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: morphine attending: chief complaint: chest and jaw pain major surgical or invasive procedure: ascending aorta replacement (26mm gelweave graft) resuspension of aortic valve history of present illness: this 62 year old caucasian female presented to the emergency room with the sudden onset o fchest pain readiating to her jaw at 1100 hours the day of admission. the pain resolved, however, she developed epigastric discomfort and general malaise. a cta demonstrated mural thrombus with some contrast within the clot. this involved the ascending and descending aorta tothe renal arteries. she was seen by cardiac surgery and taken emergently to the operating room. past medical history: raynaud's disease adhd s/p laminectomy for spinal stenosis s/p tah brachial plexus injury-left social history: 1.5 oz vodka/d lactose intolerance nonsmoker retired psychiatrist family history: mother had father had cancer physical exam: admission vs t hr70 bp93/42 rr16 02sat 99%ra gen comfortable heent ncat/eomi, op-wnl pulm cta cv rrr, nl s1-s2 abdm soft, nt/nd ext no c/c/e neuro speach fluent sternum stable pertinent results: 09:47pm wbc-10.9 rbc-2.69*# hgb-8.2* hct-23.8* mcv-88 mch-30.6 mchc-34.6 rdw-13.6 09:47pm plt count-261 09:47pm pt-15.3* ptt-49.4* inr(pt)-1.3* 12:30pm alt(sgpt)-17 ast(sgot)-25 ck(cpk)-123 alk phos-62 tot bili-0.5 12:30pm glucose-121* urea n-28* creat-1.1 sodium-135 potassium-4.2 chloride-101 total co2-24 anion gap-14 12:30pm ctropnt-<0.01 , f 65 radiology report cta chest w&w/o c&recons, non-coronary study date of 1:39 pm , eu sched cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons; cta pelvis w&w/o c & recons clip # reason: please evaluate for aortic dissection contrast: optiray medical condition: 65 year old woman with no sig pmh, present with acute onset of severe chest pain, radiating to the back, started with valsalva. reason for this examination: please evaluate for aortic dissection contraindications for iv contrast: none. wet read: jxkc sun 2:42 pm acute intramural hematoma that begins at the aortic origin, involving the ascending and descending aortas. emergent surgical eval recommended. d/w dr. . final report history: 65-year-old female with no significant past medical history who presents with acute onset of severe chest pain radiating to the back, started with valsalva. evaluate for aortic dissection. no prior studies available for comparison. technique: mdct axial images were obtained from the thoracic inlet to the symphysis pubis with administration of iv contrast. coronal and sagittal reformations were obtained. cta aorta: there is an acute intramural hematoma, originating from the aortic root, and extending to involve the thoracic ascending aorta as well as the descending aorta to the level of the aortic bifurcation in the abdomen. there is a focal puddling of contrast within an intramural location (3:15) in the descending thoracic aorta, as well as at the level of the renal arteries (3:54) on the right. the celiac artery, sma, and renal arteries originate from the true lumen. ct of the chest with iv contrast: the heart and pericardium reveal no evidence of a hemopericardium or pericardial effusion. there are no pathologically enlarged mediastinal, hilar, or axillary lymph nodes. within the lungs, there is a focus of ill-defined airspace opacity anteriorly within the right upper lobe (3:19), likely infectious or inflammatory in nature. in addition, there is a 4-mm nodule within the right upper lobe (3:27), as well as a tiny pleural-based nodule within the right middle lobe (3:38). otherwise, the lungs are clear. ct of the abdomen with iv contrast: the liver, gallbladder, spleen, pancreas, adrenal glands, and left kidney are normal. peripheral wedge shaped hypodensities in the right kidney are concerning for renal infarcts. the stomach, small bowel, and large bowel are within normal limits. there is no free air, free fluid or pathologic adenopathy. ct of the pelvis with iv contrast: urinary bladder, rectum, and uterus are unremarkable. there is no pelvic free fluid or adenopathy. osseous structures: there are severe multilevel degenerative changes of the lumbar spine, with scoliosis and a grade 2 anterolisthesis of l4 on l5. impression: 1. acute intramural hematoma involving the ascending and descending aorta, originating from the aortic root. a focus of contrast is seen in an intramural location within the descending thoracic aorta as well as at the level of the renal arteries. emergent surgical evaluation recommended. 2. segmental right renal infarct. findings were discussed immediately with dr. and immediately posted to the ed dashboard. the study and the report were reviewed by the staff radiologist. dr. dr. echocardiography report , (complete) done at 6:33:39 pm final referring physician information , c. , status: inpatient dob: age (years): 65 f hgt (in): 69 bp (mm hg): / wgt (lb): 123 hr (bpm): bsa (m2): 1.68 m2 indication: aortic dissection. chest pain. icd-9 codes: 441.00, 786.51 test information date/time: at 18:33 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw5-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 40% to 50% >= 55% aorta - sinus level: 3.6 cm <= 3.6 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - arch: 2.0 cm <= 3.0 cm aortic valve - peak velocity: *9.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: 7 mm hg < 20 mm hg aortic valve - mean gradient: 4 mm hg aortic valve - valve area: *2.0 cm2 >= 3.0 cm2 findings the is an ascending aortic intramural hematoma beginning at the origin of the coronary arteries and extending at least to the level of the takeoff of the subclavian arteries. flow in the rca and lmca was verified by using color doppler. there was no dissection flap seen. left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. ascending aortic intimal flap/dissection.. thickened aortic wall c/w intramural hematoma. aortic valve: normal aortic valve leaflets (3). no as. moderate (2+) ar. mitral valve: normal mitral valve leaflets. no ms. mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre bypass 1. the left atrium is normal in size. 2. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. moderate (2+) aortic regurgitation is seen. 5. the mitral valve leaflets are structurally normal. no mitral regurgitation is seen. 6. there is no pericardial effusion. post bypass 1. there is mild to moderate aortic regurgitation. 2. the synthetic graft is seen with its origin at the sinotubular junction. there is no apparent leak. 3. left ventricular function is unchanged. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:27 brief hospital course: after evaluation and review of studies, the patient was taken emergently to the or where circumferential clot was found in the ascending aorta, with out an obvious intimal tear. the ascending aorta was replaced with a 26mm gelweave graft and the aortic valve was resuspended. circulatory arrest was utilized for a 20 minute period. see operative note for details. she weaned from cpb easily and propofol alone. she was coagulopathic and was corrected with slowing of bleeding. she remained hemodynamically stable after surgery. on the morning after surgey she self-extubated. her chest tubes and epicardial wires were removed. she was transferred to the surgical step-down floor. her beta-blockade was titrated up as tolerated. she was ready for discharge to home on post-operative day 5. medications on admission: estratest, adderall, ibuprofen discharge medications: 1. metoprolol tartrate 25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. amphetamine-dextroamphetamine 5 mg tablet sig: four (4) tablet po daily (). 7. estratest 1.25-2.5 mg tablet sig: one (1) tablet po once a day. 8. ibuprofen 400 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 10. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: type a thoracic aortic dissection s/p asc ao replacement raynaud's disease brachial plexus injury attention deficit hyperactivity disorder s/p hysterectomy s/p spinal stensosis surgery discharge condition: good discharge instructions: no lifting more than 10 pounds for 10 weeks no driving for 4 weeks and off all narcotics shower daily, no baths or swimming no lotions, creams or powders to incisions report any temperature greater than 100.5. report anyredness or drainage from incisions take all medications as directed followup instructions: clinic in 2 weeks dr (pcp) ( in weeks dr. in 3 months with a ct scan with mms protocol and en echocardiogram () procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart resection of vessel with replacement, thoracic vessels open heart valvuloplasty of aortic valve without replacement diagnoses: other iatrogenic hypotension unspecified pleural effusion attention deficit disorder with hyperactivity dissection of aorta, thoracic raynaud's syndrome vascular disorders of kidney brachial plexus lesions 

Answer: The patient is high likely exposed to