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: sulfasalazine attending: chief complaint: dyspnea major surgical or invasive procedure: - flexible bronchoscopy; avr(19mm ce magne pericardial valve) history of present illness: the patient is an 85-year-old woman who presented with congestive heart failure. cardiac echo showed critical aortic stenosis with fairly normal left ventricular function with moderate mitral regurgitation. cardiac cath demonstrated confirmed presence of critical aortic stenosis with clean coronaries. the patient was, therefore, referred for aortic valve replacement by . past medical history: aortic stenosis congestive heart failure with preserved ef hypertension cva hypothyroidism rheumatoid arthritis glaucoma ulnar neuropathy social history: smoked 1ppd for about 20yrs, quit 50yrs ago. no etoh. lives with husband. independent in adls. family history: mother died at 70 from complications of htn, father died age 55 from brain tumor. physical exam: 71 regular 118/60 67" 146 gen: nad heent: unremarkable neck: supple, slightly decrease range of motion. lungs: clear heart: rrr, iii/vi systolic murmur abd: soft, nontender, nondistended, nabs ext: + pulses, no edema, no varicosities neuro: nonfocal discharge a/o x3 nonfocal pulm ctab cardiac rrr sternal inc: no drainage, no erythema abd soft, nt, nd ext warm, trace edema pertinent results: cxr : the patient is status post median sternotomy, the avr. there has been interval removal of a right-sided swan-ganz catheter. thecardiomediastinal silhouette is stable. there has been interval improvement in left retrocardiac opacification. small bilateral pleural effusions, left greater than right are unchanged. pulmonary vascular markings are normal. echo : prebypass: the left atrial appendage emptying velocity is depressed (<0.2m/s). there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is normal (lvef>55%). there are complex (>4mm) atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate to severe (3+)mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. the main pulmonary artery is dilated. postbypass: biventricular systolic function is preserved. bioprosthetic valve seen in the aortic position. leaflets move well and the valve appears well seated. trace aoric insufficiency seen that resolved with protamine. mean gradient across the aortic valve is 7-9 mm hg. moderate to severe mitral regurgitation persists. 11:46am blood wbc-11.2*# rbc-3.34* hgb-9.6* hct-28.4* mcv-85 mch-28.8 mchc-34.0 rdw-16.3* plt ct-76*# 10:40am blood wbc-11.4* rbc-3.60* hgb-10.3* hct-31.0* mcv-86 mch-28.7 mchc-33.4 rdw-15.5 plt ct-188 11:46am blood pt-20.3* ptt-63.1* inr(pt)-1.9* 08:45am blood pt-14.2* ptt-30.7 inr(pt)-1.3* 10:40am blood pt-15.3* ptt-34.7 inr(pt)-1.4* 12:47pm blood urean-27* creat-1.0 cl-115* hco3-22 08:45am blood na-142 k-4.3 cl-108 03:00am blood calcium-8.6 phos-3.9 mg-2.3 brief hospital course: ms. was amditted to the on for surgical management of her aortic stenosis. she was taken directly to the operating room where she underwent an aortic valve replacement using a 19mm ce magna pericardial valve. given the abnormailties seen on her most recent ct scan, the thoracic surgical service performed a flexible bronchoscopy during her operation. please see separate operative notes for details. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. she developed atrial fibrillation which responded to beta blockade. on postoperative day one, ms. neurologically intact and was extubated. coumadin was started for paroxysmal atrial fibrillation. on postoperative day three, ms. was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. ms. continued to make steady progress and was discharged to rehab on postoperative day 6. she will follow-up with dr. , her cardiologist and her primary care physician. . . will manage her coumadin dosing for a target inr of 2.0-2.5 after discharge from rehab. medications on admission: verapamil 240mg qd, sythroid 50mcg qd, lasix 80mg , lisinopril 10mg qd, naproxen, aspirin 325mg qd, lopressor discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 4. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic every other day (every other day): left eye only- every other day. 5. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime): each eye. 6. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 8. warfarin 1 mg tablet sig: two (2) tablet po once (once) for 1 doses: please titrate for a goal inr 2-2.5. 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 11. lasix 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. discharge disposition: extended care facility: at discharge diagnosis: aortic stenosis s/p aortic valve replacement post-operative atrial fibrillation pmh: rheumatoid arthritis, glaucoma, ulnar neuropathy, hypertension, paroxysmal atrial fibrillation, hypothyroid, multinodular goiter, h/o stroke discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns coumadin for atrial fibrillation. goal inr is 2.0-2.5. your coumadin will be dosed by dr. after discharge from rehab. followup instructions: follow-up with dr. (surgeon) in 1 month. ( follow-up with cardiologist dr. in 2 weeks. follow-up with dr. pcp 1 week. please call all providers for appointments. scheduled appointemnts: - cat scan phone: date/time: 10:00 - provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 2:00 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open and other replacement of aortic valve with tissue graft closed [endoscopic] biopsy of bronchus operations on other structures adjacent to valves of heart diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation rheumatic heart failure (congestive) mitral valve insufficiency and aortic valve stenosis rheumatoid arthritis benign neoplasm of adrenal gland other diseases of trachea and bronchus nontoxic multinodular goiter 

Answer: The patient is high likely exposed to