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: shortness of breath major surgical or invasive procedure: left videoassisted thoracoscopy and evacuation of hemothorax history of present illness: this 81 year old female underwent redo sternotomy, aortic valve replacement, tricuspid valve replacement and removal of pacemaker leads with placement of epicardial left ventricular leads and new pacemaker generator on .she was transferred to at discharge from here. she developed acute onset of dyspnea on the day of re-admission, without any history of sa fall. on presentation to the ed she was noted to be hypotensive (80-90s) systolic with a cxr demonstrating white out of the left lung. a chest tube was inserted emergently with 900 cc of dark bloody fluid removed. she was taken to the operating room and a videoassisted procedure was performed. see operative note for details. past medical history: coronary artery disease s/p coronary artery bypass s/p mechanical mitral valve replacement atrial fibrillation tachybrady syndrome s/p pacemaker mitral stenosis aortic stenosis prior strokes urinary frequency s/p cataract surgery s/p right hip replacement s/p appendectomy anemia osteoporosis social history: retired mill worker lives with spouse 50 pack year history quit in etoh denies family history: non-contributory physical exam: awake and alert. oriented. lungs- essentially clear cor- ventricular demand pacemaker functioning with rate 80 extremeties- warma nd dry. no edema. abdomen- benign. wounds- ecchymotic left chest from surgery with moderate hematoma at posterior incision. scant old bloody drainage. other surgical incisions healing well. pertinent results: cxr: interval development of left-sided opacity consistent with large pleural effusion and associated mediastinal shift. stable right-sided pleural effusion. ct: 1. no pulmonary embolism. 2. large left hemothorax. atelectasis of the left lung, with areas of internal diminished enhancement that could reflect developing infection. left chest tube is coiled at the left apex. 3. moderate right pleural effusion. 4. no intraperitoneal fluid collection is visualized. 5. abandoned pacer wires, including a wire fragment in the right ventricle. 6. right groin hematoma. 7. unusual pattern of opacification within the ivc most likely reflects mixing but raises the possibility of a thrombus. attention to this area on follow-up or further evaluation with ultrasound is advised. echo: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrium is dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. no thoracic aortic dissection is seen. a bileaflet aortic valve prosthesis is present. the aortic valve prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. a bileaflet mitral valve prosthesis is present. the mitral prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. a bioprosthetic tricuspid valve is present. the tricuspid prosthesis appears well seated, with normal leaflet motion and transvalvular gradients. the tricuspid prosthesis cannot be adequately assessed. there is large colelction adjacent to the left side of the lv (extending from the left chest ? )with no compression of the lv or the la. the effusion appears loculated. there are no echocardiographic signs of tamponade. 09:00am blood wbc-9.3 rbc-3.50* hgb-10.3* hct-30.8* mcv-88 mch-29.4 mchc-33.4 rdw-16.0* plt ct-490* 10:55am blood glucose-78 urean-25* creat-0.9 na-137 k-4.8 cl-102 hco3-30 angap-10 brief hospital course: the patient was brought to the or, however, bleeding had stopped and blood pressure stabilized,so she was transferred to the cvicu for further management. she remained hemodynamically stable and returned to the or on for vats evacuation of hemothorax,which yielded approximately 500cc of old, dark blood. overall the patient tolerated the procedure well and post-operatively she was transferred back to the cvicu in stable condition for observation and recovery. the patient was weaned from the ventilator and extubated on pod 1. diet was advanced after a speech and swallowing evaluation was done. the patient did experience some sun-downing and this was managed with xyprexa. she patient was transferred to the step down unit on pod 3 for further physical therapy and recovery.a heparin infusion was begun due to the presence of a mechanical heart valve until coumadin was therapeutic. on her pt was 2.4 and heparin was discontinued. she was ordered for 6mg of coumadin, her inr target is 2.5-3. she was taking 6mg of coumadin m-f, 4mg sat/sun pre-admission. she requires daily pt/inr testing until levels stabilize. she developed a modearte hematome at vats site postoperatively. this was initially tender and hard. it is now stable in size, nontender and softer daily. there is scant drainage from the posterior aspect of the wound as the hematoma lyses. she is ready for rebabilitation prior to returning home. medications and restrictions are as noted. medications on admission: asa coumadin lasix metoprolol kcl atorvastatin discharge medications: 1. influen tr-split vac (pf) 45 mcg/0.5 ml syringe sig: one (1) ml intramuscular asdir (as directed). 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. tablet(s) 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 11. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 12. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 13. benzocaine 20 % paste sig: one (1) appl mucous membrane tid (3 times a day) as needed. 14. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 15. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 16. warfarin 2 mg tablet sig: per order tablet po once a day: inr target 2.5-3. discharge disposition: extended care facility: nursing home - discharge diagnosis: left hemothorax s/p evacuation via videoassisted thoracoscopy aortic stenosist tricicuspid regurgitation s/p redo-sternotomy, aortic valve replacement, tricuspid valve replacement and removal of pacemaker leads, placement of epicardial left ventricular leads and new pacemaker generator on coronary artery disease s/p coronary artery bypass graft and mechanical mitral valve replacement chronic atrial fibrillation s/p pacemaker prior strokes urinary frequency s/p cataract surgery s/p right hip replacement s/p appendectomy anemia osteoporosis discharge condition: good discharge instructions: report redness or drainage from incisions report any fever greater then 100.5. report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. no lotions, creams or powders to incision. shower daily. no bathing or swimming for 1 month. no lifting greater then 10 pounds for 10 weeks from date of surgery. no driving for 1 month or while taking narcotics for pain. call with any questions or concerns. take all medications as directed followup instructions: dr. phone: date/time: 10:20 dr. in weeks dr. in 4 weeks () dr. 2 weeks please call for appointments procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus transfusion of packed cells transfusion of other serum thoracoscopic drainage of pleural cavity diagnoses: atrial fibrillation aortocoronary bypass status hematoma complicating a procedure hemorrhage complicating a procedure acute respiratory failure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoporosis, unspecified heart valve replaced by transplant sinoatrial node dysfunction hypovolemia hip joint replacement other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to