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: epinephrine attending: chief complaint: aaa / claudication major surgical or invasive procedure: thoracic aortic stent graft left common iliac to femoral bpass graft, femoral endarterectomy history of present illness: is a 76-year-old woman who presents for prehydration for an elective thoracic aortic stent graft. thoracic aneurysm was an incidental finding on ct for chest cold past medical history: past medical history: 1. 7-8 cm right renal mass with possible invasion into the collecting system and perinephric fat 2. 7 cm left adrenal mass appears separate from the surrounding organs and from the left kidney. 3. constipation 4. hypertension 5. type 2 diabetes x3 years. 6. hip replacement 7. cardiac stent social history: social history: the patient is a retired receptionist, is currently active, working around the house, and no change in daily activities. she has a 90-pack-year history of smoking. she quit 10 years ago. no significant alcohol or drug use family history: family history: mother lived to be 87. father died at 52 of stroke. no history of kidney problems or cancer. physical exam: a/o nad supple / farom neg lymphandopathy neg supraclavicular nodes cta rrr abd benign sugical inc c/d/i pulses: dopplerable dp/pt b/l pertinent results: 05:53am blood wbc-12.9* rbc-3.39*# hgb-10.2*# hct-29.5* mcv-87 mch-30.0 mchc-34.6 rdw-15.0 plt ct-187# 07:26pm blood pt-14.4* ptt-38.6* inr(pt)-1.3* 09:47pm blood glucose-116* urean-13 creat-0.9 na-140 k-3.6 cl-103 hco3-30 angap-11 09:47pm blood calcium-9.1 phos-2.8 mg-1.7 9:17 pm chest (pa & lat) right internal jugular catheter tip continues to terminate in the proximal right atrium. cardiomediastinal contours are stable in appearance following placement of aortic stent graft. small bilateral pleural effusions and adjacent bibasilar atelectasis are not substantially changed allowing for technical differences between the examinations. impression: small bilateral pleural effusions and bibasilar atelectasis. echo , (complete) done at 2:55:16 pm final referring physician information , , status: inpatient dob: age (years): 76 f hgt (in): 62 bp (mm hg): 145/67 wgt (lb): 171 hr (bpm): 67 bsa (m2): 1.79 m2 indication: intraoperative tee for thoracic aortic stent placement icd-9 codes: 440.0, 441.2, 424.1, 424.0 test information date/time: at 14:55 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% >= 55% findings right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions limited focussed examination 1.no atrial septal defect is seen by 2d or color doppler. 2.regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3.right ventricular chamber size and free wall motion are normal. 4.the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 6. small aneurysm in the descending aorta distal to the left subclavian is seen. unable to visualize it very clearly. 7. post stent deployment unable to rule out endovascular leak due to poor imaging conditions. dr aware and is comfortable that there is no leak. 10:38 am ct chest w/contrast; ct abdomen w/contrast chest: the endotracheal tube terminates above the carina. a nasogastric tube terminates in the distal stomach. a right internal jugular central venous catheter terminates in the main pulmonary artery, at its junction with the right pulmonary artery. the patient is status post aortic stent graft placement into the descending thoracic aorta. there is minimal high attenuation where the saccular aneurysm was previously seen. however, there is no evidence of frank contrast extravasation. calcification lining the aorta is mild. an enlarged right infrahilar lymph node remains. there is no pericardial effusion. there are new small bilateral pleural effusions with adjacent atelectasis, which appear simple. there are two faint right middle lobe nodules measuring 3 mm (2, 24; 2, 25). extensive coronary artery calcifications are again noted. abdomen: a subcentimeter low attenuation lesion at the junctions of segments viii and vii in the liver (2, 39) is too small to characterize but believed to represent a cyst. a second subcentimeter vague focus in segment vi (2, 50) is also too small to characterize. the main portal vein is patent. there is vicarious excretion of contrast into the gallbladder. the spleen is unremarkable. the pancreas is within normal limits. there has been no interval change in the appearance of heterogeneous left adrenal and right renal masses. the right adrenal gland appears unremarkable. a simple 4.4 cm left interpolar renal cortical cyst persists. there is a moderate amount of high-attenuation fluid in the anterior and posterior pararenal spaces, compatible with hemorrhage. the psoas muscles appear symmetric. the aorta, celiac, superior mesenteric and inferior mesenteric arteries are patent, although there is moderate calcified plaque along the course of the aorta. there is no bowel dilatation. the colon is decompressed. there is trace free fluid in the pericolic gutters. there is an anterior abdominal scar in the midline with scattered subcutaneous air locules. at least one locule of air abuts the posterior aspect of the left rectus musculature (2, 99). additional air is seen along the left pelvic side wall, in an extraperitoneal location. pelvis: a foley catheter decompresses the bladder. the rectum and sigmoid colon are decompressed. the uterus is present. trace ascites is low in attenuation. a 16 mm right adnexal cyst is again identified. the pelvis is obscured by the left hip arthroplasty. there is moderate soft tissue stranding in both groins, without evidence of discrete collection to suggest groin hematoma. osseous structures: there are no suspicious lytic or blastic lesions. moderate endplate osteophytes are seen at multiple levels. impression: 1. patient status post descending thoracic aortic stent graft placement with new small bilateral and pleural effusions, a new small-to-moderate amount of retroperitoneal hemorrhage and new simple ascites. 2. the bowel is decompressed but unremarkable and the mesenteric vessels are patent. 3. redemonstration of suspicious right renal and left adrenal masses. 4. stable right adnexal cystic lesion. 5. the pulmonary artery catheter is at the junction of the main and right pulmonary arteries and should be advanced. brief hospital course: mrs. , f was admitted on with thoracic aaa. she agreed to have an elective surgery. pre-operatively, she was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. it was decided that she would undergo a endovascular stent graft repair of thoracic aortic aneurysm she was prepped, and brought down to the operating room for surgery. intra-operatively, she was closely monitored, she did drop her pressures and became hemodynamicaaly unstable. the complication was identified, thought to be likely dissected with the overdistention by the 22-french sheath. she then underwent a left common iliac artery conduit and iliofemoral bypass, left common femoral endarterectomy. the patient was transfused and given fluid for resuscitation. she did remain bradycardic with a heart rate in the low 40s despite atropine. her blood pressure was stable without pressors at the completion of the procedure. she was taken to the icu. further care. because of the drop in pressur, a cardiac consult was obatined. the pt did r/o for mi she did recieve blood products for anemia secondary to to the or procedure. she was then transferred to the vicu for further recovery. while in the vicu she recieved monitered care. when stable she was delined. her diet was advanced. a pt consult was obtained. when she was stabalized from the acute setting of post operative care, she was transfered to floor status on the floor, she remained hemodynamically stable with his pain controlled. she progressed with physical therapy to improve her strength and mobility. she continues to make steady progress without any incidents. she was discharged home in stable condition. medications on admission: meds: hctz 25', amlodipine 5', atenolol 100', glyburide 2.5', asa 81, vytorin 10/40', senekot 1 tab' discharge medications: 1. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 2. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 8. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 11. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 12. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*25 tablet(s)* refills:*0* 13. keflex 500 mg capsule sig: one (1) capsule po four times a day for 5 days. disp:*20 capsule(s)* refills:*0* discharge disposition: home with service facility: partners home care discharge diagnosis: s/p thoracic aortic stent graft discharge condition: good 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: please call dr office for an appointment in 2 weeks procedure: venous catheterization, not elsewhere classified aorta-iliac-femoral bypass arteriography of femoral and other lower extremity arteries aortography other endovascular procedures on other vessels endarterectomy, lower limb arteries procedure on single vessel diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture malignant neoplasm of kidney, except pelvis atherosclerosis of native arteries of the extremities, unspecified dissection of other artery secondary malignant neoplasm of adrenal gland dissection of iliac artery 

Answer: The patient is high likely exposed to