0.3 03:00pm blood pt-14.4* ptt-19.8* inr(pt)-1.3* 03:00pm blood glucose-142* urean-16 creat-0.9 na-137 k-7.4* cl-103 hco3-19* angap-22* 04:39pm blood k-3.5 03:00pm blood calcium-9.3 phos-4.2 mg-2.4 03:00pm blood ck(cpk)-164* 03:00pm blood ctropnt-<0.01 03:00pm blood ck-mb-6 chest (portable ap) 2:53 pm chest (portable ap) reason: r/o ptx, obtain at 1500 medical condition: 47 year old woman with reason for this examination: r/o ptx, obtain at 1500 portable chest, at 14:59. comparison study: . clinical information: question pneumothorax. findings: since the prior study, the swan-ganz catheter has been removed. there is mildly increased opacification of the left lung base, a combination of atelectasis and small pleural effusion. there is continued mild blunting of the right costophrenic angle consistent with a small right pleural effusion. there is mild cardiomegaly. valvular prosthesis is present. there are mild degenerative changes in the thoracic spine and shoulders. impression: 1. left lower lobe atelectasis and small left pleural effusion. 2. status post removal of right ij swan-ganz catheter. echocardiography report , (complete) done at 1:52:11 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 47 f hgt (in): 63 bp (mm hg): 130/70 wgt (lb): 130 hr (bpm): 63 bsa (m2): 1.61 m2 indication: intraoperative tee for mvr, la mass excision, laa ligation icd-9 codes: 428.0, 427.31, 786.05, 440.0, 394.1, 394.2 test information date/time: at 13:52 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw3-: machine: 3 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.1 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 45% >= 55% aorta - annulus: 2.0 cm <= 3.0 cm aorta - sinus level: 3.3 cm <= 3.6 cm aorta - sinotubular ridge: 2.3 cm <= 3.0 cm aorta - ascending: 2.8 cm <= 3.4 cm mitral valve - mean gradient: 6 mm hg mitral valve - pressure half time: 208 ms mitral valve - mva (p t): 1.0 cm2 findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: marked la enlargement. moderate to severe spontaneous echo contrast in the body of the la. mass in the body of the la. a mass consistent with a myxoma or tumor in the body of the la. depressed laa emptying velocity (<0.2m/s) definite thrombus in the laa. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no ar. mitral valve: characteristic rheumatic deformity of the mitral valve leaflets with fused commissures and tethering of leaflet motion. myxomatous mitral valve leaflets. moderate valvular ms (mva 1.0-1.5cm2) moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the rhythm appears to be atrial fibrillation. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: 1. the left atrium is markedly dilated. moderate spontaneous echo contrast is seen in the body of the left atrium. two masses are seen in the left atrium along the intra-atrial septum measuring 2.4x1.1cm and 1.4x1 cm. 2. the left atrial appendage emptying velocity is depressed (<0.2m/s). a definite thrombus is seen in the left atrial appendage. 3. no atrial septal defect is seen by 2d or color doppler. 4. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %). 5. right ventricular chamber size and free wall motion are normal. 6. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. 7. the mitral valve shows characteristic rheumatic deformity. the mitral valve leaflets are myxomatous. there is severe valvular mitral stenosis (area 1.0cm2). moderate (2+) mitral regurgitation is seen. post-bypass: pt removed from cardiopulmonary bypass on phenylephrine and epinephrine infusion and av paced. 1. a mechanical prosthetic valve is noted in the mitral position. the valve is well seated with good leaflet excursion. there is no paravalvular leak and there is trivial mitral regurgitation in the expected locations. 2. the masses in the left atrium along the intra-atrial septum are no longer present. 3. the left atrial appendage is still present but there is no flow through the appendage. 4. biventricular function is maintained lvef 45%. 5. aortic contours are intact post-decannulation. brief hospital course: 47 yo f with 1 week of uri treated with arithromycin, sent to er by pcp with rapid afib, subsequently had respiratory arrest and was intubated and sent to ccu. echo showed severe ms la mass. self extubated and was weaned to nassal cannula. seen by cardiac surgery. cleared for surgery by dental, cath showed clean coronary arteries, and she was treated for a uti. taken to the operating room on where she underwent an mvr, removal of la mass and ligation of laa appendage. she was transferred to the icu in critical but stable condition on epi, neo and propofol. she received 48 hours fo perioperative vancomycin as prophylasix since she was in the hospital preoperatively. she was extubated later that day. she was started on coumadin for her mechanical valve. she was weaned from her vasoactive drips and transferred to the floor on pod #1. she awaited therapeutic inr while on iv heparin and was ready for discharge home on pod #6. she will go to the on friday at 1:45 for coumadin follow up. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 0* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 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:*0* 4. coumadin 2 mg tablet sig: two (2) tablet po once a day for 2 days: 4 mg and . inr to be checked . disp:*60 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home discharge diagnosis: ms now s/p mvr new af acute on chronic systolic heart failure htn discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. inr will be checked at dr. / community health center ( office on friday at 1:45. goal inr 3-3.5 for mechanical mitral valve. followup instructions: dr. 4 weeks dr. () friday at 1:45. 6 for wound check in 1 week md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization excision or destruction of other lesion or tissue of heart, open approach open and other replacement of mitral valve diagnoses: other primary cardiomyopathies congestive heart failure, unspecified atrial fibrillation acute respiratory failure acute on chronic systolic heart failure rheumatic mitral insufficiency other ill-defined heart diseases 

Answer: The patient is high likely exposed to