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: vancomycin attending: chief complaint: breast pain major surgical or invasive procedure: evacuation of right breast hematoma history of present illness: the patient is a 61 year old female with history of atrial fibrillation refractory to lopressor, amiodarone, felxanide and cardioversion who was recently admitted to the cardiothoracic surgery service from to for mini maze procedure. on the patient underwent minimally invasive bilateral thoracoscopic epicardial pulmonary vein isolation with resection of left atrial appendage and autonomic ganglia stimulation and ablation. the patient's procedure was reported to have been non-complicated. there was noted to be difficulty surrounding pain control for which narcotics and toradol were required, the patient ultimately required a paravertebral block finally with good effect. the patient was noted to develop rapid afib x 1 and was treated w/ iv lopressor and amiodarone with subsequent conversion to sinus rhythm. the patient was discharged to home on coumadin. the patient reports she was doing generally well post-discharge although she did notice some nausea and intolerance ot pain meds. 2 days ago the patient reports she was doing some routine cleaning around her home without difficulty using her right arm, later in the day she reports sneezing and coughing frequently with sense of sharp pain in her right breast during this. the patient noted some ongoing pain, took a percocet and attempted to go to sleep. she woke up at 2:00a.m. with ongoing pain and noted a palpable lump on her breast over area of pain. the patient presented to the ed yesterday a.m. her care was discussed with ct surgery with impression she may have some local bruising related to procedure and recommended outpatient follow up with pain control. apparently the patient represented because of onogoing pain. . ed course: vitals 97.3, 131/73, 70, 20, 100% ra. in the ed the patient had an ultrasound performed with wet read revealing for 5.5 x 8.5 x 10 cm heterogeneous collection at 10 o'clock, 7 cm deep, medial to patient's incision concerning for a post-op seroma although super-infection not excluded. this was noted not fluid filled, thereby may be difficult to drain. additionally, more diffusely, centered at 2 oclock, there is a large hypoechoic region approximately 12 x 13 cm, concerning for intra-mammary hematoma. in the ed the patient was seen by ct surgery team, no note of this encounter is available for review. per ed signout ct surgery did not feel admission was warranted and recommended outpatient follow up, holding coumadin until therapeutic. ed felt patient's pain was difficult to control and recommended admission for this as well as concern for fellulitis. i contact ct surgery team when request was made for admission to medicine. i confirmed that ct surgery team was not concerned about findings on ultrasound, did not recommend any inr reversal beyond holding coumadin. past medical history: atrial fibrillation s/p mini-maze obesity hyperlipidemia degenerative disc disease pacer for tacycardia/bradycardia syndrome appendectomy left and right knee arthroscopy uterine polypectomy social history: the patient currently lives in , ma with her sisters. she is employed as a computer programmer, no children tobacco: none etoh: none illicit drugs: none family history: father died mi at 52. mothr with afib-died at age 82 physical exam: vitals: 99.7, 131/80, 72, 20, 99% ra general: patient is a middle aged female lying in bed, appears tired, no acute distress. affect flat heent: ncat, eomi, sclera anicteric op: mmm neck: jvp not visible, does not appear obviously elevated chest: cta anterior and posterior right breast: patient with bilateral axillary incisions. right incision appears clean, dry, without erythema or induration. medial to incision is a very faint area of faint erythema congruent with nipple, appears non-blanching, not warm, non-tender. superior and medial to nipple is large area with normal overlying skin but deeper induration appreciated with firm deep tissue consistent with ultrasound findings of hematoma. this area is very tender to palpation, no erythema, no fluctuance. cor: regular, no murmurs abdomen: obese, soft, non-tender, non-distended ext: no edema, dp 2+ bilaterally skin/nails: rash as above neuro:grossly intact pertinent results: labs on admission: 10:05am blood wbc-9.3 rbc-4.00* hgb-11.8* hct-34.8* mcv-87 mch-29.5 mchc-33.9 rdw-14.9 plt ct-295# 10:05am blood neuts-82.7* lymphs-9.2* monos-4.9 eos-2.8 baso-0.5 10:05am blood pt-37.3* ptt-40.3* inr(pt)-4.0* 10:05am blood glucose-138* urean-35* creat-1.0 na-139 k-5.1 cl-104 hco3-24 angap-16 07:10am blood alt-22 ast-19 alkphos-85 totbili-0.5 . hematocrit trend: 34.8 --> 31 --> 28.3 --> 27.1 --> ********** . imaging: chest x-ray: impression: no acute cardiopulmonary process. . chest wall ultrasound: 5.5 x 8.5 x 10 cm heterogeneous collection at 10 o'clock, 7 cm deep, medial to patient's incision - concerning for a post-op seroma, super-infection not excluded. not fluid filled, thereby may be difficult to drain. more diffusely, centered at 2 oclock, there is a large hypoechoic region approximately 12 x 13 cm, concerning for intra-mammary hematoma especially given the supra-therapeutic inr. 05:25am blood wbc-5.3 rbc-3.38* hgb-9.7* hct-28.8* mcv-85 mch-28.8 mchc-33.7 rdw-15.0 plt ct-276 05:25am blood pt-13.7* ptt-30.3 inr(pt)-1.2* 05:25am blood glucose-107* urean-14 creat-0.8 na-142 k-4.4 cl-108 hco3-26 angap-12 brief hospital course: the patient is a 61 year old female with history of atrial fibrillation status post mini maze who now presents with right breast pain with ultrasound revealing for post-op seroma as well as large hematoma. she was transferred to the cardiac surery service on . inr drifted down and the patient was brought to the operating room on for evacuation of right breast hematoma. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in good condition. pod 1 found the patient extubated, alert and oriented and breathing comfortably. she was transferred to the telemetry floor. the patient remained in rate controlled atrial fibrillation/atrial flutter throughout the hospital course. she was maintained on amiodarone and lopressor. coumadin was discontinued. the patient did develop some dizziness and was found to have orthostatic hypotension. this resolved with a bolus of albumin and decrease in her beta blockade. she made progress and was discharged home on pod 4. by the time of discharge, the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. medications on admission: lasix 40mg twice daily until (completed) amiodarone 400mg twice daily until , once daily until , 200mg daily aspirin 81mg daily metoprolol 50mg three times daily pravastatin 40mg daily coumadin 4mg daily docusate 100mg twice daily oxycodone-acetaminophen 5-325mg: 1-2tables every 4hours prn colchicine 0.6mg po daily indomethacin 25mg po three times daily discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po twice a day: 200mg 2x/day for 1 week, then 200mg daily until further instructed. disp:*45 tablet(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily) for 3 months. disp:*30 tablet(s)* refills:*2* 5. indomethacin 25 mg capsule sig: one (1) capsule po tid (3 times a day) for 3 months. disp:*90 capsule(s)* refills:*2* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. discharge disposition: home with service facility: homecare discharge diagnosis: chest wall hematoma acute blood loss anemia atrial fibrillation hyperlipidemia uterine polypectomy degenerative disc disease appendectomy s/p mini-maze discharge condition: good discharge instructions: you were admitted to the hospital with right sided chest wall pain and found to have a hematoma, with elevated inr (coumadin) level. you were monitered, and transferred to the ct surgery service... please take medications as directed. please follow up with appointments as directed. please contact physician if develop worsening pain, lightheadedness/dizziness, fainting, fevers/chills, any other questions or concerns. followup instructions: dr. 4 weeks , 2 weeks dr. 1 week procedure: fiber-optic bronchoscopy other intubation of respiratory tract reopening of recent thoracotomy site diagnoses: acute posthemorrhagic anemia atrial fibrillation hematoma complicating a procedure atrial flutter other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac pacemaker in situ anticoagulants causing adverse effects in therapeutic use orthostatic hypotension spondylosis of unspecified site, without mention of myelopathy 

Answer: The patient is high likely exposed to