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: penicillins / codeine attending: chief complaint: occluded aorto-bifemoral bypass graft. major surgical or invasive procedure: 1. bilateral groin exploration. 2. thrombectomy of aorto-bifem graft, bilateral sfa, bilateral profunda, bilateral common iliac arteries. 3. patch closure of arteriotomies. 4. endovascular stents of aorto- fem limbs. 5. bilateral fasciotomies. history of present illness: this is a 74-year-old female who is status post aorto-bifemoral graft in who presented with acute onset of left leg pain starting at 8:30 this morning. the patient had previously been ambulatory without claudication or rest pain. the patient was brought to and was started on heparin and emergently transferred to for further care. upon examination, the patient had no palpable femoral pulses. the patient had poor motor function of her left leg below the knee as well as decreased sensation of the left leg compared to the right leg. the patient was taken urgently to the operating room. her preoperative creatinine was elevated at 1.2. her bicarbonate was 15. her ck was 40. past medical history: lung cancer, emphysema, s/p lt cea , rt carotid 100% occluded, h/o tias post-cea, htn, chol, arthritis psh- right middle and lower lobectomies in , left cea , hysterectomy remote, tonsillectomy remote, aortobifem in social history: x smoker non drinker family history: n/c physical exam: vitals: 98.6, hr 74 bp 142/80 rr18 96%rasat gen: nad neuro: a&ox3 resp: cta abd: soft, nt b/l dp/pt doppler pertinent results: 03:06am blood wbc-9.9 rbc-3.22* hgb-9.9* hct-29.2* mcv-91 mch-30.6 mchc-33.8 rdw-15.9* plt ct-201 03:06am blood pt-11.6 ptt-34.9 inr(pt)-1.0 03:06am blood glucose-131* urean-13 creat-0.9 na-138 k-4.4 cl-109* hco3-18* angap-15 03:06am blood calcium-7.9* phos-1.5* mg-2.0 ct abdomen w/contrast 7:57 pm ct of the abdomen with iv contrast: the visualized portion of the lung bases demonstrates severe centrilobular emphysematous changes of the lung. no parenchymal opacification or pulmonary nodule is seen. the left atrium is mildly enlarged. the liver, gallbladder, intra and extrahepatic bile ducts, spleen, pancreas, stomach, duodenum and loops of small bowel are unremarkable. colonic pandiverticulosis is noted. both kidneys contain multiple hypodense lesions which are too small to characterize. no free air or fluid is noted within the abdomen. the patient is status post mesh placement of anterior abdominal wall. no pathologically enlarged retroperitoneal or mesenteric nodes are noted. the thoracic aorta demonstrates mural thrombus and aneurysmal dilatation measuring 3.9 x 4.4 cm which extends for 7.1 cm and extends into the suprarenal aorta. the patient is status post aorto- biliac bypass grafting. complete opacification of the both external iliac arteries are noted. severe stenosis is noted at the origin of the right common iliac artery. the abdominal aorta demonstrates severe calcification with calcification noted at the origin of celiac artery, superior mesenteric artery and both renal arteries. ct of the pelvis with iv contrast: the urinary bladder contains small locules of air most likely related to the prior foley catheter placement. the rectum contains impacted stool. the sigmoid colon contains multiple diverticula. no evidence of diverticulitis is seen. left-sided rectus sheath hematoma is noted which measure 4.3 x 5.9 in transverse diameter and measures 10.9 cm in craniocaudal diameter. in the right inguinal region a fluid density material is surrounding the right common femoral artery consistent with the patient history of recent thrombectomy on the right inguinal region. right indirect inguinal hernia is noted which contains fluid. no evidence of bowel obstruction or incarceration is noted. no free air or fluid is noted within the pelvis. no pathologically enlarged pelvic or inguinal nodes are detected. bone windows: no concerning lytic or sclerotic lesions are noted. degenerative changes of lower lumbar spine are identified. impression: 1. relatively large rectus sheath hematoma which extends into the left inguinal region measuring 4.3 x 5.9 x 10.9 cm. no evidence of bowel entrapment within the inguinal canals were noted. 2. small fluid containing right-sided inguinal hernia was noted. 3. status post aorto-biiliac bypass garfting. 4. abdominal aortic aneurysm measuring 3.9 x 4.4 cm in transverse diameter which extends 7.2 cm in craniocaudal diameter. 5. status post thrombectomy at the right inguinal region with a small amount of fluid tracking along the common femoral artery. 6. stool impaction is noted within the rectum. 7. small right-sided pleural effusion is seen. emphysematous changes of lung bases are noted. 8. colonic pandiverticulosis. brief hospital course: the patient was brought to and was started on heparin and emergentlytransferred to for further care. on arrival to , patient with b/l cold feet and pain l>r. acutely ischemic, taken to or for bilateral groin exploration, thrombectomy of aorto-bifem graft, bilateral sfa, bilateral profunda, bilateral common iliac arteries, patch closure of arteriotomies, endovascular stents of aorto- fem limbs, bilateral fasciotomies. pulses at end of case: palpable rt dp, doppler pt. lt dop pt/dp. pt did well post opeative with out complications. she progressed with pt / pt recommended reah. to note pt did have abdominial pain. thi sprompted a us of abdomen. this showed fluid collection vs strangulated bowel, a ct scan was done. negative for bowel entrapment. there was a small hematoma. pt stable for dc medications on admission: asa, , zestril 20 discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection twice a day: discontinue when fully ambulatory. 10. regular insulin sliding scale insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 0-60 mg/dl amp d50 61-120 mg/dl 0 units 0 units 0 units 0 units 121-140 mg/dl 2 units 2 units 2 units 2 units 141-160 mg/dl 4 units 4 units 4 units 4 units 161-180 mg/dl 6 units 6 units 6 units 6 units 181-200 mg/dl 8 units 8 units 8 units 8 units 201-220 mg/dl 10 units 10 units 10 units 10 units 221-240 mg/dl 12 units 12 units 12 units 12 units 241-260 mg/dl 14 units 14 units 14 units 14 units 261-280 mg/dl 16 units 16 units 16 units 16 units 281-300 mg/dl 18 units 18 units 18 units 18 units 301-320 mg/dl 20 units 20 units 20 units 20 units 321-340 mg/dl 22 units 22 units 22 units 22 units 341-360 mg/dl 24 units 24 units 24 units 24 units > 360 mg/dl notify m.d. 11. bisacodyl 5 mg tablet sig: one (1) tablet po daily (daily) as needed for constipation. 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. dulcolax 10 mg suppository sig: one (1) rectal at bedtime as needed for constipation. discharge disposition: extended care facility: of discharge diagnosis: 74f s/p thrombectomy b/l aorto-bifem limbs, sfa, profundas; patch closure of arteriotomies, stents to aorto-bifem, b/l fasciotomies for occlued abf . pmh:lung cancer, emphysema, s/p lt cea , rt carotid 100% occluded, h/o tias post-cea, htn, chol, arthritis. discharge condition: stable discharge instructions: division of and endovascular surgery lower extremity surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over incision, rinse and pat dry ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: follow up with dr. in the office in one week. call for an appointment previously scheduled: provider: lab phone: date/time: 8:00 provider: lab phone: date/time: 9:00 provider: lab phone: date/time: 9:30 procedure: other revision of vascular procedure angioplasty of other non-coronary vessel(s) fasciotomy aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells suture of cranial and peripheral nerves procedure on four or more vessels endarterectomy, lower limb arteries endarterectomy, abdominal arteries transposition of cranial and peripheral nerves insertion of two vascular stents diagnoses: pure hypercholesterolemia unspecified essential hypertension personal history of malignant neoplasm of bronchus and lung hematoma complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other complications due to other vascular device, implant, and graft other emphysema abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to