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: augmentin / cefuroxime / tape "x10yd / ceftin / iodine-iodine containing attending: chief complaint: acute onset bilateral thigh pain major surgical or invasive procedure: operations: 1. ultrasound-guided puncture of bilateral common femoral arteries. 2. ultrasound-guided puncture of right common femoral vein. 3. advancement of catheters bilaterally into infrarenal abdominal aorta. 4. stent placement at infrarenal abdominal aorta. 5. bilateral stent placement at common iliac arteries. history of present illness: 68m with severe pvd who is s/p b/l cia stents, right cfa->bk with lgsv in and l ak-bk with nrsvg in , on coumadin for a-fib. pt reports acute onset of bilateral thigh pain starting at 0330 this morning when he attempted to get out of bed to go to the bathroom. pt states he ambulates with a cane at baseline. pain has improved with iv narcotics this morning but has not completely resolved. pt transferred from osh ed to ed due to complex nature of his multiple medical problems. past medical history: 1.coronary artery disease, cabg and pci 2.congestive heart failure-ef 48% by p-mibi, last tte in w lvh, mild systolic lv dysfunction, mild mr 3.ckd s/p transplants in and . baseline cr 1.5-1.7 4.hypertension 5.hyperlipidemia 6.atrial fibrillation 7.pvd-- right femoral below-knee popliteal bypass graft - right heel ulcer s/p skin grafting 8.gerd 9.bladder neoplasm social history: married with 3 adult children. he is retired. prior to retiring he worked as a supervisor for the . he quit smoking 30 years ago. prior to quitting he smoked 1ppd for approximately 14 year. he denies the use of recreational drugs. he drinks an occasional cocktail with dinner family history: father had cad requiring a cabg at the age of 74 and is alive and well at the age of 86. physical exam: on admissio: exam temp 97.3, hr 79 (a-fib), 178/60, rr 14, o2 sat 90% on ra gen: mildly agitated but conversive, intermittently confused, oriented x3 cv: irreg/irreg, no r/g/m resp: decreased breath sounds at bases b/l abd: protuberant, soft, nt, rlq renal transplant incision well healed ext: hd fistula in lue forearm with strong palpable thrill, lower extremities cool bilaterally with delayed cap refill >2 sec but no mottling. no dopplerable signals in either le graft or in either pt or dp. very weakly dopplerable bilateral femoral signals. + edema ble worse on the right. pertinent results: 05:05pm blood wbc-7.4 rbc-2.90* hgb-8.6* hct-27.0* mcv-93.1 mch-29.2 mchc-31.7 rdw-16.0* plt ct-90* 05:05pm blood pt-25.3* ptt-41.6* inr(pt)-2.4* 05:05pm blood glucose-294* urean-30* creat-2.4* na-134 k-5.2* cl-100 hco3-14* angap-25* 05:05pm blood alt-227* ast-791* ld(ldh)-3785* ck(cpk)-* alkphos-145* amylase-234* totbili-2.0* 01:07pm blood ck(cpk)-* 11:06am blood ck(cpk)-* 05:29am blood ck-mb-52* mb indx-0.1 ctropnt-0.41* 05:05pm blood albumin-2.4* calcium-7.8* phos-6.5*# mg-2.5 06:47pm blood type-art po2-232* pco2-42 ph-7.07* caltco2-13* base xs--17 06:47pm blood glucose-263* lactate-14.5* chest: the right subclavian central venous catheter terminates appropriately in the mid svc. the left internal jugular catheter is malpositioned terminating in the left superior intercostal vein. et tube is appropriately positioned and terminates in the mid trachea. the ng tube extends below the level of the hemidiaphragms and is post-pyloric in positioning. the visualized thyroid gland is unremarkable. the heart is enlarged, without pericardial effusion. dense coronary artery calcifications. aortic and mitral valve calcifications are unchanged. borderline in size mediastinal lymph nodes are seen, specifically in the paratracheal position measuring up to 1 cm in short axis. although this study is not designed to evaluate the pulmonary arteries, no filling defect is seen to suggest pulmonary embolus. the thoracic aorta is normally opacified with dense arteriosclerosis. the ascending aorta is mildly ectatic measuring up to 3.7 cm. descending thorasic aorta is normal caliber. bilateral pleural effusions are layering and have slightly increased in size. associated bibasilar atelectasis. concomitant consolidation with preserved air bronchograms cannot be excluded. additional multifocal patchy airspace opacities are seen throughout both lungs. this may represent volume overload and/or an evolving infectious/inflammatory pneumonitis. there is confluent consolidation also seen in a patchy distribution in the posterior aspects of both upper lobes. no airway lesion is identified. abdomen and pelvis: the liver appears unremarkable on this single phase of imaging. reflux of intravenous contrast into the hepatic veins suggests right heart strain. cholelithiasis. vicarious accumulation of contrast into the gallbladder lumen. the pancreas is near completely replaced by fat. the spleen is unremarkable. the stomach is appropriately decompressed by ng tube, which terminates in the post-pyloric region. the native kidneys are bilaterally significantly atrophic, without hydronephrosis or hydroureter. stable bilateral perinephric stranding. adrenal glands are unremarkable bilaterally. visualized non-opacified small bowel loops are normal in caliber. mild thickening of portions of the colon may be a result of underdistension rather than thickening related to a mild colitis. trace free fluid is now seen within the abdomen, particularly in the paracolic gutters and in the presacral region. patient is status post bilateral lower quadrant renal transplants. the right lower quadrant renal transplant is markedly atrophic. left renal transplant appears unchanged without hydronephrosis. there is no significant enhancement. there is trace fluid surrounding the left renal transplant, similar to previous exam. scattered diverticula of the colon. remaining pelvic loops of bowel, distal ureters, prostate and seminal vesicles are unremarkable. the urinary bladder is partially decompressed but appears to have associated inflammatory changes, a concomitant cystitis cannot be excluded. no significant new pelvic or inguinal adenopathy. post-procedural stranding and fluid are seen in both inguinal regions, likely related to recent intervention. no discrete collection is seen. worsening anasarca of the surrounding subcutaneous fat. cta of the abdomen and pelvis: the abdominal aorta is normal in caliber with dense calcific atherosclerosis along its length. there is extensive calcific atherosclerotic disease involving the celiac artery and its branches, superior mesenteric artery, inferior mesenteric artery, and bilateral native renal arteries. the celiac axis again demonstrates moderate stenosis due to calcific atherosclerosis. the sma is patent without significant stenosis. the origin again demonstrates patchy multifocal areas of moderate-to-severe stenosis and appears increasingly opacified distally beyond its origin. both native renal arteries have a severe degree of stenoses and calcification. there appears to be restenting of the distal aorta extending into both common iliac arteries. there is now opacification in the distal aorta extending into the common iliac arteries. preserved opacification of both external and internal iliac arteries is now visualized. extensive calcified atherosclerotic disease is present within the common, internal, and external iliac arteries bilaterally. there is flow demonstrated in the renal artery supplying the left iliac fossa renal transplant, a significant improvement from prior study. partially visualized right femoropopliteal bypass graft is opacified. the right obturator internus muscle appears asymmetrically larger and may be a result of intramuscular hematoma. no active extravasation is seen on this phase of imaging. bone windows: no suspicious lytic or sclerotic osseous abnormalities are seen. impression: status post restenting of the distal aorta extending into both common iliac arteries. patency of the distal aorta and bilateral common iliac arteries, external/internal iliac arteries is now appreciated. improved arterial opacification supplying the left lower quadrant renal transplant, in comparison to previous exam. worsening moderate-sized layering bilateral pleural effusions with associated bibasilar atelectasis and/or consolidation. patchy multifocal ground-glass opacities and areas of patchy posterior confluence have progressed. multifocal pneumonia and superimposed volume overload are likely contributors. left internal jugular central venous catheter is malpositioned and terminates in the left superior intercostal vein. asymmetric thickening and enlargement of the right obturator internus muscle may represent intramuscular hematoma related to recent procedure. no active extravasation is seen on this exam. brief hospital course: pt transfered from hospital for total aortic occlusion. lehriche syndrome. pre-opd and consented for the procedure emergently take to the or: operations: 1. ultrasound-guided puncture of bilateral common femoral arteries. 2. ultrasound-guided puncture of right common femoral vein. 3. advancement of catheters bilaterally into infrarenal abdominal aorta. 4. stent placement at infrarenal abdominal aorta. 5. bilateral stent placement at common iliac arteries. pt transfered to the cvicu in critical condiotion. pt intubated for duration. pt went into muliti factoral organ failure. post op course significant for severe hyperkalemia, and acidemia. crrt for severe electrolyte/metabolic disarrangement, equivalent home immunosuppressant regimen, bicarb to protect the kidneys, pt aneuric post op pt was on heperin drip. cta was obtained: status post restenting of the distal aorta extending into both common iliac arteries. patency of the distal aorta and bilateral common iliac arteries, external/internal iliac arteries is now appreciated. improved arterial opacification supplying the left lower quadrant renal transplant, in comparison to previous exam. worsening moderate-sized layering bilateral pleural effusions with associated bibasilar atelectasis and/or consolidation. patchy multifocal ground-glass opacities and areas of patchy posterior confluence have progressed. multifocal pneumonia and superimposed volume overload are likely contributors. left internal jugular central venous catheter is malpositioned and terminates in the left superior intercostal vein. asymmetric thickening and enlargement of the right obturator internus muscle may represent intramuscular hematoma related to recent procedure. no active extravasation is seen on this exam. transplant and nephrology consulted. pt required pressors for bp control family notified of grave circumstances pt made dnr / dni pt extubated expired shortly after medications on admission: prograf 1", prednisone 5', metoprolol 12.5", tricor 145', asa 81', bactrim ss', cozaar 25', pravachol 80', zetia 10', plavix 75', warfarin 2mg, lasix 40' discharge medications: expired discharge disposition: expired discharge diagnosis: multi organ failure occluded aorta discharge condition: expired discharge instructions: expired followup instructions: expired procedure: angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) insertion of three vascular stents destruction of cranial and peripheral nerves procedure on three vessels procedure on vessel bifurcation diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery esophageal reflux acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified atrial fibrillation aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia long-term (current) use of insulin other complications due to other vascular device, implant, and graft chronic systolic heart failure long-term (current) use of anticoagulants personal history of malignant neoplasm of bladder occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction atherosclerosis of native arteries of the extremities, unspecified other specified disorders resulting from impaired renal function complications of transplanted kidney 

Answer: The patient is high likely exposed to