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: transferred for cardiac cath major surgical or invasive procedure: pulmonary artery catheter cardiac catheterization with 5 stents to rca and 2 stents to lcx complicated by lcx disection history of present illness: pt is a 74yo f with a pmh significant for basal cell carcinoma 4yrs prior s/p resection and xrt, left breast lumpectomy 20yrs prior and no other documented medical history presented to hospital with sob. the patient reports that she has had progressive chronic cough, sob, mucus over the last 6 months. she states that she has been getting sob walking up her driveway and going up 10 stairs. the patient reports that on she was driving back from work and developed worsening cough and acutely short of breath. she called 911 and taken to the hospital. the patient did not have any chest pain. of note she frequently has high salt meals and the day of the episode of dyspnea, the patient had a sauerkraut/hot dog meal. . at she was found to have pulomary edema and diuresed 1l. she was ruled out for mi with ce. she did however have elevated bnp. she also underwent a cta chest to r/o pe and revealed a bilateral pulmonary masses and lymphadenopathy as well as a spiculated soft tissue mass in the right subpectoral fat. she reportly had an echo at osh with ef 35-40% and inferoposterolateral hypokinesis. the patient also had new inverted t-waves on ecg. given her multiple risk factors for cad and ischemic ekg changes, she was transferred to for cardiac catheterization. . upon transfer to the patient stated that her breathing had improved since admission, but was not back to her baseline. she is not on o2 at home. she denied any chest pain, leg swelling or edema. she also denied weight loss or weight gain. . once admitted to the cardiology service, she was continued on metoprolol, aspirin, plavix, and atorvastatin. she underwent cardiac catheterization during which anatomy showed lcx 70-80% mid circ, om2, and rca 70% proximal, to distal, 70% pl. she received 5 bare metal stents to her rca and 2 bare metal stents to her lcx. during deployment of the stent her lcx was dissected with myocardial stain. this was treated with an overlapping stent with restoration of flow. she experienced chest pain/tightness during the perforation with associated diaphoresis. she did not experience nausea or left arm, left jaw radiation. she underwent a stat echo which did not reveal echocardiographic evidence of perforation or tamponade. . her primary oncologist was contact and will follow-up the lung masses as an outpatient. past medical history: basal cell carcinoma dx 4yrs prior s/p resection and xrt sle dx in (treated w/ prednisone 3yrs) left breast lumpectomy 20-25yrs ago cholecystectomy yrs prior hypercholesterolemia (though this was diagnosed at per pt) social history: social history is significant for current tobacco use 3-5cigs/day currently x60yrs (1ppd at max). there is no history of alcohol abuse. she lives with her daughter and is divorced with 3 children. she works as a bank clerk at fidelity. family history: father mi/stomach cancer 67/ brother mi @ 61, sister cardiac cath @ 64/ physical exam: vs - 98.4 134/64 72 18 97%ra gen: female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. +s3, no m/r/g. no thrills, lifts. no s4. chest: no chest wall deformities, resp were unlabored, no accessory muscle use. + mild crackles in the lower lung fields, no wheezes or rhonchi. abd: vertical midline scar, soft, ntnd. ext: no c/c/ trace edema skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: admission labs/ osh labs: labs on : 137 97 17 147 agap=12 ------------- 3.4 31 0.7 ck: 40 mb: notdone trop-t: <0.01 ca: 9.1 mg: 1.9 p: 2.8 probnp: 1303 11.6>----<222 36.5 pt: 14.4 ptt: 26.2 inr: 1.3 osh labs: wbc:10.5 hct:38.4 plt: 238 pt:14.1 inr:1.1 137 101 13 -------------- 117 3.5 30 0.53 ldl:114 hdl:32 tg:230 05:50am blood wbc-10.6 rbc-4.14* hgb-11.6* hct-34.6* mcv-84 mch-28.1 mchc-33.6 rdw-14.6 plt ct-230 05:52am blood pt-14.0* ptt-26.9 inr(pt)-1.2* 05:50am blood glucose-107* urean-22* creat-0.7 na-140 k-4.3 cl-100 hco3-31 angap-13 09:30pm blood ck-mb-notdone ctropnt-<0.01 probnp-1303* 08:53pm blood ck-mb-notdone 05:05am blood ck-mb-notdone ctropnt-0.04* 09:30pm blood ck(cpk)-40 08:53pm blood ck(cpk)-48 05:05am blood ck(cpk)-42 05:50am blood calcium-9.0 phos-3.5 mg-2.3 08:53am blood type-art o2 flow-2 po2-121* pco2-52* ph-7.40 caltco2-33* base xs-6 intubat-not intuba 08:53am blood glucose-130* k-4.5 08:53am blood o2 sat-98 cardiology report ecg study date of 9:06:44 pm sinus rhythm with baseline artifact. inferior myocardial infarction. no previous tracing available for comparison. cath 1. selective coronary angiography of this right domiant system demonstrated two (2) vessel coronary artery disease. the right coronary artery was diffusely diseased including a total occlusion in the distal portion of the vessel along with a 70% lesion in the proximal portion of the vessel. the left main demonstrated no angiographically apparent disease. the left anterior descending artery demonstrated a 70% lesion in the proximal portion of the first diagonal. the left circumflex demonstrated an 80% lesion in the mid portion of the vessel extending into the second obtuse marginal. 2. lv ventriculography was deferred. 3. resting hemodynamics demonstrated elevated right (rvedp = 19mm hg) and left (mean pcwp = 26 mm hg) filling pressures. the cardiac index was preserved. 4. successful ptca and stenting of the distal right coronary artery with three bare metal stents (see ptca comments). 5. successful ptca and stenting of the proximal right coronary artery with two overlapping bare metal stents (see ptca comments). 6. successful stenting of the mid lcx extending into the second obtuse marginal with two overlapping bare metal stents. procedure complicated by an edge dissection with myocardial blushing. echocardiogram demonstrated no angiographically apparent effusion. pt transferred to the unit for observation hemodynamically stable. 7. successful closure of the right femoral arteriotomy site with an 8f angioseal closure device. final diagnosis: 1. two vessel coronary artery disease. 2. preserved cardiac index via fick 3. moderate pulmonary hypertension 4. successful stenting of the distal rca with three bare metal stents 5. successful stenting of the proximal rca with two overlapping bare metal stents 6. successful stenting of the mid lcx/om2 with two overlapping bare metal stents complicated by an edge dissection with myocardial staining. echocardiogram demonstrated no evidence of tamponade or effusion. 7. successful closure of the right femoral arteriotomy site with an 8f angioseal closure device. tte the left ventricular cavity size is normal. lv systolic function appears depressed. right ventricular chamber size and free wall motion are normal. there is no pericardial effusion. tte the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. lv systolic function appears moderately-to-severely depressed (ejection fraction 30 percent) secondary to akinesis of the inferior septum and inferior free wall and hypokinesis of the posterior wall. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , no major change is evident. tte lv systolic function appears depressed. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no pericardial effusion. there is an anterior space which most likely represents a fat pad. compared with the findings of the prior study (images reviewed) of , no major change is evident. cxr cardiomegaly is moderate. the aorta is tortuous. increase in interstitial markings is consistent with volume overload. 2.2 left retrocardiac nodule and 1.3 right apical nodule are the only nodules clearly depicted on this chest x- ray. other nodules could be present and should be correlated with prior imaging from another hospital. a catheter installed via a femoral vein is ending in the right atrium. there is no pleural effusion. brief hospital course: patient is a 74yo f with a pmh significant for basal cell carcinoma 4yrs prior s/p resection and xrt, left breast lumpectomy presented to osh with sob and transferred here for cardiac cath. . #. left circumflex dissection: occurred during deployment of second stent to lcx, prompting transfer to the ccu. patient experienced chest pain during the dissection but was chest pain free susequently. echo in cath lab without evidence of tamponade. repeat echos were unchanged. the patient remained asymptomatic without clinical signs of tamponade. . #. cad: patient with three vessel disease, received 5 bms to rca and 2 bms to lcx. asa, plavix, bb, statin were continued. pt was counseled on smoking cessation. . #. pump: ef 35-40% at osh. pt with pulmonary edema on cxr and small right effusion on ct. pt also with trace lower ext edema. pt respirtory status improved with iv lasix. in the ccu she was diuresed 1.2 l with improvement in respiratory status. she was discharged on lasix 20mg daily. . #. rhythm: she remained in nsr. . #. dyspnea: pt with sob. cta was negative for pe. pt found to have pulmonary edema on cxr likely element of chf given ef 35-40%. additionally, pt found to have masses concerning for malignancy on ct. only small r effusion seen. pt with extensive smoking history as well has h/o basal cell carcinoma. the patient will follow-up with her oncologist as an outpatient for follow-up. dr. saw her at the osh. . #. htn: pt was hypertensive at the osh. she was started on metoprolol. will cont metoprolol 12.5 mg tid for now and titrate as needed. she was sent home on toprol xl 75mg daily. . #. lung mass: seen on ct. primary oncologist dr. aware and will follow-up as outpatient after hospitalization. . #. tobacco abuse: counseled patient on smoking cessation. nicotine gum prn. . #. fen: cardiac diet/ replete lytes prn . #. access: piv . #. ppx: heparin sq/ bowel regimen prn . #. code: full code- confirmed with patient. she does not wanted to be intubated long-term, but does want intervention acutely. . #. contact: (daughter) hcp medications on admission: none at home discharge medications: transfer meds: metoprolol 12.5 q6 plavix 75mg daily asa 325mg daily lasix 40mg iv daily nitro paste prn hypertension 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: coronary artery disease s/p 5 stents to rca and 2 stents to lcx complicated by lcx disection acute systolic heart failure hypertension lung mass discharge condition: stable. ambulating without assistance. breathing comfortably on room air. discharge instructions: you were seen and evaluated for your shortness of breath. you underwent cardiac catheterization and had 7 stents placed. the procedure was complicated by disection of one of the arteries of your heart. you were also found to have new nodules in your lungs on ct scan. it is important to followup with your oncologist regarding further workup of these findings. please take all your medications as presribed. the following changes were made to your medication regimen. 1. please take lasix 20 mg daily 2. please take toprol xl 75 mg daily 3. please take aspirin 325 mg daily 4. please take plavix 75 mg daily. it is important that you take this medication every day. do not stop this medication unless told to do so by a cardiologist. 5. please take lisinopril 5 mg daily 6. please take atorvastatin 80 mg daily please keep all your follow up appointments as scheduled. please stop smoking. information was given to you on admission regarding smoking cessation. please weigh yourself every day. please call your primary care physician or your cardiologist if you gain more than 2 lbs in 24 hours or 3 lbs in 72 hours. please limit your salt intake to less than 2 grams per day. please seek immediate medical attention if you experience any chest pain, difficulty breathing, unexplained weight gain, swelling in your legs or any other concerning symptoms. followup instructions: please follow up with your primary care physician . . we have scheduled you an appointment for this thursday, at 9:30 am. the office phone number is . dr. can refer you to a cardiologist near your home. you should be seen by a cardiologist in week of this hospitalization. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels insertion of four or more vascular stents diagnoses: systemic lupus erythematosus coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder congestive heart failure, unspecified cardiac complications, not elsewhere classified other chronic pulmonary heart diseases personal history of malignant neoplasm of breast other specified forms of chronic ischemic heart disease cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other postprocedural status acute on chronic systolic heart failure enlargement of lymph nodes swelling, mass, or lump in chest dissection of coronary artery 

Answer: The patient is high likely exposed to