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: no known allergies / adverse drug reactions attending: chief complaint: thoracic abdominal aortic aneurysm major surgical or invasive procedure: thoracic endovascular aortic repair history of present illness: mr. is a 51 year old male with a history of htn, hl, diet-controlled dm, and remote smoking who presented to the ed last evening after seeing an outpatient physician in the clinic. approximately one year ago he began having intermittent chest pain. he describes both left and right sided pain in the subcostal region. the pain is dull and comes and goes, usually every other day. the pain radiates around to the back on the left side. he denies substernal chest pain or upper back pain. episodes last about 20 minutes and resolve on their own. the pain is dull, persistent, does not escalate, and is not sharp. occasionally, mild palpitations and shortness of breath come with the episodes and resolve on their own. the episodes are not related to activity or any trigger that the patient can identify. the episodes have not been more severe or more frequent recently, rather consistent with what he has been experiencing over the past year. the patient explains that when he was in about a year ago, he was about to be deported to and saw a physician and had some imaging performed. he is not sure what type of test it was but was told that "the large vein in your chest is swollen, much bigger than normal." he was told that he would need surgery to have it repaired. soon after this, he came to to be near his children. he was seen by a cardiologist at (note in omr) who interpreted the patient's history as having been consistent with the patient having a coronary cta, had the patient undergo stress testing which was negative, and recommended cardiac risk factor management. there was not a discussion of an aneurysm at this visit per the notes. the patient has been taking atenolol, lisinopril/hctz, pravastatin, and a baby aspirin for about a year. on evaluation, the patient describes the above history but is currently symptom free. denies chest pain, shortness of breath, dizziness, palpitations, abdominal pain. he has been in observation in the ed overnight with systolic blood pressures well controlled in the 100-120 range. troponins negative x 2, ekg within normal limits. other labs normal. he explains that he has a plane ticket on to return to and that he was here to be evaluated prior to that trip. he reiterates that he did not have any worsening symptoms in the past days to weeks but that he wanted to be checked prior to leaving the united states. past medical history: pm: htn, hl, diet-controlled diabetes ps: inguinal hernia repair as a child social history: social: from , in us as an illegal immigrant, had been living in , denies drug use, remote smoker quit 35 year ago, smoked for 15 years, occasional alcohol use, plans to return to family history: family: father passed away at 74 from mi, had htn, mother is alive and is healthy, 2 siblings with htn, no known family history of aneurysmal disease physical exam: exam: 98.2, 62, 107/60, 16, 100% on room air clear to auscultation bilaterally heart regular without murmurs abdomen soft nontender nondistended, no palpable masses all peripheral pulses palpable bilaterally, no palpable femoral or popliteal aneurysms pertinent results: 11:38am blood wbc-11.6* rbc-4.16* hgb-12.8* hct-37.9* mcv-91 mch-30.6 mchc-33.6 rdw-13.1 plt ct-166 02:34am blood wbc-8.5 rbc-4.76 hgb-14.6 hct-43.1 mcv-91 mch-30.6 mchc-33.8 rdw-13.2 plt ct-245 04:45am blood wbc-7.8 rbc-4.79 hgb-14.4 hct-43.2 mcv-90 mch-30.1 mchc-33.4 rdw-13.0 plt ct-223 03:46pm blood wbc-8.9 rbc-5.00 hgb-15.1 hct-45.4 mcv-91 mch-30.1 mchc-33.2 rdw-13.4 plt ct-240 10:15pm blood wbc-10.6 rbc-5.19 hgb-15.5 hct-47.5 mcv-92# mch-29.9 mchc-32.6 rdw-13.4 plt ct-276 03:46pm blood neuts-69.0 lymphs-24.2 monos-4.6 eos-1.8 baso-0.4 10:15pm blood neuts-69.9 lymphs-22.9 monos-3.9 eos-2.8 baso-0.5 02:34am blood pt-11.8 ptt-30.0 inr(pt)-1.1 03:46pm blood pt-11.5 ptt-30.0 inr(pt)-1.1 11:38am blood glucose-144* urean-13 creat-0.9 na-138 k-4.0 cl-106 hco3-24 angap-12 04:45am blood glucose-104* urean-15 creat-1.0 na-136 k-4.3 cl-102 hco3-26 angap-12 03:46pm blood glucose-105* urean-14 creat-0.9 na-136 k-4.1 cl-101 hco3-24 angap-15 cta: no evidence for intra-abdominal or pelvic arterial aneurysm or dissection with 5.6 cm descending thoracic aortic aneurysm, as seen previously. brief hospital course: patient was brought to the icu for close monitoring after being found to have a symptomatic thoracic aortic aneurysm. otherwise he had no symptoms. he was observed. before the procedure he had a lumbar drian placed that required very little drainage to keep his icp below 15. he then went then taken to the or on where he underwent a tevar repair. prepped, and brought down to the endo suite room for surgery. intra-operatively, was closely monitored and remained hemodynamically stable. tolerated the procedure well without any difficulty or complications. post-operatively, transferred to the cvicu for further stabilization and monitoring. while in the cvicu, received monitored care. when stable was delined. diet was advanced. his post-operative labs looked well. when stabilized from the acute setting of post operative care, was then transferred to floor status. on the floor, remained hemodynamically stable with pain controlled. continues to make steady progress without any incidents. discharged home in stable condition. received preoperative hydration. on dc the creatinine is stable. he was started on labetolol for blood pressure control. he has appropriate follow-up. he will be seen in 1 month with a cta. medications on admission: atenolol 50', lisinopril/hctz 10/12.5', pravastatin 40', aspirin 81' discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*6* 2. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*6* 3. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*6* 4. lisinopril-hydrochlorothiazide 10-12.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*6* 5. labetalol 100 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*6* 6. percocet 5-325 mg tablet sig: 1-2 tablets po four times a day for 10 days: prn for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: thoracic aortic aneurysm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted from the emergency department with what was thought to be a symptomatic thoracic aortic aneurysm. you were observed in the intensive care unit and were then taken for surgery. a stent was placed in the aneurysm. you tolerated the procedure well and at the time of discharge you were tolerating a regulat diet and had minimal to no pain. division of vascular and endovascular surgery endovascular thoracic aortic aneurysm discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: scan phone: date/time: 11:45 provider: , md phone: date/time: 12:15 procedure: aortography endovascular implantation of graft in thoracic aorta other diagnostic procedures on spinal cord and spinal canal structures diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture personal history of tobacco use other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to