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: codeine / dilaudid attending: chief complaint: 49f with epigastric discomfort. major surgical or invasive procedure: s/p resection of r atrial mass/pfo closure history of present illness: this 49f was recently hospitalized for abdominal pain. the work up revealed a large pericardial effusion and a r atrial mass. echo showed a 2x1 cm mass on the ra free wall and a lg. posterior pericardial effusion. she underwent pericardiocentesis on . she was asdmitted for surgical resection of the mass. past medical history: hypercholesterolemia right atrial mass/pericardial effusion gerd, esophagitis via egd, s/p dilation hiatal hernia removal of vocal cord polyp () prior heavy etoh, drinks 2-3 beers per day several times a week removal of a cyst on the left ovary ectopic pregnancy with removal of part of one tube d&c t&a emphysema migraine headaches social history: patient is single and lives with her sister . she has two children, ages 28 and 30. her son will accompany her to the hospital. his cell phone number is . she works as a data entry supervisor. patient has smoked up to 2.5 packs a day x 39 years. had smoked a pack a day over the past year or two. quit briefly but restarted smoking in . family history: father had a cabg at age 56 with subsequent mi's. he passed away in his late 70's physical exam: wdwnwf in nad heent: nc/at, perla, eomi, oropharynx benign neck: supple, from, no thyromegaly or lymphadenopathy, carotids 2+=bilat. throughout. lungs: clear to a+p cv: rrr without r/g/m, nl. s1, s2 abd: +bs, soft, nontender, without masses or hepatosplenomegaly. ext: without c/c/e, pulses 2+=bilat. throughout. neuro: nonfocal pertinent results: 04:10am blood wbc-5.2 rbc-3.39*# hgb-10.7*# hct-30.5*# mcv-90 mch-31.4 mchc-35.0 rdw-14.2 plt ct-225 02:13am blood pt-12.8 ptt-32.4 inr(pt)-1.1 04:10am blood glucose-98 urean-9 creat-0.5 na-137 k-4.5 cl-103 hco3-28 angap-11 radiology final report chest (pa & lat) 10:26 am chest (pa & lat) reason: pleural effusion/pneumothorax - please do sometime this am t medical condition: 49 year old woman s/p l atrial mass removal and pfo closure reason for this examination: pleural effusion/pneumothorax - please do sometime this am thank you comparison: . indication: pleural effusion. postop. right internal jugular vascular sheath has been removed, with no evidence of pneumothorax. small pleural effusions are now present bilaterally where as previously there was only a minimal left effusion present. adjacent bibasilar opacities are likely due to atelectasis. the remainder of the lungs are clear, and cardiac and mediastinal contours are within normal limits for postoperative status of the patient. impression: new small right and increasing small left pleural effusion with adjacent basilar atelectasis. dr. radiology final report chest (portable ap) 8:34 am chest (portable ap) reason: r/o ptx medical condition: 49 year old woman s/p res. r atrial mass/ closure pfo and ct removal reason for this examination: r/o ptx ap chest 8:40 a.m. on . history: right atrial mass and pfo. chest tube removed. impression: ap chest compared to and 30: minimal left pleural effusion. no pneumothorax. heart size normal. mediastinum midline. right jugular sheath tip at the thoracic inlet. dr. brief hospital course: the patient was admitted on and underwent resection of r atrial mass and closure of pfo. cross clamp time was 37 mins, total bypass time was 53 mins. she tolerated the procedure well and was transferred to the csru in stable condition on neo and propofol. she was extubated on the post op night and had her chest tubes removed on pod#1. she was bradycardic and required intermittent epicardial pacing. she continued to be bradycardic and required neo for several days. ep evaluated her and determined that she did not need pacer placement as she had good av conduction and her hr responded to exercise. she was transferred to the floor and continued to improve. her pacing wires were d/c'd on pod#6. she went on to experience visual defects, complaining of a " spot" in her vision. the neurology and ophthalmology services were consulted. her visual deficit was most likely related to emboli and no further recommendations were made as she was already on aspirin therapy. she will follow up with the eye clinic as an outpatient. the rest of her hospital course was unremarkable and she was cleared for discharge on postoperative day eight. medications on admission: advair diskus albuterol prilosec 40 mg po bid discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 6. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*0* 7. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*1 disk with device(s)* refills:*0* 8. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 9. ibuprofen 400 mg tablet sig: one (1) tablet po q8h:prn as needed for pain. disp:*2 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: right atrial mass - s/p removal, pfo - s/p closure, post op bradycardia, post op visual deficit discharge condition: good. discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use powders, lotions, or creams on wounds. call our office for sternal drainage, temp>101.5. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. (electrophysiology cardiologist) in 3 months. procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using a single catheter pericardiocentesis excision or destruction of other lesion or tissue of heart, open approach other and unspecified repair of atrial septal defect transfusion of packed cells right heart cardiac catheterization diagnoses: esophageal reflux lipoma of other specified sites candidiasis of mouth other specified cardiac dysrhythmias ostium secundum type atrial septal defect other emphysema lump or mass in breast barrett's esophagus cardiomegaly retinal vascular occlusion, unspecified myocardial degeneration 

Answer: The patient is high likely exposed to