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: optiray 300 attending: chief complaint: doe major surgical or invasive procedure: avr (#25mm porcine)/mvring (#28mm )- history of present illness: 68 yo m with history of subacute bacterial endocarditis and completion of 6 week course of antibiotics. serial echo showed progressive dilation of lv and moderate ai and mr. was referred for surgery. past medical history: aortic insufficiency - followed by a cardiologist. tuberculosis as a child - s/p right upper lobectomy hypertension bph - s/p biopsy which per patients report ruled out maligancy ventral hernia inguinal hernia repair x 3 social history: lives with his wife. denies any history of smoking. does not drink. used to work a desk job for xerox, no exposure to chemicals family history: non-contributory physical exam: hr 56 rr 18 bp 118/41 well healed right thoracotomy lungs ctab heart rrr systolic and diastolic murmurs abdomen benign extrem warm, no edema pertinent results: 05:25am blood wbc-7.1 rbc-3.58* hgb-10.5* hct-31.2* mcv-87 mch-29.4 mchc-33.6 rdw-14.0 plt ct-183 11:18am blood wbc-7.8# rbc-2.85*# hgb-8.4*# hct-24.3*# mcv-85 mch-29.5 mchc-34.6 rdw-13.6 plt ct-148* 05:25am blood plt ct-183 11:18am blood pt-15.4* ptt-40.8* inr(pt)-1.4* 11:18am blood fibrino-198 05:25am blood glucose-98 urean-31* creat-1.3* na-141 k-4.1 cl-105 hco3-28 angap-12 12:50pm blood urean-36* creat-1.6* cl-116* hco3-24 05:25am blood mg-2.4 , m m 68 radiology report chest (pa & lat) study date of 1:44 pm , r. csurg fa6a sched chest (pa & lat) clip # reason: eval for pleural effusions medical condition: 68 year old man s/p avr/mvring reason for this examination: eval for pleural effusions final report history: status post cardiac surgery. findings: in comparison with the study of , there has been decrease, if not complete resolution, of the small left apical pneumothorax. blunting of the costophrenic angles persists. mild atelectatic changes remain at the left base in this patient with some enlargement of the cardiac silhouette. dr. approved: 3:31 pm , (complete) done at 8:39:36 am preliminary referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 68 m hgt (in): 68 bp (mm hg): 120/35 wgt (lb): 155 hr (bpm): 55 bsa (m2): 1.84 m2 indication: intraop avr/?mvr icd-9 codes: 440.0, 424.1, 424.0 test information date/time: at 08:39 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 #: 2008aw2-: machine: aw 2 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.3 cm <= 4.0 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *7.5 cm <= 5.6 cm left ventricle - ejection fraction: 55% to 65% >= 55% left ventricle - peak resting lvot gradient: 5 mm hg <= 10 mm hg aorta - annulus: 2.8 cm <= 3.0 cm aorta - sinus level: *3.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.9 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - arch: *3.3 cm <= 3.0 cm aorta - descending thoracic: *2.9 cm <= 2.5 cm aortic valve - peak velocity: 2.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: 17 mm hg < 20 mm hg aortic valve - mean gradient: 11 mm hg aortic valve - valve area: *2.0 cm2 >= 3.0 cm2 mitral valve - peak velocity: 0.6 m/sec mitral valve - mean gradient: 3 mm hg mitral valve - pressure half time: 76 ms mitral valve - mva (p t): 2.9 cm2 mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.4 m/sec mitral valve - e/a ratio: 1.50 findings left atrium: mild la enlargement. no mass/thrombus in the laa. right atrium/interatrial septum: mildly dilated ra. left ventricle: mild symmetric lvh. severely dilated lv cavity. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. focal calcifications in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. mildly dilated descending aorta. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. no as. increased transaortic velocity related to increased stroke volume due to ar. severe (4+) ar. eccentric ar jet directed toward the anterior mitral leaflet. mitral valve: mildly thickened mitral valve leaflets. no ms. to co-existing ar, the pressure half-time estimate of mitral valve area may be an overestimation of true area. moderate to severe (3+) mr. tricuspid valve: normal tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: no pericardial effusion. conclusions pre bypass: there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is severely dilated. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to increased stroke volume due to aortic regurgitation. severe (4+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. the mitral valve leaflets are mildly thickened. due to co-existing aortic regurgitation, the pressure half-time estimate of mitral valve area may be an overestimation of true mitral valve area. moderate to severe (3+) mitral regurgitation is seen. post bypass: preserved biventricular function lvef >55%. there is a mitral full annuloplasty ring insitu with final peak gradients 6.4, mean 3.7 mm hg. there is no residual mr. there is an aortic valve bioprosthesis #25 insitu. final peak gradients 19, mean gradient 15 mm hg. no perivalvular leaks, no ai. remaining exam is unchanged. aortic contours intact. all finidings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician , m m 68 cardiology report ecg study date of 3:01:00 am sinus rhythm left ventricular hypertrophy with st-t abnormalities modest intraventricular conduction delay - may be incomplete left bundle branch block since previous tracing of , complete left bundle branch block absent read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 67 116 120 412/424 46 8 47 brief hospital course: he was taken to the operating room on where he underwent an avr and mv repair. he was transferred to the icu in stable condition. he was extubated post op and transferred to the floor on pod #1. he continued to progress, physical therapy worked with him on strength and mobility. he was ready pod 4 for discharge home with services. medications on admission: hctz12.5, atenolol 50, lisinopril 40, nifedipine 30, finasteride 5, doxazosin 4, zantac 150 discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po q6h (every 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 6. lipitor 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 9. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: ai/mr s/p avr/mvrepair pmh:endocarditis, htn, ^chol, gib 17 yo, bph, gerd,ventral hernia,tuberculosis as child, h/o septic joint psh:rulobectomy ', hip arthroscopic drainage, hernia repair x3 discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifitng more than 10 pounds for 10 weeks or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 4 weeks dr. 2 weeks procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft open and other replacement of mitral valve with tissue graft diagnoses: esophageal reflux unspecified essential hypertension mitral valve insufficiency and aortic valve insufficiency hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) personal history of tuberculosis 

Answer: The patient is high likely exposed to