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: lisinopril / aspirin / plavix attending: chief complaint: dyspnea on exertion, recent chf admission major surgical or invasive procedure: 1. aortic valve replacement with a size 19 - magna tissue valve. 2. coronary artery bypass graft x3, left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal and obtuse marginal arteries. past medical history: severe aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft x 3 past medical history: chronic systolic congestive heart failure atrial fibrillation hypertension hyperlipidemia moderate mitral regurgitation gout ischemic colitis with lgib x 3-4 times, last one month ago diverticulosis plasmacytoma vs lymphoproliferative disorder duodenal angioectasia bladder cancer ??????currently undergoing treatment with bcg injection once weekly newly discovered ef 40% 2l oxygen at night hernia repair tonsillectomy and uvulectomy left cataract surgery social history: home:lives with a lot of family in a 13 bedroom home. occupation: retired worker. she has worked both in electronic assembly and in the office, although she denies either radiation or toxin exposure. etoh: denies drugs: denies tobacco: 5- or 8-pack-year history of smoking family history: mother - died of disease father - died of unknown form of cancer brother - melanoma brother - died of a myocardial infarction. physical exam: pulse: 59 sb resp: 16 o2 sat: 99%ra b/p right: 156/52 left: height: 5' weight: 128lb general:nad skin: dry intact heent: perrla eomi left pupil fixed ~4mm, right round and reactive to light neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur x 3/6 sem abdomen: soft non-distended non-tender bowel sounds + well healed scar of ventral hernia repair, ventral hernia present extremities: warm , well-perfused edema varicosities: none no edema or varicosities neuro: grossly intact x pulses: femoral right: cath site left: 1+ dp right: 2+ left: 2+ pt : left: radial right: 2+ left: 2+ carotid bruit right: left: radiation of cardiac murmur pertinent results: echo : the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is low normal (lvef 50-55%). with normal free wall contractility. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is mild valvular mitral stenosis (area 1.5-2.0cm2). mild to moderate (+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. brief hospital course: ms. is a same day admission after undergoing all pre-operative work-up during her recent hospitalization. upon admission she was brought directly to the operating room where she underwent a aortic valve replacement and coronary artery bypass graft x 3. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours she was weaned from sedation awoke neurologically intact and extubated. beta blockers and diuretics were initiated and she was diuresed towards he pre-op weight. on post-op day one she was transferred to the telemetry floor for further care. chest tubes and epicardial pacing wires were removed per protocol. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #5 mrs. was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to her 's home in good condition with appropriate follow up instructions and vna services. medications on admission: allopurinol - (dose adjustment - no new rx) - 300 mg tablet - 0.5 (one half) tablet(s) by mouth once a day atenolol - 25 mg tablet - 1 tablet(s) by mouth once a day furosemide - (prescribed by other provider; dose adjustment - no new rx) - 40 mg tablet - 0.5 (one half) tablet(s) by mouth every other day pantoprazole - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth twice a day simvastatin - 40 mg tablet - 1 tablet(s) by mouth once a day medications - otc calcium-vitamin d3-vitamin k - (prescribed by other provider) - dosage uncertain docusate sodium - 100 mg capsule - 1 capsule(s) by mouth three times a day as needed for constipation take this medication while taking narcotic pain medications. ergocalciferol (vitamin d2) - (otc) - 400 unit capsule - 1 capsule by mouth twice a day ferrous sulfate - 325 mg (65 mg iron) tablet - 2 tablet(s) by mouth once per day as needed for take with juice or vitamin c psyllium - (prescribed by other provider) - 0.52 gram capsule - 1 capsule(s) by mouth once a day discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po bid (2 times a day). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 9. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 10. 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:*2* 11. lasix 20 mg tablet sig: two (2) tablet po once a day: after 7 days decrease dose to 1 tablet every other day. disp:*60 tablet(s)* refills:*2* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day: take two tablets for 7days then 1 tablet every other day with lasix pill. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: severe aortic stenosis s/p aortic valve replacement coronary artery disease s/p coronary artery bypass graft x 3 past medical history: chronic systolic congestive heart failure atrial fibrillation hypertension hyperlipidemia moderate mitral regurgitation gout ischemic colitis with lgib x 3-4 times, last one month ago diverticulosis plasmacytoma vs lymphoproliferative disorder duodenal angioectasia bladder cancer ??????currently undergoing treatment with bcg injection once weekly newly discovered ef 40% 2l oxygen at night hernia repair tonsillectomy and uvulectomy left cataract surgery discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics prn sternal incision clean and dry left leg harvest incision healing discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments primary care dr. in weeks provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 9:20 md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension gout, unspecified atrial fibrillation aortic valve disorders other and unspecified hyperlipidemia other left bundle branch block chronic systolic heart failure other postprocedural status diverticulosis of colon (without mention of hemorrhage) angiodysplasia of stomach and duodenum without mention of hemorrhage nonspecific abnormal electrocardiogram [ecg] [ekg] cardiac rhythm regulators causing adverse effects in therapeutic use malignant neoplasm of bladder, part unspecified cataract extraction status 

Answer: The patient is high likely exposed to