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 / fosamax / tylenol attending: chief complaint: dyspnea on exertion, fatigue major surgical or invasive procedure: aortic valve replacement with a 21-mm st. medical biocor tissue valve. coronary artery bypass grafting x2, with a left internal mammary artery graft to the left anterior descending and reversed saphenous vein graft to the marginal branch. history of present illness: 75 year old woman with history of aortic stenosis which has been followed by serial echocardiograms. over the past 6 months, she has noticed an increase in her exertional dyspnea and fatigue. she denies chest pain, but does report occasional pain on her left side after gardening. she has been referred for surgical evaluation for avr, ?mvr, +/-cabg. past medical history: aortic stenosis coronary artery disease pmh: bilat. carotid artery stenoses breast cancer hypertension psoriasis rhinitis anemia peripheral vascular disease thalassemia trait tympanic membrane perforation urinary incontinence h/o myositis depression lichen sclerosus osteopenia polymyalgia rheumatica hypothyroidism gerd past surgical history: left lumpectomy (no radiation) bilateral cataracts tonsillectomy right tympanic membrane repair social history: lives: alone, husband is in palliative care at va occupation: retired from tobacco: quit in . 2ppd for 35 years etoh: denies family history: mother died at 82 following complications from avr/cabg father died at 42yo following complications of a brain tumor brother died at 39 mi sister died at 43 mi physical exam: pulse: 59 resp: 16 o2 sat: 99 b/p right: 149/74 left: 138/68 height: weight:152 general: nad, wgwn, appears stated age skin: dry intact heent: perrla not reactive, s/p lens implants, eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur syst. abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none mild spiders neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : np left: np radial right: 2+ left: 2+ carotid bruit right: left: radiation of cardiac murmur pertinent results: - intra-op tee conclusions pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are focal calcifications 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). no aortic regurgitation is seen. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results before surgical start. post-bypass: normal rv and lv systolic function. lvef 55%. intact thoracic aorta. the aortic bioprosthesis is stable, functioning well with a residula mean gradient of 12 mm of hg. there is no regurgitation seen across or around the aortic prosthesis. mr stays the same. 2+ mr admission labs: 12:40pm blood wbc-9.4 rbc-2.87*# hgb-7.5*# hct-22.4* mcv-78*# mch-26.1*# mchc-33.4 rdw-18.1* plt ct-131* 12:40pm blood pt-16.6* ptt-36.7* inr(pt)-1.5* 12:40pm blood fibrino-202 02:33pm blood urean-14 creat-0.9 na-136 k-5.2* cl-112* hco3-22 angap-7* 12:40pm pt-16.6* ptt-36.7* inr(pt)-1.5* 03:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg discharge labs: 06:30am blood wbc-9.9 rbc-3.77* hgb-10.4* hct-29.6* mcv-79* mch-27.7 mchc-35.2* rdw-19.4* plt ct-100* 06:30am blood plt ct-100* 06:30am blood glucose-100 urean-25* creat-1.0 na-130* k-4.3 cl-97 hco3-26 angap-11 06:30am blood mg-2.0 radiology report chest (portable ap) study date of 2:56 pm final report: bilateral lung volumes are low with bibasilar atelectasis. pulmonary vascularity is mildly plethoric, but there is no evidence of pulmonary edema. there are bilateral minimal pleural effusions which are unchanged since . atelectasis of the bilateral lung bases is seen. the cardiac silhouette is enlarged due to cardiomegaly and is relatively stable. there is no evidence of pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: the patient was a same day admission for avr/cabg on . on that day the patient underwent aortic valve replacement and coronary bypass grafting with dr. . please see the operative report for details, in summary she had: aortic valve replacement with a 21-mm st. medical biocor tissue valve, and coronary artery bypass grafting x2, with a left internal mammary artery graft to the left anterior descending and reversed saphenous vein graft to the marginal branch. her bypass time was 114 minutes with a crossclamp of 85 minutes. the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition on neosynephrine and propofol infusions. in the immediate post-op period she was hemodynamically stable, she woke from anesthesia neurologically intact and was extubated. pod 1 found the patient extubated, alert and oriented and breathing comfortably. she weaned from vasopressor support, beta blocker was initiated and the patient was begun on diuretics. she also transferred from the icu to the stepdown floor. all chest tubes, lines and epicardial pacing wires were removed per cardiac surgery protocol without complication. the remainder of the patients hospitalization was uneventful. she worked with the physical therapy service for assistance with strength and mobility. at the time of discharge on pod 4 the patient was ambulating, the wound was healing and pain was controlled with ultram. the patient was discharged rehab in in good condition. she is to follow up with dr on @1:15pm. medications on admission: atenolol 25 mg tablet - 0.5 tablet(s) by mouth once a day colestipol - 1 gram by mouth twice a day levothyroxine -50 mcg once a day lisinopril - 40 mg once a day omeprazole - 20 mg daily simvastatin - 80 mg once a day venlafaxine - 37.5 mg twice a day aspirin - 325 mg tablet once a day cholecalciferol dosage uncertain discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 2. venlafaxine 37.5 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 5. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 6. lasix 40 mg tablet sig: one (1) tablet po twice a day for 7 days. tablet(s) 7. colestipol 1 gram tablet sig: one (1) tablet po bid (2 times a day). 8. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 7 days. 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 12. lisinopril 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: rehab & nursing center - discharge diagnosis: aortic stenosis s/p avr coronary artery disease s/p cabg pmh: bilateral carotid artery stenoses breast cancer hypertension psoriasis rhinitis anemia peripheral vascular disease thalassemia trait tympanic membrane perforation urinary incontinence myositis depression lichen sclerosus osteopenia polymyalgia rheumatica hypothyroidism gerd past surgical history: left lumpectomy (no radiation) bilateral cataracts tonsillectomy right tympanic membrane repair discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with ultram sternal incision - healing well, no erythema or drainage edema: trace bilat 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check-cardiac surgery office 2a on @10:30 surgeon dr. in 2a on @1:15 phone: cardiologist dr. in 1 month. please call to schedule the following: primary care dr. , b. in 1 week after rehab. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism aortic valve disorders personal history of malignant neoplasm of breast peripheral vascular disease, unspecified depressive disorder, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction other psoriasis examination of participant in clinical trial other thalassemia disorder of bone and cartilage, unspecified 

Answer: The patient is high likely exposed to