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: history of present illness: the patient underwent an abdominal computed tomography for anticipation for intravascular abdominal aortic repair and determined she was not a candidate. she is now admitted for open abdominal aortic iliac aneurysm repair. an outside cardiac workup included a cardiac catheterization for a positive stress test. she underwent cardiac catheterization and a angioplasty with stent placement of the circumflex artery on . she now returns for elective revascularization. past medical history: 1. history of cerebrovascular accident in ; which presented with left-sided weakness (from which she has recovered). 2. abdominal aortic aneurysm since . 3. history of coronary artery disease; status post silent myocardial infarction by electrocardiogram. 4. atrophic left kidney. 5. echocardiogram on demonstrated a left ventricular hypertrophy with infrabasilar hypokinesis and an ejection fraction of 45%, with moderate mitral regurgitation, left atrial enlargement, and inferobasilar aneurysm. 6. type iii aortic dissection; treated medically. 7. questionable renal artery stenosis. 8. chronic obstructive pulmonary disease; on home oxygen as needed. 9. hypertension. 10. diverticulosis. 11. rectal polyps. allergies: no known drug allergies. medications on admission: 1. aspirin 325 mg p.o. q.d. 2. sublingual nitroglycerin as needed. 3. imdur 60 mg p.o. b.i.d. 4. prilosec 20 mg p.o. q.d. 5. lipitor 20 mg p.o. q.d. 6. verapamil-sr 240 mg p.o. q.d. 7. hydralazine 150 mg p.o. b.i.d. 8. potassium chloride 20 meq p.o. q.d. 9. albuterol inhaler 2 puffs q.i.d. 10. celexa 10 mg p.o. q.d. social history: the patient is a widow. she lives in with her three sons. radiology/imaging: a duplex of the carotids showed moderate plaque in both carotids bilaterally, but no hemodynamically significant lesions. hospital course: the patient was admitted to the preoperative holding area on . she underwent aortobifemoral bypass surgery with -iliac artery ligation. the patient tolerated the procedure well. she required 4 units of packed red blood cells intraoperatively with 200 cc of cellsaver. an epidural catheter was placed intraoperatively for postoperative analgesic control. the patient was transferred to the postanesthesia care unit in stable condition. she was transferred to the vascular intensive care unit for continued monitoring and care. on postoperative day one, there were low oxygen saturations with blood gas results of 7.31/43/56/23/-4. x-ray results congestive failure. the patient's hematocrit was 30.6. blood urea nitrogen was 26. creatinine was 1.7. the renal service was consulted on postoperative day two because of increasing creatinine. it was felt this patient's oliguria was prerenal in origin secondary to hypertension intraoperative and a singular functioning kidney. their recommendations were to check eosinophils, c3-c4 compliments. a renal ultrasound with doppler to rule out obstructive disease. keep systolic blood pressure between 120s and 130s. keep hematocrit greater than 30. no nonsteroidals, ace inhibitors, or angiotensin receptor blockers until resolution of elevated creatinine and return of normal urine volume. medicines for creatinine clearance of 20 to 30. the patient's oxygen saturation continued to remain in the 80s and 90s with albuterol nebulizers and nonrebreather at 6 liters. questionable congestive heart failure. the peripheral arterial line was discontinued. an oxygen wean was begun, and she was diuresed. she remained in the vascular intensive care unit for continued pulmonary care and monitoring. the epidural was discontinued, and oral analgesics were begun. by postoperative day four, the patient was passing flatus. her diet was advanced to clear liquids. her hematocrit drifted to 27.8 (down from 29). her creatinine showed improvement from 2 to 1.9 with a blood urea nitrogen of 35. there was improvement in her oxygenation. intravenous lasix dosing was decreased from 100 mg intravenously q.6h. to 100 mg intravenously q.12h with a fluid restriction to one liter per day. her free water deficit equaled two liters allow the patient to drink to thirst. replace potassium and magnesium. physical therapy saw the patient and felt that she would require rehabilitation status post discharge. by postoperative day four, her creatinine was back to baseline of 1.6. her hematocrit remained stable at 29.2. she was tolerating oral intake. her lines were discontinued and was transferred to the regular nursing floor. the transfer to the floor was delayed because of respiratory status. arterial blood gas results were 7.54/33/125/29 and 6. aggressive diuresis continued and aggressive pulmonary care was continued. her lasix dosing was decreased to 80 mg intravenously, and this was converted to 40 mg p.o. b.i.d. recommendations from the renal service were to keep her on -500,000 cc daily. the renal service signed off. the patient continued to show excellent diuresis. her hematocrit was 32.6. blood urea nitrogen was 26. creatinine was 1.1. the patient was transferred to the trauma surgical intensive care unit on for continued poor oxygenation. aggressive pulmonary care was continued. the patient was nothing by mouth. she was continued on levaquin and flagyl. an arterial line was placed. over the next 48 hours, the patient remained in the surgical intensive care unit for continued pulmonary monitoring, and she was transferred to the regular nursing floor on . her creatinine was 1.7. blood urea nitrogen was 37. hematocrit was 29.6. the patient's creatine phosphokinases and troponin levels were flat. electrocardiogram was without changes. she was continued on unasyn for questionable pneumonia. the renal service was consulted again on . their recommendations were to continue to hold her diuretics for prerenal azotemia. the nephropathy secondary to contrast had resolved, and treat her hyponatremia secondary to free water loss and diuretics with d-5-w at 100 cc per hour times 24 hours. the pulmonary service was consulted regarding the patient's pulmonary status. their recommendations were to begin ambulation to chair with physical therapy and occupational therapy. consider studies for rule out pulmonary embolus. keep her oxygen saturations at no greater than 93%. the patient was returned to the vascular intensive care unit from the surgical intensive care unit on postoperative day 11 (which was ) for pulmonary embolism. a computed tomography of the chest was obtained which showed thoracic aortic dissection and aneurysmal dilatation which extended to the mh portion of the intra-abdominal aorta. this was consistent with the patient's known of aortic aneurysm. the left lobe was noted to be collapsed. this could be related to mucous plug or other obstructive process correlating with the patient's clinical examination. it should be noted that patchy peripheral opacities were noted; mostly in the left upper lobe which were secondary to an acute inflammatory process. the patient continued to show slow progressive improvement in her pulmonary status. she was transferred to the regular nursing floor on . the computed tomography, per the pulmonary service, determined the etiology of her hypoxia were related to both her underlying chronic obstructive pulmonary disease and her lower lobe changes, and it was most imperative that the patient do incentive spirometry and aggressive physical therapy. if the left lower lobe does not open up with these measures, then would have to consider a bronchoscopy. discharge disposition: by postoperative day fourteen, the patient continued to show improvement and stabilization of her respiratory function. her skin clips were removed, and the patient was discharged to home. the patient was to follow up with dr. in his clinic in . medications on discharge: (discharge medications included) 1. verapamil-sr 240 mg p.o. q.d. 2. protonix 40 mg p.o. q.d. (times one month). 3. acetaminophen 325 mg to 650 mg p.o. q.4-6h. as needed (for pain). 4. metoprolol 50 mg p.o. t.i.d. discharge diagnoses: 1. abdominal aortic aneurysm with extension to iliac. 2. status post aortobifemoral bilateral iliac ligation. 3. respiratory failure secondary to atelectasis and underlying chronic obstructive pulmonary disease; corrected. 4. coronary artery disease; stable. 5. chronic renal insufficiency compounded by secondarily contrast-induced acute tubular necrosis; resolved. , m.d. dictated by: medquist36 procedure: arterial catheterization other repair of aneurysm resection of vessel with replacement, aorta, abdominal insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified pulmonary collapse abdominal aneurysm without mention of rupture hyperosmolality and/or hypernatremia aneurysm of iliac artery 

Answer: The patient is high likely exposed to