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: patient recorded as having no known allergies to drugs attending: chief complaint: doe major surgical or invasive procedure: avr with 21mm ce pericardial valve history of present illness: 78 yo caucasian female with known as followed by serial echos. over the last several months, she has noted new onset doe and exertional chest tightness. referred for avr to dr. . cath pre-op showed rca 50% and as. echo revealed peak gradient 92mm, mean 57 mm, 0.4 cm2, 1+ mr, lvh, ef>70%. cleared by dr. from id pre-op to undergo surgery. past medical history: progressive right lung infiltrate (mycobacterium avium)-followed by dr. with serial ct scans, did not complete triple therapy drugs htn elev. chol. glaucoma s/p uterine suspension s/p right thr s/p right shoulder surgery s/p right cataract surgery social history: retired never used tobacco lives alone occasional etoh family history: no premature cad physical exam: hr 71 right 116/75, left 127/93, 98% ra sat 5'4" 128# nad skin unremarkable perrla, eomi, anicteric neck supple, no jvd, murmur transmits into both carotids ctab rrr grade 3-4/6 sem radiates throughout precordium into neck abd soft, nt, nd, no hsm or cva tenderness warm, well-perfused, 1+ rle edema, trace on left ble spider veins grossly intact cn iii-xii, nonfocal, mae strengths 2+ bil. fem/radials np dps 1+ bil. pts pertinent results: 06:50am blood wbc-14.5* rbc-4.43 hgb-13.4 hct-39.0 mcv-88 mch-30.4 mchc-34.5 rdw-13.9 plt ct-170# 05:50am blood glucose-101 urean-12 creat-0.6 na-133 k-4.2 cl-96 hco3-30 angap-11 06:50am blood k-4.8 05:50am blood calcium-8.4 phos-2.0* mg-2.3 conclusions pre bypass: the left atrium is mildly dilated. the right atrium is dilated. there is severe symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve is bicuspid. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post bypass: patient is av paced with infusion of phenylepherine. biventricular function is preserved. there is a bioprosthetic aortic valve insitu with a peak gradient of mm hg. there is no aortic insuficiency or perivalvular leak. mitral regurgitation is trace to mild. aortic contours are intact. remaining exam is unchanged. findings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician final report two-view chest, comparison: . indication: status post aortic valve replacement. there is new subcutaneous emphysema in the left chest wall, extending into the subcutaneous tissues of the left neck. there is also an abnormal air collection outlining the proximal descending thoracic aorta suggestive of pneumomediastinum. in retrospect, a small amount of pneumomediastinum was probably present on the prior radiograph. cardiac and mediastinal contours are stable in the postoperative period. there are small bilateral pleural effusions which have increased in the interval. bibasilar atelectatic changes have also slightly worsened. impression: 1. pneumomediastinum and subcutaneous emphysema as described. 2. increasing effusions and worsening bibasilar atelectasis. dr. approved: fri 2:05 pm procedure date: brief hospital course: admitted on and underwent avr with dr. . transferred to the csru in stable condition on phenylephrine and propofol drips. extubated that evening and on nicardipine drip and oral beta blockade titration for bp management on pod #1. off all drips on pod #2 and gentle diuresis started. chest tubes removed and transferred to the floor to begin increasing her activity level. pacing wires removed without incident on pod #3. she continued to make good progress and was cleared for discharge to home with vna services on pod #4. pt. to follow up with providers as per discharge instructions. medications on admission: lisinopril 20 mg daily toprol xl 25 mg daily lipitor 20 mg daily asa 81 mg daily fosamax 70 mg q week timolol 0.5% one gtt ou qhs discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. 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* 6. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). disp:*4 tablet(s)* refills:*2* 9. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic qhs (once a day (at bedtime)). disp:*1 vial* refills:*2* 10. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: aortic stenosis s/p aortic valve replacement pmh: hypertension, hypercholesterolemia, glaucoma, progressive r lung infiltrate (mycobacterium avium), s/p uterine suspension, s/p r hip replacement, s/p r shoulder surgery, s/p r cataract surgery discharge condition: good discharge instructions: may shower, no bathing or swimming for 1 month no driving for 1 month no lifting > 10# for 10 weeks no creams, lotions or powders to any incisions p instructions: with dr. in weeks with dr. in weeks with dr. in 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of aortic valve with tissue graft diagnoses: pure hypercholesterolemia unspecified essential hypertension aortic valve disorders congenital insufficiency of aortic valve 

Answer: The patient is high likely exposed to