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 / sulfa (sulfonamides) / lipitor attending: chief complaint: doe major surgical or invasive procedure: s/p sternotomy history of present illness: 76 yo female with known aortic stenosis followed by serial echos, more severe at last echo. cath showed severe as, and 40% rca. echo also showed mild mr and mild ai. cxr also showed a 5cm descending thoracic aneurysm. referred to dr. for surgery. past medical history: htn elev. chol. as mv prolapse ? lupus obesity macular degeneration obstructive sleep apnea -bipap cataracts s/p bil. removal prior left tkr social history: 60 pack/yr history, quit 9 years ago no etoh widowed, lives alone family history: father expired mi at 48 physical exam: 63" 230 # hr 76 rr 18 155/62 elderly, nad rle with slight swelling and erythema heent unremarkable neck with full rom with transmitted murmur ctab rrr 3/6 sem soft, nt, nd, + bs , obese warm, well-perfused, 1+ ble edema bil. superficial varicosities neuro grossly intact bil. 1+ fem/dp/pts bil. 2+ radials pertinent results: 06:30am blood wbc-9.2 rbc-3.33* hgb-9.6* hct-28.4* mcv-85 mch-28.8 mchc-33.8 rdw-15.3 plt ct-128* 06:30am blood plt ct-128* 01:56am blood pt-14.2* ptt-27.6 inr(pt)-1.3* 03:11am blood fibrino-283 06:30am blood glucose-125* urean-19 creat-0.9 na-135 k-3.7 cl-99 hco3-30 angap-10 06:30am blood mg-2.2 radiology final report chest (portable ap) 8:19 am chest (portable ap) reason: s/p ct d/c medical condition: 76 year old woman s/p sternotomy reason for this examination: s/p ct d/c chest single ap film: history: sternotomy and avr. status post median sternotomy. a cordis catheter is present in the right brachiocephalic vein. no pneumothorax. no change in heart size or prominent thoracic aorta since prior film of , . linear atelectasis is present at the left lung base. there has been partial resolution of the atelectasis in the left lower lobe since prior film and left hemidiaphragm is now partially visualized. there has also been resolution of the previously noted linear atelectasis in the right lateral zone. dr. approved: 10:51 am cardiology report echo study date of patient/test information: indication: intra-op tee for cabg, avr, mvr status: inpatient date/time: at 16:23 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw04-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *5.8 cm (nl <= 4.0 cm) left atrium - four chamber length: 4.9 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.6 cm (nl <= 5.0 cm) left ventricle - ejection fraction: 55% to 65% (nl >=55%) left ventricle - peak resting lvot gradient: 2 mm hg (nl <= 10 mm hg) aorta - valve level: 2.8 cm (nl <= 3.6 cm) aorta - ascending: 2.6 cm (nl <= 3.4 cm) aorta - arch: 3.0 cm (nl <= 3.0 cm) aorta - descending thoracic: *5.2 cm (nl <= 2.5 cm) aortic valve - peak velocity: *2.9 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 61 mm hg aortic valve - mean gradient: 45 mm hg aortic valve - valve area: *0.9 cm2 (nl >= 3.0 cm2) interpretation: findings: left atrium: moderate la enlargement. right atrium/interatrial septum: mildly dilated ra. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal regional lv systolic function. lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior - normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. markedly dilated descending aorta complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. moderate-severe as (area 0.8-1.0cm2). mild to moderate (+) ar. mitral valve: moderately thickened mitral valve leaflets. mild mitral annular calcification. no ms. moderate to severe (3+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally conclusions: pre-bypass: the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. there appears to be extensive calcification of the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is markedly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is moderate to severe aortic valve stenosis (area 0.8-1.0cm2). mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. vena contracta is 5-6 mm. there is blunting or reversal of pulmonary venous s wave flow pattern. the mitral annulus averages 2.9 cm in diameter. there is bileaflet restriction of the mitral valve with central mitral regurgitation. there is a trivial/physiologic pericardial effusion. all findings discussed with surgeons at the time of the exam. electronically signed by , md on 18:50. physician: () brief hospital course: admitted and was taken to the or with dr. . intra-op echo also revealed moderate to severe mr, worsened from tte 5 weeks ago. in addition, after sternotomy was done, it was noted that the ascending aorta was heavily calcified into the aortic arch. given that the nature of the operation had changed to the need for avr/mvr, and replacement of aortic arch with circulatory arrest, the family was consulted by telephone from the or. per dr. , the risks had dramatically increased. the family elected to abandon the operation, wake the pt., and allow her to participate in the discussion and reevaluate her decision if necessary. she was extubated the next morning. ct scanning with mms reconstruction done for further evaluation of her aorta. transferred to the floor on pod #2. cleared for discharge to rehab on pod #4. pt. is to follow up with dr. in the office next thursday. medications on admission: asa 81 mg daily lasix 40 mg daily lopressor 50 mg minipress 5 mg tid norvasc 2.5 mg daily levoxyl 150 mg daily advair 250/50 kcl 20 mg daily quinine so4 324 mg daily motrin 800 mg tid prn prednisone and zithromax ( completed ) discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: htn as mr descending thoracic aortic aneurysm obesity obstructive sleep apnea with bipap ? lupus discharge condition: good discharge instructions: shower daily no creams, lotions or powders to any incisions no lifting > 10# for 10 weeks call for fever greater than 100.5, redness or drainage no driving for one month p instructions: with dr. on thursday, . please call ( for appt. procedure: insertion of intercostal catheter for drainage diagnostic ultrasound of heart arterial catheterization pulmonary artery wedge monitoring other division of bone, scapula, clavicle, and thorax [ribs and sternum] diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atherosclerosis of aorta personal history of tobacco use pulmonary collapse rheumatic heart failure (congestive) macular degeneration (senile), unspecified morbid obesity urinary complications, not elsewhere classified surgical or other procedure not carried out because of contraindication knee joint replacement oliguria and anuria thoracoabdominal aneurysm, without mention of rupture tachypnea cataract extraction status 

Answer: The patient is high likely exposed to