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: dyspnea on exertion major surgical or invasive procedure: : redo sternotomy, aortic valve replacement (tissue) history of present illness: 86 year old female with a history of aortic valve replacement 14 years ago and hypertension, hyperlipidemia who has noticed dyspnea with minimal exertion and fatigue over the past months. patient states she will fall asleep numerous times throughout the day after any type of activity. she states she will occasionally feel dizzy while walking which she attributes to her vertigo. she will take her antivert and the dizziness will subside. she underwent a cardiac catheterization in which revealed of 0.6 and 20% lad stenosis. she was seen by dr. after her cardiac catheterization and returns today for preadmission testing. past medical history: aortic stenosis hypertension hyperlipidemia gerd vertigo basal call s/p removal from temple x4 (hands and legs) anxiety arthritis hiatal hernia past surgical history: tonsillectomy appendectomy cholecystectomy pancreatomy bowel obstruction surgery right hip replacement avr (bovine) 14 years ago social history: lives with: alone, supportive family occupation: retired tobacco: none etoh: rare family history: non-contributory physical exam: pulse:90 resp:15 o2 sat: 100% 2l nc b/p right: 105/67 left: height: 4'" weight: 64 kg general: skin: dry intact mild bruising noted. heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none 2+ bilat. lle edema neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: rad murmur left: rad murmur pertinent results: admission labs 11:08am pt-15.8* ptt-39.6* inr(pt)-1.4* 11:08am fibrinoge-132* 10:27am hgb-7.6* calchct-23 12:31pm urea n-21* creat-0.8 sodium-141 potassium-4.8 chloride-113* total co2-20* anion gap-13 discharge labs 04:25am blood wbc-12.7* rbc-3.83* hgb-12.0 hct-35.5* mcv-93 mch-31.2 mchc-33.7 rdw-14.0 plt ct-105* 04:25am blood plt ct-105* 04:27am blood pt-14.4* inr(pt)-1.2* 04:25am blood urean-33* creat-0.7 na-136 k-3.9 cl-99 04:25am blood glucose-78 urean-33* creat-0.8 na-139 k-4.0 cl-102 hco3-26 angap-15 radiology report chest (pa & lat) study date of 11:39 am final report: right lower lobe density has become more round since and while it could represent confluent atelectasis, evolving pneumonia is also considered possible. bilateral pleural effusions are small and have also developed since . mild cardiomegaly is unchanged since . the right internal jugular central venous sheath has been removed. median sternotomy wires are in satisfactory position and alignment. impression: 1. worsening right lower lobe opacity which could represent atelectasis, but consolidation is considered possible. 2. bilateral enlarging small pleural effusions. brief hospital course: the patient was a direct admission to the operating room on where the patient underwent redo sternotomy, avr (porcine). please see the operative report for details. in summary she had: redo aortic valve surgery with a 19-mm st. medical biocor epic tissue valve. her bypass time was 93 minutes with a crossclamp time of 50 minutes. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. the patient was noted to have afriable aorta during the surgery and a decision was made to keep her sedated until the morning after suregery. on pod 1 the patient was weaned from sedation, woke neurologically intact and was extubated. the patient remained hemodynamically stable and weaned from vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. she was noted to be thrombocytopenic with a platelet count of 61,000/ul. hit antibody was sent and was negative. platelets would trend up by discharge. she remained in the icu to monitor hemodynamically until pod3 when she wastransferred to the telemetry floor for further recovery. all tubes lines and drains were removed per cardiac surgery protocol. the patient was seen by the physical therapy service for assistance with strength and mobility. the remainder of her hospital course was uneventful. at the time of discharge on pod5, the patient was ambulating freely, the wound was healing and pain was controlled with ultram. the patient was discharged to health care in good condition with appropriate follow up instructions. medications on admission: alprazolam 0.5 mg q8prn, amlodipine-atorvastatin 5 mg-40 mg tablet 0.5 tablet daily, esomeprazole magnesium 40 mg daily, hydrochlorothiazide 12.5 mg daily, meclizine 12.5 mg q8hr prn, toprol 25 mg daily, potassium chloride 20 meq daily, raloxifene 60 mg daily, aspirin 81 mg daily, calcium carbonate-vitamin d3 600 mg-400 unit daily, multivitamin daily, omega-3 fatty acids-fish oil 360 mg-1,200 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 7. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for sob/wheezes. 11. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 12. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (). 13. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob/wheezes. 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 15. furosemide 20 mg tablet sig: one (1) tablet po once a day. 16. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day. 17. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 18. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for for bm. discharge disposition: extended care facility: center discharge diagnosis: aortic stenosis hypertension hyperlipidemia gerd vertigo basal call s/p removal from temple x4 (hands and legs) anxiety arthritis hiatal hernia past surgical history: tonsillectomy appendectomy cholecystectomy pancreatomy bowel obstruction surgery right hip replacement avr (bovine) 14 years ago discharge condition: alert and oriented x3 nonfocal ambulating with assistance- deconditioned sternal pain managed with tramadol sternal incision - healing well, no erythema or drainage edema trace 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 at cardiac surgery office surgeon dr. , md phone: date/time: 1:15 please call to schedule the following: cardiologist dr. ,- s. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: thrombocytopenia, unspecified anemia, unspecified esophageal reflux unspecified essential hypertension other complications due to heart valve prosthesis diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia anxiety state, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hypovolemia arthropathy, unspecified, site unspecified 

Answer: The patient is high likely exposed to