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: reason for micu admission: hypoxia with pneumonia major surgical or invasive procedure: none history of present illness: this is a 68 year old woman with history of hyperlipidemia and smoking who presents with right subscapular pain, pleuritic. she initially presented to gen and was found to be hypoxic on ra (80%) w/ cxr revealing rml pna. a ct w/o contrast was performed, which was concerning for thoracic aortic aneurism. she was transferred by to for further evaluation. . en route to , she became transiently hypotensive to the 80's but responded to a small amount of fluid. on arrival, her room air sat was 80% and she was put on a nonrebreather. a ct was performed with contrast despite creatinine of 2.4 which showed 2 areas of ~6cm aortic aneurism without evidence of dissection, and right sided pneumonia. thoracic surgery evaluated her and felt her clinical presentation was most likely due to the pneumonia, so she was admitted to the micu on a nonrebreather. . ros: she complains of pain under her right rib and right side of her back for a few months. the pain was worse yesterday and she had more shortness of breath yesterday. the pain is worse taking a deep breath, and worse with walking. currently it's but was 15/10 on admission. it radiates to her back and feels like muscle cramping. she's had a cough for the last 3-4 weeks, productive of small amounts of white sputum and no blood. . she denies orthopnea or pnd, fever, chills, nausea, vomiting, weight loss, dysuria, or other concerns. chronic dyspnea on exertion. she can only walk 1 block now, from no limitation a few years ago. past medical history: hypothyroidism hyperlipidemia depression cholecystectomy years ago rectal surgery years ago social history: lives alone in at elderly living complex. retired from - tester. smokes 1ppd x 50 years (50 pack years). denies alcohol. family history: mother, sister. mi < 50. physical exam: tm101.2 tc 98.8 hr 109 bp 104/53 r25 o2 98% nrb 94% 6lnc gen: no respiratory distress heent: perrl, eomi neck: jvd 8 cm resp: rhonchi right side with crackles, no wheezes cv: tachy, nl s1s2 no mgr abd: soft tympanic, normal bowel sounds ext: no edema. 2+ radial and dp pulses bilaterally neuro: a+ox3 pertinent results: 07:25am blood wbc-28.1* rbc-4.24 hgb-12.4 hct-38.5 mcv-91 mch-29.2 mchc-32.1 rdw-16.0* plt ct-370 11:14am blood wbc-25.9* rbc-3.87* hgb-11.2* hct-33.4* mcv-86 mch-29.0 mchc-33.6 rdw-15.9* plt ct-321 07:09pm blood hct-30.7* 02:05am blood wbc-31.9* rbc-3.71* hgb-10.6* hct-33.2* mcv-90 mch-28.6 mchc-31.9 rdw-16.0* plt ct-338 05:34pm blood wbc-17.7* rbc-2.30*# hgb-6.7*# hct-22.1*# mcv-96 mch-29.0 mchc-30.2* rdw-15.9* plt ct-137*# 05:34pm blood plt smr-low plt ct-137*# 05:34pm blood glucose-106* urean-33* creat-1.7* na-144 k-5.0 cl-116* hco3-11* angap-22* 07:25am blood glucose-110* urean-33* creat-2.3* na-139 k-5.7* cl-106 hco3-20* angap-19 11:14am blood glucose-90 urean-34* creat-2.4* na-145 k-4.9 cl-108 hco3-28 angap-14 07:09pm blood k-4.6 02:05am blood glucose-111* urean-37* creat-2.4* na-140 k-4.9 cl-104 hco3-24 angap-17 05:34pm blood alt-22 ast-15 ld(ldh)-198 ck(cpk)-83 alkphos-74 amylase-36 totbili-0.1 05:34pm blood albumin-1.8* calcium-6.4* phos-5.0* mg-2.1 ct abdomen : impression: 1. two focal aortic aneurysms involving the aortic arch and lower thoracic aorta. ectatic descending thoracic aorta also seen. diffuse atherosclerotic disease, mural thrombus and plaque, and penetrating ulcers seen throughout the aorta, however, there is no evidence of aortic dissection or aneurysm leak. 2. focal consolidation in the right upper lobe consistent with pneumonia. follow-up imaging is recommended following treatment to document resolution. 3. enlarged bulky left adrenal gland, prominent right adrenal gland; incompletely evaluated on this single- phase study. 4. multiple hypoattenuating lesions within the kidneys bilaterally, the largest of which likely represent renal cysts, the smallest of which are incompletely characterized. 5. possible narrowing of the left renal artery distal to its origin. cta chest : impression: 1. two focal aortic aneurysms involving the aortic arch and lower thoracic aorta. ectatic descending thoracic aorta also seen. diffuse atherosclerotic disease, mural thrombus and plaque, and penetrating ulcers seen throughout the aorta, however, there is no evidence of aortic dissection or aneurysm leak. 2. focal consolidation in the right upper lobe consistent with pneumonia. follow-up imaging is recommended following treatment to document resolution. 3. enlarged bulky left adrenal gland, prominent right adrenal gland; incompletely evaluated on this single- phase study. 4. multiple hypoattenuating lesions within the kidneys bilaterally, the largest of which likely represent renal cysts, the smallest of which are incompletely characterized. 5. possible narrowing of the left renal artery distal to its origin. 6. large bulky, heterogeneous uterus, most likely representing fibroid uterus. clinical correlation or comparison with prior studies recommended. 7. status post cholecystectomy. brief hospital course: 68 year-old female with aortic aneurysm, right-sided pneumonia, renal-failure. . #) right-sided pneumonia with hypoxia - the patient was admitted for right back pain which is possibly due to the pneumonia. ct and cxr show multilobar infiltrate, and wbc markely elevated with left shift. no history of nosocomial contact so likely community aquired. started on ceftriaxone and azithromycin. sputum cultures sent. . #) ascending and descending aortic aneurism - new diagnosis of aortic aneurysm with ulceration and atherosclerosis but no evidence of dissection at this time. carotid ultrasound with 60-69% stenosis. vascular surgery consulted. patient had stable hematocrit and was hemodynamically stable in the icu and was transferred to the floor. however, after a brief stay on the floor, patient experienced acute decompensation and coded. it was thought that she experienced rupture of aortic aneurysm. . #) hypotension - was noted to be hypotensive en route to ed, but responded to fluid bolus. typed and crossed 4 units. patient did not require any transfusion during her stay until the acute decompensation. she did not require any pressors. . #) renal failure - unclear baseline creatinine but chronic renal failure urine output stable. no evidence of hydronephrosis or renal artery stenosis on ultrasound, although questionable stenosis on cta abdomen. elevated phos and potassium suggest this may be subacute. left renal artery may have focal narrowing on ct read. patient also got iv contrast. no acute issues during this hospitalization. . #) enlarged uterus - patient found to incidentally have large heterogenous uterus on abdominal ct. will need further characterization with transvaginal ultrasound. . #) chest pain - 1 set cardiac enzymes negative. no history of cad. ekg ok. no evidence of acs as pneumonia vs aneurism more likely explain pain. . #) elevated - unclear etiology. will monitor and hold statin if further elevated . #) hyperlipidemia - hold statin . #) hypothyroid - continue synthroid . #) depression - zoloft, zyprexa . #) fen - cardiac, renal diet . #) access - large bore piv's . #) code status - full, discussed with patient . #) communication - with patient, hcp daughter medications on admission: synthroid 100 mcg po qd zoloft 50 mg po qd zyprexa 5 mg po qd lipitor 40 mg po qd discharge medications: n/a discharge disposition: expired discharge diagnosis: patient expired discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified cardiopulmonary resuscitation, not otherwise specified diagnoses: pneumonia, organism unspecified acute kidney failure, unspecified unspecified acquired hypothyroidism thoracic aneurysm without mention of rupture chronic kidney disease, unspecified other and unspecified hyperlipidemia other emphysema hypoxemia 

Answer: The patient is high likely exposed to