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: back pain major surgical or invasive procedure: none history of present illness: 84 yo m transferred from after presenting to ed there with pain between shoulder blades. found on ct chest to have anterior mediastinal hematoma. past medical history: cva prostate cancer s/p colectomy with colostomy depression diabetes hyperlipidemia social history: lives with children and cares for himself. family history: nc physical exam: 138/70 sr 66 heent: unremarkable neck: supple, from, no carotid bruits lungs: clear to auscultation heart: rrr, nl s1-s2, no m/r/g abd: s/nt/nd/nabs. colostomy present ext: warm. non palpable dp/pt pulses. 2+ femoral pulses. pertinent results: radiology preliminary report cta chest w&w/o c&recons, non-coronary 3:38 pm cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons reason: eval for growth of intramural hematoma medical condition: 84 year old man with aortic intramural hematoma reason for this examination: eval for growth of intramural hematoma contraindications for iv contrast: none. indication: aortic intramural hematoma, evaluate for growth of intramural hematoma. comparison: . cta of . technique: axial mdct images were obtained from the lung apices to the upper abdomen prior to the administration of intravenous contrast. axial mdct images were then obtained from the lung apices through the aortic bifurcation after the administration of 80 cc of intravenous optiray in the arterial phase. coronal and sagittal reformatted images, and oblique reformats, are provided. contrast: intravenous nonionic contrast was administered due to the rapid rate of bolus injection required for this examination. ct of the chest without and with intravenous contrast: an anterior mediastinal hematoma measures 5.2 x 7.6 cm, slightly increased since the most recent non-contrast chest ct of , , at which time it measured 5.1 x 7.3 cm, and also increased from the initial examination of , at which time it measured 4.2 x 7.4 cm. hemopericardium is unchanged. an ascending aortic aneurysm measures up to 5.0 cm, unchanged over multiple examinations. aortic mural thickening involving the arch and proximal descending aorta is unchanged. there are numerous calcifications consistent with atheromatous disease. post-contrast images show extensive irregularity in the aortic arch consistent with atherosclerotic ulcers, but there is no evidence of active extravasation of contrast into the mediastinal hematoma. the great vessels are patent. separate origin of the left vertebral artery directly from the arch is again noted. the pulmonary arteries appear unchanged. the central airways are patent. the heart and coronary arteries appear unchanged, including extensive coronary artery calcification. bilateral pleural effusions have decreased since , and the density of the left pleural effusion ranges between 5 and 12 hounsfield units without evidence of new hemothorax on the left. bilateral emphysematous changes are again noted. the degree of atelectasis in the lower lobes is improved along with the decrease in pleural effusions. no definite pulmonary nodules or masses are identified. pleural thickening along the right lateral chest wall is unchanged from multiple studies. ct of the abdomen without and with intravenous contrast: the liver, spleen, and adrenal glands appear unremarkable. the gallbladder is non-distended. borderline pancreatic ductal dilation (3.5 mm) is unchanged. no masses are identified in the pancreas. bilateral renal cysts up to 9.2 cm in diameter are unchanged. marked atheromatous calcification of the abdominal aorta is consistent with atherosclerotic disease. three areas of focal dilation of the infrarenal aorta proximal to the aortic bifurcation, measure up to 3.1 cm and are unchanged from the earliest study. again noted is high-grade narrowing at the origins of the celiac and superior mesenteric arteries. single renal arteries bilaterally are patent although there is narrowing at the ostium of the left renal artery. bone windows show degenerative changes of the thoracolumbar spine, bilateral l5 pars defects and grade 1 anterolisthesis of l5 on s1. a compression deformity of the l2 vertebra is unchanged impression: 1. continued slight increase in size of an anterior mediastinal hematoma with no evidence of active extravasation. the progressive increase in size of the hematoma is again concerning for continued leak. 2. unchanged thoracic aortic aneurysm and marked mural irregularity consistent with penetrating ulcers and intramural hematoma. 3. decreased bilateral pleural effusions and atelectasis. 4. unchanged bilateral renal cysts and borderline pancreatic ductal dilation. 5. emphysema. a page was sent to dr. at 6:16 p.m. on and these findings were discussed. dr. r.m. sun dr. echocardiography report , portable tte (complete) done at 11:19:35 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 84 m hgt (in): 66 bp (mm hg): 130/90 wgt (lb): 140 hr (bpm): 54 bsa (m2): 1.72 m2 indication: intramural hematoma. icd-9 codes: 424.1, 424.2 test information date/time: at 11:19 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: adequate tape #: 2008w001-0:33 machine: vivid echocardiographic measurements results measurements normal range left atrium - four chamber length: *5.3 cm <= 5.2 cm left atrium - peak pulm vein s: 0.2 m/s left atrium - peak pulm vein d: 0.3 m/s right atrium - four chamber length: *5.3 cm <= 5.0 cm left ventricle - septal wall thickness: *1.8 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.7 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.6 cm <= 5.6 cm left ventricle - ejection fraction: >= 70% >= 55% aorta - sinus level: *4.2 cm <= 3.6 cm aorta - ascending: *5.1 cm <= 3.4 cm aorta - descending thoracic: *3.1 cm <= 2.5 cm aortic valve - peak velocity: 1.2 m/sec <= 2.0 m/sec mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 0.63 mitral valve - e wave deceleration time: 240 ms 140-250 ms tr gradient (+ ra = pasp): 17 mm hg <= 25 mm hg findings left atrium: elongated la. right atrium/interatrial septum: mildly dilated ra. normal ivc diameter (<2.1cm) with >55% decrease during respiration (estimated rap (0-5mmhg). left ventricle: severe symmetric lvh. normal lv cavity size. normal regional lv systolic function. no lv mass/thrombus. overall normal lvef (>55%). transmitral doppler and tvi c/w grade ii (moderate) lv diastolic dysfunction. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated aortic sinus. complex (>4mm) atheroma in aortic root. focal calcifications in aortic root. markedly dilated ascending aorta. mildly dilated descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. moderate (2+) ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: significant pr. pericardium: small pericardial effusion. conclusions the left atrium is elongated. the estimated right atrial pressure is 0-5 mmhg. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is normal (lvef>55%). transmitral doppler and tissue velocity imaging are consistent with grade ii (moderate) lv diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. there are complex (>4mm) atheroma in the aortic root. the ascending aorta is markedly dilated the descending thoracic aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. significant pulmonic regurgitation is seen. there is a small pericardial effusion. impression: severe symmetric left ventricular hypertrophy with normal systolic function and moderate diastolic dysfunciton. markedly dilated ascending aorta. moderate aortic regurgitation. electronically signed by , md, interpreting physician 15:40 brief hospital course: mr. was admitted to the on via transfer from for further management of a mediastinal hematoma. as he was stable, he was admitted to the cardiac surgical intensive care unit with aggressive blood pressure control. he was oliguric which responded to fluids. his ct scan showed a dilated ascending aorta showed no dissection of his aorta however showed a large mediastinal hematoma consistent with a penetrating ulcer which had stopped leaking. his ascending aorta measured 5cm. he was transfused with packed red blood cells for anemia. he underwent a left thoracentesis which drained 700cc of bloody fluid. the ostomy nurse to care for his colostomy. serial ct scans showed a mild increase in the size of an anterior mediastinal hematoma with no evidence of active extravasation and an unchanged thoracic aortic aneurysm with marked mural irregularity consistent with penetrating ulcers and intramural hematoma. on , he was transferred to the step down unit for further monitoring. his hematocrit stabilized. the physical therapy worked with him daily for assistance with strength and mobility. as mr. remained stable, the plan was to discharge him home with a cta in 1 week. following his cta, he will follow-up with dr. in clinic. medications on admission: avodart 0.5 mg po daily celexa 20 mg po daily glipizide-er 2.5 mg po daily lasix 20 mg po qod zocor 20 mg po daily flomax 0.8 mg qhs discharge medications: 1. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. zocor 20 mg tablet sig: one (1) tablet po qhs. disp:*30 tablet(s)* refills:*2* 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po hs (at bedtime). disp:*60 capsule, sust. release 24 hr(s)* refills:*2* 5. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: two (2) tab,sust rel osmotic push 24hr po daily (daily). disp:*60 tab,sust rel osmotic push 24hr(s)* refills:*2* 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*1 mdi* refills:*1* 7. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 mdi* refills:*2* 9. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: home health discharge diagnosis: anterior thoracic hematoma, aortic ulcerations discharge condition: stable discharge instructions: 1) follow medications on discharge instructions. 2) call our office or 911 for chest or back pain. 3) follow-up with dr. at 1:45pm as instructed. 4) monitor at home blood pressure. call with a systolic blood pressure of greater then 130mmhg. 5) call with any questions or concerns. followup instructions: follow-up with dr. for 1 week ( at 1:45 in 2a). . you will be contact by the office about your ct scan which will be on the same day as your appointment. make an appointment with dr. for 1-2 weeks. md procedure: thoracentesis diagnoses: anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture malignant neoplasm of prostate dissection of aorta, thoracic colostomy status 

Answer: The patient is high likely exposed to