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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer from osh for l psoas hematoma and left paralumber pseudoaneurysm at l3-l4 major surgical or invasive procedure: 1) embolization and thrombin injection of left paralumbar pseudoaneurysm. 2) ivc filter placement history of present illness: 67 f with cad s/p cabg, dmii, h/o pe on coumadin, and h/o vertebral compression fx's s/p vertebroplasty presented to osh with back pain. she has a long h/o back pain and is largely wheel-chair dependent at this point. she presented to osh with worsening back pain over the past 2 weeks and now is spreading to the left thigh. at osh, she was found to have a 6 cm left psoas hematoma with a stable hct at 34.6 and inr of 2.7. surgery evaluated pt and recommended continued monitoring. she was given vit k and did not require transfusions. repeat ct showed a growing hematoma at 7 cm and a left paralumbar psuedoanurysm at l3 and l4. due to the growing hematoma and pseudoanurysm, she was transferred to for possible embolization. at osh, she was given dilaudid for pain control and her coumadin was held. . ros: she denies fevers, chills, chest pain, sob, abd pain, n/v/d. . past medical history: dmii h/o tuberculosis (finished 1 yr treatment in ) h/o meningitis h/o osteomyelitis of the spine multiple lumbar compression fx cad s/p cabg h/o pe on coumadin at home for > 1 yr coccygeal pressure ulcer gtube in the past social history: no tobacco or alcohol. lives at with husband. essentially wheelchair bound due to back pain and fx's. . family history: + for cad and dm physical exam: on presentation: vitals: 98.8, 110/62, 91, 20, 97%2lnc gen: moans and grimaces in pain at times, but calm other times heent: perrl, eomi, op clear, mmm neck: no lad cv: rrr, no m/g/r pulm: ctab, no w/r/r abd: soft, obsese, nd, nt, +bs ext: no peripheral edema neuro: cn ii-xii intact, upper extremities strength 5/5 bilaterally biceps triceps and hand grip. lower extremity strenth (hip flex, knee flex, knee extend, ankle flex, anke extend) right, 4-5/5 on left (more due to pain that true weakness). reflexes 1+ bl on patellar and achilles. sensation intact in feet. . pertinent results: 02:40am blood wbc-7.4 rbc-4.26# hgb-11.0* hct-33.3* mcv-78*# mch-25.8* mchc-32.9 rdw-17.1* plt ct-390# 02:40am blood plt ct-390# 05:46am blood wbc-6.5 rbc-4.06* hgb-10.4* hct-31.8* mcv-78* mch-25.6* mchc-32.6 rdw-17.1* plt ct-369 05:46am blood plt ct-369 . 02:40am blood pt-15.5* ptt-26.4 inr(pt)-1.4* 05:46am blood pt-14.2* ptt-24.1 inr(pt)-1.2* . 02:40am blood glucose-61* urean-34* creat-1.3* na-138 k-4.9 cl-103 hco3-28 angap-12 02:40am blood calcium-9.2 phos-3.6 mg-2.5 . # osh abd ct : 6cm left psoas hematoma right adrenal mass 2.7 cm vertebroplasty l3 and l4 ? lumbar artery pseudoanurysm at l3-l4 t12 compression fx 50% . # osh abd ct : left paralumbar pseudoanurysm 73mm. major feeding vesesel between l3 and l4. . ct l-spine/t-spine: impression: 1. status post coil embolization of the left lumbar artery pseudoaneurysm, which is poorly evaluated in the absence of intravenous contrast and cannot be clearly distinguished from the surrounding inflammatory changes. 2. compression fractures of t11, t12, l3, l4, and l5 with evidence of chronicity. however, in the absence of prior studies, superimposed acute compression cannot be excluded. 3. moderate canal narrowing due to retropulsion of the superior aspect of t12. mild canal narrowing due to cement material in the anterior epidural space at l3. 4. mild spondylosis with mild spinal canal stenosis at l3-4 and l4-5. 5. nonspecific right adrenal mass. statistically these most commonly represent adenomas, but secondary or primary malignancy cannot be excluded. further evaluation by adrenal protocol mri is suggested. . mri t and l spine: ***provisional findings impression***: fbr wed 7:57 pm 1. moderate canal narrowing due to retropulsion of the superior aspect of _____. 2. compression fracture of t11, t12, l3, l4, and l5 vertebral bodies. there are foci of high signal intensity within the t11, t12, and l5 vertebral bodies which might represent acute-on-chronic fractures. 3. status post coil embolization of left lumbar artery pseudoaneurysm. cannot determine whether still there is flow to the pseudoaneurysm, however, the left psoas hematoma/pseudoaneurysm is unchanged in size since prior study. 4. no evidence of dissection is noted. 5. unchanged right adrenal mass, which requires further evaluation with dedicated mri protocol. brief hospital course: assessment and plan: 67 f with cad s/p cabg, dmii, h/o pe () on coumadin, and h/o vertebral compression fx's s/p vertebroplasty (1 month ago), transfer from micu after embolization of lumbar vertebral pseudoaneurysm and ivc filter placement complicated by intractable pain. . # left paralumbar pseudoaneurysm: patient had embolization procedure on which was complicated by intractible pain, post-procedure (see below). no bleed or increase in pseudoaneurysm on ct and mri scans after procedure. her distal pulses remained intact and toes were warm. pain was controlled as above. she is to have a repeat ct with contrast in 4 weeks per interventional radiology. she is to call . # acute low back pain. patient came in with pain radiating down her left leg. she states it is the same pain she had with her prior compression fracture, but more intense. it was initially thought to be complicated by hematoma vs paralumbar pseudoaneurysm. after embolization of her ct l-spine shows multiple compression fractures, with kyphoplasty in of them. also consider nerve compression after procedure. extremity is warm with good peripheral pulses. mri with prelim read of acute on chronic vertebral fractures. continue oxycontin 20 with prn oxycodone and gabapentin 300 q8h. she will need to follow up with dr. from neurosurgery in 8 weeks and have a non-contrast thoracic spine ct at that time. the number for his office is . . # h/o pulmonary embolus: hold coumadin in setting of pseudo aneurysm. per pcp, occured during hospitalization last month (). temporary ivc filter placed . she is to resart coumadin and have her inr checked by . . # osteoporosis: multiple vertebral compression fractures. not on vit d on admit, but started vit d 1600 qday and continued alendronate . # arf: cr up to 1.3 on presentation but was 0.8 at osh. likely contrast nephropathy from ct scans (recieved contrast for both cts on and ). now normalized and recieved pre-cath hydration prior to embolization. . # dm: held home glipizide. riss while in house. no issues. . # htn: bp normal now; restart lisinopril on discharge. can restart norvasc as outpatient. . # cad: not on aspirin, statin or bb at home, unclear why. started baby aspirin for risk reduction. . # code: full . # contact: daughter h: , c: . medications on admission: percocet 10/325 5 x daily lyrica 25 tid tramadol 50 tid prn (uses rarely) fosamax 70 qsat trazadone 25 hs ambien 5 hs pyridoxine 100 daily celexa 10 daily glipizide 7.5 daily folate 1 daily seroquel 50 tid spiriva 1 daily norvasc 5 daily lisinopril 5 daily prilosec 20 daily mvi daily coumadin 5 daily lidoderm patch meclizine 12.5 prn for dizzyness compazine 10mg prn nausea . discharge medications: 1. gabapentin 300 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 2. citalopram 10 mg tablet sig: one (1) tablet po once a day. 3. quetiapine 50 mg tablet sig: one (1) tablet po tid (3 times a day). 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. cyclobenzaprine 5 mg tablet sig: one (1) tablet po three times a day as needed for spasms/pain. disp:*50 tablet(s)* refills:*0* 9. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). disp:*30 tablet sustained release 12 hr(s)* refills:*0* 10. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. alendronate 70 mg tablet sig: one (1) tablet po qsat (every saturday). 13. glipizide 5 mg tablet sig: 1.5 tablets po once a day. 14. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 15. trazodone 50 mg tablet sig: 0.5 tablet po at bedtime as needed for insomnia. 16. ambien 5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia: do not take both trazadone and ambien on the same night. 17. coumadin 5 mg tablet sig: one (1) tablet po once a day: please start on . 18. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 1 weeks. disp:*28 tablet(s)* refills:*0* 19. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. 20. cipro 250 mg tablet sig: one (1) tablet po twice a day for 6 days. disp:*12 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: primary: left paralumbar pseudoaneurysm acute on chronic thoracic and lumbar compression fractures osteoporosis . secondary: coronary artery disease history of pulmonary embolism discharge condition: good, vss, on room air, pain controlled. discharge instructions: you came to the hospital for leg pain and a left pseudoaneurysm. your coumadin was stopped and your anticoagulation was reversed. interventional radiology put in an ivc filter to reduced the risk of pulmonary embolism and clotted your pseudoaneurysm to reduce the risk of bleeding. . you required high doses of pain medication after your procedure and were monitored overnight in the icu for this. you have been started on a new pain regimen per the pain service. . you were found to have a urinary tract infection while in the hospital. you were started on the antibiotic ciprofloxacin for this. you will need to take it until . . medication changes: 1) please stop taking lyrica, pyridoxine, folic acid, and tramadol. 2) please start taking coumadin on and have the visiting nurse check your inr. 3) please take oxycontin twice every day for baseline pain control. 4) please take oxycodone/apap 5 times per day as needed for pain. 5) please take gabapentin as prescribed for neuropathic pain. 6) please take vitamin d as prescribed for your bones. 7) please take a baby aspirin once daily to reduce the risk of heart attacks. 8) please take cyclobenzeprine as prescribed for muscle spasms. 9) ciprofloxacin 250mg twice a day until . please take your other medications as prescribed. . speak with dr. about restarting amlodipine as an outpatient. . pain not controlled by medications, dizzyness/lightheadedness, chest pain, shortness of breath, fevers/chills, nausea, vomitting, diarrhea, constipation, numbness/tingling or other concerns. followup instructions: please call dr. office for an appointment in 2 weeks. his number is . . you will need to follow up with inerventional radiology to have a ct scan of your pseudoaneurysm in 4 weeks and have the ivc filter removed in 8 weeks. please call at . you will need to follow up with dr. from neurosurgery in 8 weeks and have a thoracic spine ct scan for your compression fractures at that time. the number for his office is . procedure: interruption of the vena cava injection or infusion of other therapeutic or prophylactic substance other endovascular procedures on other vessels diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified aortocoronary bypass status long-term (current) use of insulin osteoporosis, unspecified pressure ulcer, lower back personal history of venous thrombosis and embolism pathologic fracture of vertebrae pressure ulcer, stage iii aneurysm of other specified artery other acute postoperative pain 

Answer: The patient is high likely exposed to