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: penicillins attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: aortic valve replacement (. medical epic valve), bronchoscopy, subtotal resection of right paratracheal mass history of present illness: this gentleman has a past medical history of lymphoblastic lymphoma with radiation, high-dose chemotherapy and autologous stem cell rescue in 3/. he has remained in remission since that time. he also has a history of a heart murmur and underwent his initial echocardiogram back in where he was found to have aortic stenosis. he is followed with surveillance echocardiograms and his most recent study was on after he reported episodes of dyspnea. he was found to have severe concentric lvh, his overall left ventricular systolic dysfunction was normal and his ef was 55-60%. he had mild ar and severe as. his peak aortic valve gradient was 104 mmhg, mean gradient was 59 mmhg and the aortic valve area was 0.57 cm2. he had mild mr, and mild pulmonary htn with pasp 34 + 5 mmhg assuming his rv pressure was normal. in regards to symptoms his wife began noticing her husband having shortness of breath about one year ago. initially they attributed it to his copd and then some weight gain. she reports the dyspnea on exertion has progressively worsened over the last 6 months. now is short of breath with one flight of stairs. in the interim since first evaluation with us on , he has had a bone marrow aspirate done by dr. , and pet scanning by dr. . past medical history: lymphoblastic lymphoma s/p autologous transplant without recurrence since / xrt to left leg/chemo adenitis anemia hyperlipidemia hypothyroidism lung cancer s/p right upper lobectomy degenerative joint disease chronic obstructive pulmonary disease/emphysema erectile dysfunction arthritis of the knee, pending bilateral tkr in the future abdominal hernia slight cataract in the right eye benign prostatic hypertrophy past surgical history s/p left salivary gland removal in s/p left knee surgery s/p left shoulder surgery s/p tonsillectomy s/p left foot surgery x 2 for neuromas social history: occupation: disabled fireman lives with wife : caucasian tobacco: 35 pyh/ quit 20 years ago etoh: denies no recr. drugs family history: mother died of mi at 78 physical exam: pulse:71 resp: o2 sat: 99% ra b/p right: 145/81 left: 156/83 height: 5' 10" weight:215# general: skin: dry intact heent: perrla eomi neck: supple full rom no jvd chest: lungs clear bilaterally well-healed right post. thoracotomy and left anterior chest scars heart: rrr irregular murmur throughout precordium to carotids abdomen: soft non-distended non-tender bowel sounds + no hsm/ cva tenderness, ventral hernia present extremities: warm , well-perfused edema; none varicosities: none left anterior tibial area with chronic skin changes from xrt to lymphoma site neuro: grossly intact, mae / strengths, nonfocla exam pulses: femoral right: ecchymotic 1+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit murmur radiates to bil carotids pertinent results: echo: pre-bypass: no atrial septal defect is seen by 2d or color doppler. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is critical aortic valve stenosis (valve area <0.8cm2). moderate (2+) aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine. a well-seated bioprosthetic valve is seen in the aortic position with normal leaflet motion and gradients (mean gradient = 17 mmhg). trace central aortic regurgitation is seen ( normal for this prosthesis) biventrciular function is normal. aorta is intact post decannulation. other findings are unchanged brief hospital course: mr. was a same day admit after undergoing pre-operative work-up as an outpatient. on he was brought directly to the operating room where he underwent a aortic valve replacement, bronchoscopy, and subtotal resection of right paratracheal mass. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-operative day one he was transferred to the telemetry floor for further care. chest tubes and epicardial pacing wires were removed per protocol. mr. experienced intermittant self limitinbg atrial fibrillation and flutter - lopressor was increased and remained in nsr. cleared stage v rehab with physical therapy and was discharged to home on pod# 5 w/ vna. medications on admission: cyclobenzaprine 10 mg tablet tid prn, finasteride 5 mg qd, fluticasone-salmeterol 250 mcg-50 mcg/dose disk 1 (one) puff ih twice a day, ibuprofen 800 mg tablet 1 tablet tid prn, levothyroxine 25 mcg qd, simvastatin 20 mg qd, tamsulosin 0.4 mg qd, aspirin 81 mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). 5. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 6. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 8. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po hs (at bedtime). 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: aortic stenosis s/p aortic valve replacement right paratracheal mass s/p subtotal resection of right paratracheal mass lymphoblastic lymphoma s/p autologous transplant without recurrence since / xrt to left leg/chemo adenitis anemia hyperlipidemia hypothyroidism lung cancer s/p right upper lobectomy degenerative joint disease chronic obstructive pulmonary disease/emphysema erectile dysfunction arthritis of the knee, pending bilateral tkr in the future abdominal hernia slight cataract in the right eye benign prostatic hypertrophy past surgical history s/p left salivary gland removal in s/p left knee surgery s/p left shoulder surgery s/p tonsillectomy s/p left foot surgery x 2 for neuromas discharge condition: good discharge instructions: 1)no driving for one month 2)no lifting more than 10 lbs for at least 10 weeks from the date of surgery 3)please shower daily. wash surgical incisions with soap and water only. 4)do not apply lotions, creams or ointments to any surgical incision. 5)please call cardiac surgeon immediately if you experience fever, excessive weight gain and/or signs of a wound infection(erythema, drainage, etc...). office number is . 6)call with any additional questions or concerns followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks dr. in weeks dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery fiber-optic bronchoscopy open and other replacement of aortic valve with tissue graft excision or destruction of lesion or tissue of mediastinum diagnoses: unspecified acquired hypothyroidism personal history of malignant neoplasm of bronchus and lung aortic valve disorders other chronic pulmonary heart diseases personal history of tobacco use atrial flutter hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) bone marrow replaced by transplant other and unspecified hyperlipidemia other emphysema secondary and unspecified malignant neoplasm of intrathoracic lymph nodes unspecified cataract arthropathy, unspecified, lower leg personal history of lymphosarcoma and reticulosarcoma 

Answer: The patient is high likely exposed to