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: aspirin / moxifloxacin attending: chief complaint: asa desensitization major surgical or invasive procedure: cardiac catheterization history of present illness: 67yo f with h/o htn, hl, r carotid stenosis, s/p recent echo revealing anterior ischemia presenting for asa desensitization for cardiac catheterization. patient has a h/o anaphylaxis with aspirin. she reports that she first developed symptoms in response to a midol, and developed hives, her throat closed and her tongue and lips swelled. her symptoms resolved with benadryl. several years later, she again tried half of a baby aspirin, and again developed similar symptoms, relieved again with benadryl. <br> patient reports that she had a recent carotid artery doppler which indicated 40-59% stenosis of the right carotid artery. given her family history of cad and patient's h/o htn and recent fatigue with exercise, pcp ordered stress echocardiogram which indicated an anterior infarct. patient was then referred for cardiac catheterization. <br> patient reports that she has never experienced frank chest pain or pressure. she endorses occasional chest "pinch" which last 5-10minutes and only occurs at rest. she plays tennis 4-5 times a week for 2 hours at a time. she has been feeling progressively more fatigued recently after completing her games, but denies shortness or breath, lightheadedness or chest pain while playing. <br> of note, patient completed 33 cycles of radiation therapy in for relapse of meningioma. <br> on review of systems, she denies any prior history of stroke, tia, pulmonary embolism, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. she denies abdominal pain, nausea/vomiting, diarrhea or constipation. she denies dysuria, hematuria, or urinary incontinence. <br> cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: hypertension, hyperlipidemia 2. cardiac history: - stress echo indicating anterior ischemia 3. other past medical history: - asthma - h/o tuberculosis, untreated - relapse of meningioma, s/p resection , s/p 33 cycles radiation ending - factor v leiden - glaucoma - depression - mild-moderate right carotid artery stenosis - h/o dvt in left leg () - s/p appendectomy - s/p tubal ligation () social history: patient lives in , nh - tobacco history: quit 40 years ago, smoked for approximately 7 yrs - etoh: glasses of wine per day - illicit drugs: denies current or history of use. family history: - mother: peripheral vascular disease, cad, h/o tias, dm - father: cad h/o cabg, all physical exam: admission exam vs: t= 96.5 bp= 136/64 hr= 80 rr= 12 o2 sat= 99%ra general: well appearing female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 3 cm. no carotid bruits cardiac: pmi located in 5th intercostal space, midclavicular line. rrr, normal s1, s2. grade holosystolic murmur best heard at apex, radiating to axilla. no rubs or gallops. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: warm and well perfused without edema or cyanosis. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . discharge exam xxxxxxxxx pertinent results: admission labs: wbc-4.0 rbc-3.98* hgb-12.7 hct-36.0 mcv-91 pt-11.4 ptt-24.2 inr(pt)-0.9 glucose-191* urea n-18 creat-1.0 sodium-133 potassium-3.5 chloride-96 total co2-25 anion gap-16 alt(sgpt)-19 ast(sgot)-23 alk phos-55 tot bili-0.3 chol 222 hdl 117 ldl 96 tgs 43 studies: stress echocardiogram ( at cardiology): questionable anterior septal ischemia, mild to moderate aortic insufficiency, aortic sclerosis without significant aortic stenosis, mild mitral insufficiency and tricuspid insufficiency, borderline pulmonary hypertension. patient exercised for 10min, reached 11 mets, with no angina. . cxr (): no acute cardiopulmonary process. . ecg ( on admission): normal sinus rhythm, normal axis, normal intervals. p wave inversions in v1 concerning for left atrial enlargement. . cardiac catheterization: 1. selective coronary angiography of this right dominant system demonstrated no angiographically flow limiting stenoses. the left main and lad were normal. the mid lcx had a discrete 40% lesion. the rca had mild diffuse non-obstructive disease. 2. limited resting hemodynamics revealed a normal lvedp and normal central aortic pressures. brief hospital course: reason for admission 67 yo f with htn, hl, recent stress echo evidence of anterior iscemia and h/o anaphylaxis to asa presenting for aspirin desensitization prior to cardiac catheterization. active issues # aspirin allergy: patient has a known history of angioedema with aspirin intake. prior to cardiac catheterization, she was desensitized in case she required daily aspirin following this procedure. aspirin desensitization protocol was followed. patient received montelukast 1 hour prior to begining aspirin. one hour following the final aspirin dose, patient developed lip tingling and swelling and was given diphenhydramine 25mg x1 which resolved her symptoms. symptoms did not return on hd1 and patient was discharged on aspirin 81mg po daily. patient was encouraged to take diphenhydramine in the future if similar symptoms developed. # abnormal stress echo: patient has no history of chest pain with exercise or at rest. however, recent stress echo showed question of anterior septal ischemia. patient has been on clopidogrel for carotid stenosis in the setting of an aspirin allergy. catheterization on showed no significant stenosis or lesions. patient was discharged on daily aspirin 81mg. clopidogrel was discontinued. #fatigue- patient complains of new onset of fatigue, beginning at the end of her 2nd set of tennis. however, she is able to complete a third set. she denies chest pain, shortness of breath. differential diagnosis includes coronary artery disease, effect of recent radiation, anemia, hypothyroidism, pulmonary disease (asthma, pulmonary hypertension). hemoglobin was normal during recent outpatient labs. patient has known asthma and recent echo did show mild pulmonary hypertension. # htn: blood pressure controlled at home with lisinopril-hctz. hctz was held prior to catheterization, and restarted after. bp was stable throughout admission. chronic issues #asthma: she was continued on her home fluticasone and montelukast. respiratory status was stable throughout admission. #glaucoma: she was continued on her home alphagan, lumigan eye drops transitional issues: 1. follow-up with pcp regarding recent onset of increased fatigue. medications on admission: - beclomethasone 42mcg inh two sprays to each nostril daily - bimatoprost 0.01% 1 drop to each eye qhs - brimonidine 0.1% drops to each eye - clopidogrel 75mg po daily - lisinopril-hydrochlorothiazide 10-12.5mg po daily - montelukast 10mg po daily - fluticasone 11mcg inh - flaxseed 1 tbs po qam - myocalm 25mg-50mg-20mg-10mg 1tab qam, 2tab po qpm - cod liver oil 1 tbs po qam - mvi 1tab po daily discharge medications: 1. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 2. beclomethasone dipropionate 40 mcg/actuation aerosol sig: one (1) inhalation 2 sprays to each nostril once daily (). 3. bimatoprost 0.01 % drops sig: one (1) drop ophthalmic qhs (). 4. brimonidine 0.1 % drops sig: one (1) ophthalmic (2 times a day). 5. fluticasone 110 mcg/actuation aerosol sig: one (1) puff inhalation (2 times a day). 6. lisinopril-hydrochlorothiazide 10-12.5 mg tablet sig: one (1) tablet po once a day. 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. disp:*30 tablet, chewable(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: aspirin allergy secondary diagnosis: 1. hypertension 2. asthma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure taking care of you during your recent admission to . you were admitted for aspirin desensitization and cardiac catheterization. you were successfully desensitized to aspirin, and should take a baby aspirin every day. you no longer need to take clopidogrel. if you experience any lip swelling or rash or itching, take one benadryl 25 mg by mouth, as this relieved your symptoms while you were in the hospital. your cardiac catheterization did not show any significant lesions in the arteries surrounding the heart. you can resume your normal activities. you should follow up with your primary care physician regarding your recent increase in fatigue. followup instructions: department: primary care/ cardiology name: dr. when: dr. has walk in appointments for you to attend. you do not need to call or schedule an appointment. you need to be seen in the office 4-8 days after your hospital discharge. there are no walk in appointments friday . please call the office if you have questions. location: cardiology address: , gilford, phone: procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: unspecified essential hypertension personal history of tobacco use need for desensitization to allergens occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia family history of ischemic heart disease other malaise and fatigue personal history of allergy to analgesic agent nonspecific (abnormal) findings on radiological and other examination of other intrathoracic organs 

Answer: The patient is high likely exposed to