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: adhesive tape attending: chief complaint: difficulty ambulating major surgical or invasive procedure: lateral extracavitary approach t4 corpectomy, fusion history of present illness: 67f with h/o ovarian cancer with leg weakness found to have t4 metastatic lesion. past medical history: uterine ca social history: never smoked married family history: nc physical exam: a and 0x3 perl ht: irreg, nl s1,s2 lungs:cta abd: soft, nt ext no edema neuro: motor full intact lt pertinent results: tte echocardiographic measurements results measurements normal range left atrium - long axis dimension: 2.6 cm <= 4.0 cm left atrium - four chamber length: *5.5 cm <= 5.2 cm right atrium - four chamber length: 5.0 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.2 cm <= 5.6 cm left ventricle - ejection fraction: 50% >= 55% left ventricle - stroke volume: 50 ml/beat left ventricle - cardiac output: 3.47 l/min left ventricle - cardiac index: 2.27 >= 2.0 l/min/m2 aorta - sinus level: 3.3 cm <= 3.6 cm aorta - ascending: *3.9 cm <= 3.4 cm aortic valve - peak velocity: 1.7 m/sec <= 2.0 m/sec aortic valve - lvot vti: 16 aortic valve - lvot diam: 2.0 cm mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 1.0 m/sec mitral valve - e/a ratio: 0.80 mitral valve - e wave deceleration time: 171 ms 140-250 ms tr gradient (+ ra = pasp): *38 to 54 mm hg <= 25 mm hg findings the patient reverted to sinus rhythm at 9:44am during the study. left atrium: elongated la. right atrium/interatrial septum: normal ivc diameter (<2.1cm) with >55% decrease during respiration (estimated rap (0-5mmhg). left ventricle: normal lv wall thickness and cavity size. mild regional lv systolic dysfunction. no resting lvot gradient. right ventricle: normal rv chamber size. borderline normal rv systolic function. aorta: normal aortic diameter at the sinus level. moderately dilated ascending aorta. no 2d or doppler evidence of distal arch coarctation. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets. no mvp. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets. mild to moderate +] tr. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: pulmonic valve not visualized. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor apical views. conclusions the left atrium is elongated. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal half of the inferior wall. the remaining segments contract normally (lvef = 50 %). right ventricular chamber size is normal. with borderline normal free wall function. the ascending aorta is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction c/w cad. moderate mitral regurgitation most likely due to papillary muscle dysfunction. moderate pulmonary artery systolic hypertension. dilated ascending aorta. brief hospital course: 67 y/o f with pmhx of metastatic uterine cancer was admitted electively and brought to or where under general anesthesia she underwent t4 vertebrectomy/fusion. she lost 2 liters of blood intra-op and was kept intubated ppost op and transferred to the icu. she was extubated pod#1 without difficulty. she was transferred to neuro stepdown. her diet and activity were advanced. she had drain placed intra-op that was removed pod#2. her hematocrit was followed and was low and she had transfusions. she developed atrial fibrillation with rvr on pod#3 with sbps in 90/60s and pt was transferred to the ccu. pt was placed on an amiodarone gtt for 24hrs and was converted to amiodarone 400mg po bid with metoprolol for rate control. there was no evidence of rate related ischemia and bp remained stable. pt spontaneously converted to sinus rhythm on and did not require any cardioversion. thyroid function was normal, transaminases were normal, alkaline phosphatase was mildly elevated which is more likely related to the bony mets. pt will be following up with dr. in cardiology. she will need to continue amiodarone 400mg for 7 days and then decrease to amiodarone 200mg daily on . given her chads score of 1, decision was made to continue aspirin 325mg daily to decrease stroke risk. she then transferred back to neurosurgery. her incision was clean and dry. she was evaluated by pt and cleared for dc to home with rolling walker. medications on admission: decadron oxycodone discharge medications: 1. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: take this regimen for 7 days, completing on . disp:*28 tablet(s)* refills:*0* 2. amiodarone 200 mg tablet sig: one (1) tablet po once a day: please do not start this regimen until after completing seven days of the higher dosed regimen. disp:*30 tablet(s)* refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on pain med. disp:*60 capsule(s)* refills:*0* 7. methocarbamol 500 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for muscle spasm. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: t4 metastatic lesion atrial fibrillation anemia of blood loss uterine cancer discharge condition: neurologically stable discharge instructions: while in the hospital, you developed an arrthymia called atrial fibrillation. you were started on a anti-arrythmic medication called amiodarone and should continue taking 400mg twice daily for one week, then decrease to 200mg daily ongoing. you will need to have your liver function and thyroid function monitored regularly while on this medication. we have also started you on metoprolol 37.5mg twice daily for blood pressure & heart rate control. you should continue taking aspirin 325mg daily to help decrease your risk of stroke. ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up/ take daily showers ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks. ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? you are required to wear back brace whenever out of bed. ?????? you may shower briefly back brace. ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. for 3 months. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits followup instructions: cardiology: you have a follow up appointment with dr. on at 1:20pm. please return to the office in 7 days for removal of your staples/sutures,please call to schedule an appointment please call to schedule an appointment with dr. to be seen in 6 weeks. you will need xrays prior to your appoinment procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of other parts of uterus secondary malignant neoplasm of bone and bone marrow myelopathy in other diseases classified elsewhere pathologic fracture of vertebrae personal history of malignant neoplasm of ovary 

Answer: The patient is high likely exposed to