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: doe major surgical or invasive procedure: r->l carotid bypass with ligation of l cca/thoracic aortic stent graft history of present illness: 73 y/o female with progressive doe, cxr showed enlarged aorta, ct revealed aneurysm past medical history: htn copd hypothyroidism anxiety depression gerd scoliosis arthritis hemochromotosis anemia osteoporosis social history: remote smoker, quit 10 years ago etoh: 1 drink/day family history: non-contributory physical exam: unremarkable upon admission pertinent results: 06:30am blood wbc-7.5 rbc-3.43* hgb-8.4* hct-26.0* mcv-76* mch-24.5* mchc-32.3 rdw-19.9* plt ct-258 06:30am blood glucose-88 urean-22* creat-0.8 na-140 k-3.9 cl-101 hco3-27 angap-16 radiology preliminary report cta chest w&w/o c&recons, non-coronary 6:38 pm cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons reason: please evaluate for dissection contrast: optiray medical condition: 73 year old woman s/p thoracic aortic stent graft with back pain. reason for this examination: please evaluate for dissection contraindications for iv contrast: none. history: 73-year-old woman with thoracic aortic stent graft with back pain evaluate for dissection. comparison: and . technique: multidetector contiguous axial images of the chest, abdomen and pelvis were obtained prior to and following the administration of intravenous contrast. cta: no aortic dissection is identified. the patient has a thoracic aortic stent graft at the level of the aortic arch which excludes the previously seen eccentric aneurysm at this level. the maximal diameter of this focal eccentric nonenhancing aneurysm in the ap dimension is 3.8 cm, relatively unchanged from the prior two studies. again seen are atherosclerotic changes in the abdominal aorta. the celiac, superior mesenteric artery, both renal arteries, inferior mesenteric arteries, and common iliac arteries are patent. ct chest: there are small axillary lymph nodes bilaterally, with fatty hila measuring up to 7 mm in short-axis diameter. there are small shotty mediastinal lymph nodes, as well as a small right hilar lymph node measuring up to 7 mm in diameter series 3 image 23. largest mediastinal lymph node measures 7 x 9 mm (series 3 image 19) is right paratracheal in location. no pericardial effusions are present. lung windows demonstrate extensive emphysematous changes in both lungs, and a small left pleural effusion is seen. there is small amount of basilar atelectasis present at the left base. there are dependent changes seen in the portions of the left upper and right upper lobes. ct abdomen with iv contrast: the gallbladder, liver, pancreas, spleen, adrenal glands are normal in appearance. small cyst (6mm) is seen in the interpolar region of the left kidney (series 3 image 60), there is no hydronephrosis or hydroureter on either side. there is no free air or free fluid in the pelvis. no enlarged retroperitoneal lymph nodes are present. the caliber of the loops of small and large bowel are normal in appearance. ct pelvis: there is air seen in the bladder of uncertain origin. the bladder is not fully distended. the uterus and visualized adnexa are normal. the sigmoid colon is not distended. there is diverticulosis of the sigmoid colon without diverticulitis. bone windows: no suspicious lytic or blastic lesions. impression: 1. no aortic dissection. no evidence of endoleak. stable appearance of the stent graft at the level of the aortic arch. 2. emphysema. dr. . dr. radiology final report chest (pa & lat) 11:53 am chest (pa & lat) reason: ?interval change medical condition: 73 year old woman s/p carotid-carotid bypass & thoriacic aortic stent graft, n/w chest pain reason for this examination: ?interval change chest two views on history: status post carotid bypass and thoracic aorta stent graft, now with chest pain. reference exam: findings: there has been interval removal the endotracheal tube and skin staples. the appearance of the aortic graft is unchanged. the cardiac and mediastinal silhouettes are unchanged. there are small bilateral pleural effusions. no focal infiltrates identified. dr. brief hospital course: ms. is a 73 year-old woman who presented to center's cardiac surgery clinic with progressive dyspnea on exertion and a chest ct revealing a saccular aortic aneurysm. she was taken to the operating room on and underwent a carotid to carotid bypass graft with endovascular thoracic abdominal aneurysm repair with a 34 x mm 15 graft. this procedure was performed by drs. and . the patient tolerated this procedure well and was transferred in critical but stable condition to the surgiccal intensive care unit. in the surgical intensive care unit she failed intitial extubation on post operative day 1 requiring re-intubation. on post-operative day 2 she was successfully extubated but was hoarse. she was seen in consultation by the speech and swallow service, which suggested that her post-op dysphagia was due to post-op swelling. her pressors were weaned and she was gently diuresed. by post-operative day 4 she was ready for transfer to the step-down floor. on the step-down floor ms. was seen in consultation by physical therapy. her oxygen was weaned and she was further diuresed. she was seen a second time by speech and swallow, which recommended advancing her diet as tolerated as she no longer exhibited signs of aspiration. by post operative day 7 she was ready for discharge to a rehabilitation facility. medications on admission: librium 25' prozac 40' omeprazole 20' avalide 150/12.5' caltrate mgoxide kcl asa 81' levothyroxine 25' discharge medications: 1. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 2. chlordiazepoxide hcl 25 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 3. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. irbesartan 150 mg tablet sig: one (1) tablet po daily (). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. atenolol 25 mg tablet sig: one (1) tablet po once a day. 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day) for 10 days. 11. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). 12. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 14. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*0* discharge disposition: extended care facility: for the aged - macu discharge diagnosis: aortic aneurysm hypothyroid gerd htn copd anxiety depression anemia hemochromatosis scoliosis discharge condition: good. discharge instructions: follow medications on discharge instructions. do not drive while taking narcotics shower daily, let water flow over wounds, pat dry with a towel. do not use powders, lotions, or creams on wounds. call our office for temp>101.5, wound drainage. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. for 4 weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube aorta-subclavian-carotid bypass endovascular implantation of graft in thoracic aorta diagnoses: esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified anxiety state, unspecified mechanical complication of other vascular device, implant, and graft 

Answer: The patient is high likely exposed to