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: diovan attending: chief complaint: shortness of breath major surgical or invasive procedure: cardiac catheterization history of present illness: 85yo f who is now transferred from after she presented there with flash pulmonary edema. on presentation to the osh she had an initial o2 sat 60% with respiratory distress and a cxr consistent with pulmonary edema. she was intubated and received ntg sl, morphine, lasix 100mg. she was transfered to for further management as there were no icu beds at the osh. . on arrival to the ed here, the patient was found to be intubated, with a hr 84, bp of 160/80, t 98.8 and o2 sat of 100% on ac with fio2 of 100%. a murmur was noticed on exam. cardiology was consulted and an echo showed severe as with a valave area of 0.5cm and a peak gradient of 65mmhg, also with 2+mr and 2+tr, moderate pulmonary artery systolic hypertension. ef 50%. . on arrival to the floor the patient was alert and intubated. she was answering yes and no questions appropriately, however history was limited due to intubation. . pt reports shortness of breath, which worsened over several days and made her go to the osh on the day of admission. she denied any chest pain, syncope or presyncope and alse denies any dietary indiscretion or any other pain, nausea, vomiting. she also denies . ? orthopnea, pnd hard to elucidate from intubated patient, but present per pcp . the family is not able to contribute to her recent history. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, cough, black stools or red stools. he denies recent fevers, chills or rigors, no cough. all of the other review of systems were negative. . her family reports that at baseline she is very active and independent in all her adl. she has a history of chf and has doe but is able to ambulate a flight of stairs without problems and is babys her grandchildren on her own. past medical history: osteoporosis htn hypercholesterolemia dm 2 paget's disease h/o of mild as: aortic valve area is estimated to be 1.5 cm sq. mean pressure gradient is 20 mmhg and maximum pressure gradient is 28 mmhg on echo in . echo from as with 0.7cm2, peak gradient 76 and mean 49 mmhg. s/p pcm, ddd, for bradycardia anemia, unclear baseline, vit b12 def breast cancer, s/p l mastectomy and chest radiation s/p r hip fracture and l knee fracture in the 60s and 70s social history: social history is significant for the absence of current or prior tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. mother had angina in her 60s and a stroke in her 70s. son with dm2. physical exam: vs: t 99.8, bp 126/52 , hr 69 , rr 20, o2 100% on ac 500 gen: nad, intubated. pleasant. heent: sclera anicteric. perrl. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp at earlobe. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2 not audible. harsh late systolic murmur loudest over rusb. no s4, positive s3. chest: no chest wall deformities, scoliosis or kyphosis. resp unlabored, no accessory muscle use. no wheeze, rhonchi. postive crackles throughout b/l. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. bowing of the tibia and fibula b/l anteriorly. no femoral bruits. skin: stasis dermatitis b/l. pulses: right: carotid 2+ with bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ with bruit; femoral 2+ without bruit; 2+ dp pertinent results: ehco the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50%). 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 are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: severe calcific aortic stenosis with moderate concentric left ventricular hypertrophy and low normal ejection fraction . cxr: extensive pulmonary fibrosis with most marked abnormalities at left apex. suspect chronic lung disease such as idiopathic pulmonary fibrosis with superimposed scarring from prior granulomatous disease at left apex. . ct chest: impression: 1. pulmonary fibrosis is severe in the left apex and compatible with known prior chest radiation, and mild-to-moderate in the remainder of the lung parenchyma. 2. mild dependent ground-glass opacity is compatible with pulmonary edema. 3. scattered mild relative lucency in both lungs may be secondary to a perfusion abnormality such as pulmonary hypertension or air trapping. 4. severe aortic valvular calcification with associated left ventricular chamber enlargement. 5. multiple calcified and noncalcified pulmonary nodules measuring up to 4 mm in diameter. if the patient has no known malignancy or risk factors for lung cancer, no additional followup is required. 6. extensive left anterior descending coronary artery calcifications. brief hospital course: 85 year old with severe as and acute pulmonary edema. . chf(acute, diastolic): likely acute decompensation in the context of severe as and difficult fluid balance. patient diuresed gingerly in light of preload dependent as. volume overload resolved with prn lasix. echo preserved ef and severe ef. patient was started on 12.5 metoprolol . patient had left and right heart caths showing branch vessel disease only, no needed for stent. patient also started on daily asa. . aortic stenosis: patient with known as, but this is first incident of acute pulmonary edema. aortic valve area <.8cm2 here. patient very hesitant to go for surgery, and after much discussion, conclution reached that she be discharged home, and is scheduled for avr on . . pulmonary fibrosis: patient has history of breast ca, with radiation. pft's in house demonstarted mild restrictive disease with normal dlco. she is cleared for surgery from a pulmonary perspective, and can f/u as outpatient. . # htn: amlodipine dc/ed and toprol xl continued. . # arf: pt without evidence of chronic failure on records from pcp, have to presume this is arf. likely due to poor forward flow in the context of chf and severe as. patient was diuresed with stabilization of creatinine to 1.1. . # rhythm: ventricularly paced at heart rate of 80 . # dm2: glyburide held on floor, on iss. discharged on glyburide. medications on admission: amlodipine 5mg qdaily atenolol 25mg qdaily levothyroxine 150mcg qdaily glyburide 10mg kcl 10meq qdaily imdur 60mg qdaily aspirin 81mg folic acid vit b12 risedronate 35mg 1/qweekly discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. glyburide 5 mg tablet sig: two (2) tablet po twice a day. 5. levothyroxine 150 mcg tablet sig: one (1) tablet po once a day. 6. folic acid 1 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: primary: aortic valve stenosis acute diastolic chf . secondary hyperlipidemia hypothyroidism discharge condition: stable, euvolemic discharge instructions: you were admitted to the hospital with heart failure secondary to your aortic valve stenosis. you were initially intubated with for respiratory distress, but this was removed the day after you were admitted. . you are to have aortic valve replacement by cardiac surgery on for definitive treatment of the aortic stenosis. . you also had a ct scan of your lungs for further workup up the pulmonary fibrosis. dr will follow up with you in that regard. . please return to the hospital or call your cardiologist if you have shortness of breath, chest pain, lightheadedness or any other concerning symptoms. followup instructions: you are scheduled for aortic valve replacement on tuesday by . please call ( with questions. . please also call dr. for follow up for your pulmonary fibrosis. his number is ( to schedule an appointment. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters left heart cardiac catheterization diagnoses: pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortic valve disorders personal history of malignant neoplasm of breast chronic kidney disease, unspecified osteoporosis, unspecified cardiac pacemaker in situ acute diastolic heart failure osteitis deformans without mention of bone tumor acute edema of lung, unspecified 

Answer: The patient is high likely exposed to