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: history of present illness: the patient's chief complaint was dyspnea on exertion and syncopal episode. she was found to have aortic insufficiency and aortic stenosis after having serial echoes each year. syncope a month prior to admission with increasing dyspnea on exertion ultimately led to preoperative evaluation for probable valve replacement. cardiac cath on revealed an ef of 54%, moderate as, mild coronary artery disease, 2+ mr. she had a 20% left main stenosis. cardiac echo in showed mild lvh, ef greater than 55%, normal aortic root, moderate as, 2+ mr, 2+ ai, 1+ tr. past medical and surgical history: hodgkin's disease, status post xrt and lymphadenectomy. history of hypothyroidism. history of obesity. history of restrictive pericarditis. status post median sternotomy, t&a as a child. she had a left mastectomy with reconstruction for cancer back in . thyroidectomy was performed this year in . medications on admission: 1) zestril 5 mg q.day. 2) synthroid 112 mcg q.d. allergies: no known drug allergies. tal exam - has her own teeth. she had a normal exam last month prior to admission by dr. . the report was pending and to be faxed to dr. office. family history: mother is alive, does have lung cancer. father died of mi in his 30s. social history: occupation: she is an administrator. she lives with a significant other. she never smoked. she has occasional etoh utilization. no cocaine or i.v. drug abuse. review of systems: no recent weight changes in the past 3 to 6 months. skin exam negative. heent was normal. respiratory exam was negative for asthma, copd, bronchitis, pneumonia. cardiac: positive syncopal episodes times two with palpitations. positive paroxysmal nocturnal dyspnea. no orthopnea. gi: no recent nausea, vomiting or constipation. no gi bleed. no liver disease. gu/renal: no history of renal insufficiency or calculi. musculoskeletal: no osteoarthritis or other orthopedic problem to speak of. peripheral vascular revealed no claudication. neuro: no cva, no tia. no history of diabetes. no bleeding diathesis. she does have hypothyroidism. physical examination: heart rate 88, respiratory rate of 12, satting at 98% on room air. blood pressure 112/75 on the right arm, 105/68 on the left. weight was 180 pounds, height 5 feet 4 inches. well-nourished, well-developed, african american female. skin was unremarkable. buccal mucosa moist. no thyroid noted. old transverse cervical incision, well-healed. no cervical bruits. no jvd. there was radiation of a murmur to the bilateral carotids from the chest. the chest was clear to auscultation. she had a well healed median sternotomy incision. heart had a normal s1 and s2 with a 3/6 systolic ejection murmur. abdomen was soft, nontender, no pulsatile liver, no hepatosplenomegaly. there are well-healed abdominal scars noted. no varicosities. lower extremities were warm with palpable pulses and brisk capillary refill. neurologic was nonfocal. cranial nerves ii - xii intact. pulses were palpable throughout. she was slated for surgery and consented. she underwent a st. #19 aortic valve repair on . she left the operating room off cardiopulmonary bypass with ef noted to be greater than 55%, mean arterial pressure was 70. she had a cvp of 12, pad was 26. she was on nitro and propofol. she left with a right radial line and right ij swan-ganz catheter, two ventricular leads, two atrial leads, two mediastinal chest tubes. her pericardium was left open. postoperatively she was sent to the csru where she resuscitated. intermittently she was on neo-synephrine for blood pressure management, but thereafter when off this she became relatively hypotensive after she recovered from bypass. she was on a nipride drip and nitroglycerin drip for blood pressure control. she was extubated on the night of surgery. she was given a liter of hespan and a liter bolus of crystalloid to assist her with her relative hypotension. thereafter, her tachycardia and low pads resolved. she was 100.8 on post-op day #1, status post surgery. pressures were stable on nipride and nitro. hematocrit was 23.2 postoperatively, bun and creatinine were 8 and 0.5. exam was otherwise unremarkable. she was transfused a unit of packed cells for the hematocrit of 23, started on coumadin for her valve. on postoperative day #2, she was doing well. she was on the floor. her foley was dc'd. her coumadin was dosed. she was out of bed, ambulating with physical therapy and otherwise doing well. over the next three days, the patient continued to ambulate and work with physical therapy. she received pulmonary hygiene and her coumadin dose serially was 5 mg. by postoperative day #5, she was deemed appropriate and stable for discharge with a t-max of 100.1, vital signs were otherwise stable. she was satting at 95% on one liter by nasal cannula. she was alert and oriented, feeling well. she had no jvd, no carotid bruits. lungs were clear, decreased at the bases. heart was regular with no murmur. abdomen was soft, nontender, nondistended. extremities were nonedematous, warm. brisk capillary refill. neurologically she was nonfocal and intact. she was discharged on a coumadin dose to be specified at the time of discharge; please see page one for details. additionally, she will require pt/inr check approximately 48 hours from the time of discharge with results to be managed by her primary care provider, is dr. , her cardiologist. she was discharged on: 1) percocet one or two tabs p.o. q. p.r.n. 2) colace 100 mg p.o. b.i.d. 3) dulcolax p.o. 10 mg b.i.d. p.r.n. 4) she will continue her zestril 5 mg q.d. 5) continue synthroid at 112 mcg q.d. 6) she will be on a low-dose beta blocker to be specified at the time of discharge which she will continue during the perioperative period, which can ultimately be removed at the time of followup. inions for her to follow up with dr. in the outpatient clinic, at which time her staples can be dc'd from her sternum. she will leave the wound open to air. she can shower, pat the wound dry. otherwise doing fine. discharge inr was pending, but the previous day on post-op day #4, inr was 1.5. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve systemic arterial pressure monitoring pulmonary artery wedge monitoring diagnoses: unspecified acquired hypothyroidism aortic valve disorders personal history of malignant neoplasm of breast pulmonary collapse personal history of hodgkin's disease 

Answer: The patient is high likely exposed to