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: sulfa (sulfonamide antibiotics) attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: 73f with h/o aaa p/w 2 days of low abdominal/back pai. 6.5cm aaa seen on ct scan at osh. aaa was followed by vascular surgery but pt has not gone for a ct scan for approx 45yrs, at which time it was around 5.0cm. she notes onset of very low abdominal pain along with constipation for the last 2 days. at worst pain is constant crampy similar to previous bouts of diverticulitis. she is currently pain free after having a bm around noon today. denies any dizziness or sob, but did have diaphoresis/nausea/syncope x1 yesterday while straining to have a bm yesterday. + fever/chills x 1 day, last bm 2 days ago, dark at baseline iron supplements, no hematoschezia, no dysuria or other urinary symptoms. past medical history: aaa per above, dm, mi , diverticulitis, neuropathy, sciatica, asthmatic, bronchitis, bursitis rt shoulder, rotator cuff tear, dry eyes social history: former smoker quit 17yrs ago 80pack/yr, no etoh, no illicits. family history: nc physical exam: vitals gen: aox3 cv: rrr resp: ctab abd: soft, non-tender aaa, + tenderness to deep palpation in llq, mild distended pulses: rad fem pt dp rt 2+ 2+ 2+ 2+ 2+ lt 2+ 2+ 2+ 2+ 1+ pertinent results: labs on admission: 03:50pm blood wbc-9.6 rbc-3.71* hgb-11.2* hct-34.1* mcv-92 mch-30.2 mchc-32.9 rdw-15.4 plt ct-266 03:50pm blood neuts-76.3* lymphs-17.9* monos-4.3 eos-0.8 baso-0.7 03:50pm blood pt-12.3 ptt-32.0 inr(pt)-1.0 03:50pm blood glucose-121* urean-26* creat-1.3* na-138 k-6.4* cl-101 hco3-25 angap-18 03:50pm blood ctropnt-<0.01 12:59am blood ck-mb-notdone ctropnt-<0.01 03:50pm blood calcium-9.7 phos-3.6 mg-2.6 imaging: ct pelvis w/contrast study date of 4:10 pm 1. 6-cm abdominal aortic aneurysm, with both suprarenal and infrarenal components. no evidence of aneurysmal rupture. 2. diverticulosis, with suggestion of mild diverticulitis involving the sigmoid colon. no evidence of abscess or free air. 3. 2.5 cm left adnexal cyst. in a postmenopausal patient, this is abnormal, and could be further evaluated with mri. 4. small pericardial effusion. 5. 4-mm nodule in the right lower lobe. in absence of any risk factors for malignancy, no further followup is needed. otherwise, followup ct at 12 months. tte : mild regional left ventricular systolic dysfunction c/w cad. pulmonary artery systolic hypertension. mild mitral regurgitation. increased pcwp. cta abd w&w/o c & recons study date of 7:14 am: 1. infrarenal abdominal aortic aneurysm, measuring 6.6 x 6.0 cm, that extends to the aortic bifurcation, present with a circumferential mural thrombus that contains calcification. 2. extensive atherosclerotic calcifications and mural thrombus along the aorta, iliac arteries and visualized portion of the femoral arteries. pelvis, non-obstetric study date of 8:21 am simple appearing left ovarian cyst as described above. followup in six months with ultrasound is suggested to assess for expected stability. stress study date of atypical/non-anginal type symptoms with no ischemic ekg changes(changes are nonspecific). nuclear report sent separately. cardiac perfusion dobutamine study date of : moderate in severity reversible ischemic defect involving the entire inferior wall extending to the apex. 06:20am blood hct-30.2* 05:00am blood wbc-4.6 rbc-2.80* hgb-8.4* hct-24.9* mcv-89 mch-30.1 mchc-33.8 rdw-14.7 plt ct-172 05:00am blood plt ct-172 12:53am blood glucose-130* urean-10 creat-1.1 na-145 k-3.9 cl-108 hco3-25 angap-16 12:59am blood ck(cpk)-86 12:53am blood calcium-8.6 phos-3.1 mg-2.0 brief hospital course: patient presented with llq abdominal pain. infrarenal aaa found at osh, confirmed here to be measuring 6.6 x 6.0 cm extending to the aortic bifurcation with a circumferential mural thrombus that contains calcification. there was no active bleeding or signs of dissection. abdominal exam revealed ttp llq. aaa was nontender. osh abd ct scan also showed uncomplicated mild diverticulitis of the sigmoid colon. cta was repeated here and confirmed these findings. patient was started on cipro/flagyl for mild diverticulitis based on osh abdominal ct. we immediately counseled the patient that she requires operative repair of her aaa. she clearly did not want to have surgery at this time, especially if it required an open procedure. she clearly understood the risks of nonoperative management. patient was admitted and started on bicarb for planned evar protocol cta of the abdomen scheduled for the following day. overnight the patient developed labile blood pressures that did not initially responded to fluid boluses. vital signs were otherwise stable. iv vancomycin was added. patient was transferred to the icu for monitoring. general surgery was consulted, who agreed that she was suffering from a mild case of diverticulitis. it was hard to conclude that this mild infection 100% accounted for her labile blood pressures given that she clinically did not appear septic. cardiac enzymes were flat. ecg was nondiagnostic and she denied chest pain during the entire hospitalization. her pressures stabilized with adequate urine output by morning. cardiology consult was obtained by dr. , who recommended a tte, stress test, and dob mibi. he believed labile blood pressures were to fluid shifts from diverticulitis. on hospital day 2 a tte was obtained, showing regional left ventricular systolic dysfunction with an ef of 45-50%. she underwent an evar protocol ct scan w/ 3d recon. based on this can we concluded that she was not a candidate for endovascular repair of her aaa. patient again refused operative management and clearly understood the risks of deferring treatment. incidentally, a 2.5 cm left adnexal cyst was found on her initial cta of her abdomen. gynecology was consulted, who recommended a pelvic u/s for further eval. on hospital day 3 patient underwent a pelvic ultrasound which showed simple left ovarian cyst measuring 2.3 x 2.9 x 1.8 cm. gynecology recommends f/u in clinic. patient was scheduled an outpt appointment prior to discharge. gi was also consulted for consideration of an outpatient colonoscopy. an outpatient appointment for a colonoscopy was scheduled prior to discharge. she also underwent a dobumatine stress test which showed reversible ischemic defect involving the entire inferior wall extending to the apex. dr. recommends an outpatient catheterization. she will follow up with him as an outpatient. her diet was advanced (low residue). general surgery signed off recommending 14 day course of cipro/flagyl. she will follow up in dr. clinic in two weeks. on hospital day 4 patient was tolerating pos, abdominal pain was improved, and ambulating well. she was without chest pain. again, she was counseled on the warning signs of a ruptured aaa. she again clearly stated that she did not want open aaa repair and clearly understands the risks involved in deferring treatment. she will follow up with: gynecology, general surgery, gi, cardiology, and vascular surgery in 1 month. medications on admission: titralac 100mg' avandia 30mg' axid 150' ferrous sulfate 325' tylenol xtra strength prn neurontin 300' crestor 20mg' cymbalta 30mg' pulmocort 180mcg 1puff albuterol 90mcg prn foradil theratears mucinex mvi discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 3. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for dry eyes. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 14 days. disp:*28 tablet(s)* refills:*0* 11. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 14 days. disp:*42 tablet(s)* refills:*0* 12. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 13. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 14. singulair 10 mg tablet sig: one (1) tablet po at bedtime. 15. fluticasone 110 mcg/actuation aerosol sig: one (1) puff inhalation (2 times a day). 16. resume home puffer/copd medications discharge disposition: home with service facility: caritas vna discharge diagnosis: 1. diverticulitis 2. 6.5cm aaa 3. left ovarian simple cyst 4. reversible defect on stress test discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you experience new pain, flank pain, lower abdominal pan, chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. followup instructions: provider: , md phone: date/time: 10:45 call dr. office (cardiology) to schedule appointemtn and/or cardiac catherization ( please call and schedule an appointment to see dr. at ( in 2 weeks. please call and schedule an appointment with gynecology at in weeks. provider: , md phone: date/time: 1:00 (gi) procedure: arterial catheterization diagnoses: coronary atherosclerosis of native coronary artery asthma, unspecified type, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes peripheral vascular disease, unspecified old myocardial infarction abdominal aneurysm without mention of rupture diverticulitis of colon (without mention of hemorrhage) other and unspecified ovarian cyst 

Answer: The patient is high likely exposed to