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: clindamycin / cephalexin attending: chief complaint: aaa major surgical or invasive procedure: resection of juxtarenal abdominal aortic aneurysm and reconstruction with an 18 x 9-mm dacron bifurcated graft through a retroperitoneal incision. history of present illness: 70 year old male with recurrent episodes of r flank pain for the last 4-5 days. has been intermittent, however , last night pain was progressively worse such that he came to the hospital this morning. no nausea no vomiting; no fever. no urinary symptoms; no hematuria. no change in appetite or loss of weight. known aaa being followed by a vascular surgeon at va. unsure of size but thinks it has been in the "3's" for 15 years. past medical history: aaa, smoking history, htn, high cholesterol, renal stones past surgical history: left nephrectomy, cabg, repair of sma social history: former smoker - quit in no etoh no illegal drugs lives alone; independent family history: denies h/o aortic aneurysms physical exam: neuro/psych: oriented x3, affect normal. neck: no masses, trachea midline. skin: no atypical lesions. heart: regular rate and rhythm. lungs: clear. gastrointestinal: non distended, no masses, guarding or rebound, no hernia, abnormal: midline scar with incisional hernia reducible. nontender abdomen and groins. rectal: not examined. extremities: no popiteal aneurysm, no femoral bruit/thrill, no rle edema, no lle edema, no varicosities, no skin changes. pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. brachial: p. lue radial: p. brachial: p. rle femoral: p. popiteal: p. dp: d. pt: d. lle femoral: p. popiteal: p. dp: d. pt: d. pertinent results: 05:05pm blood wbc-8.5 rbc-5.00 hgb-14.7 hct-42.4 mcv-85 mch-29.3 mchc-34.6 rdw-13.7 plt ct-200 10:15am blood wbc-7.3 rbc-4.85 hgb-14.2 hct-41.3 mcv-85 mch-29.3 mchc-34.5 rdw-13.7 plt ct-178 05:05pm blood pt-12.1 ptt-23.2 inr(pt)-1.0 10:15am blood pt-13.5* ptt-24.0 inr(pt)-1.2* 05:05pm blood glucose-96 urean-11 creat-1.1 na-140 k-5.0 cl-105 hco3-26 angap-14 10:15am blood glucose-186* urean-11 creat-1.2 na-140 k-4.6 cl-105 hco3-29 angap-11 10:15am blood calcium-8.7 phos-2.6* mg-2.0 ct abdomen with intravenous contrast: the heart size is at the upper limits of normal. dense coronary calcifications are identified. in the lung bases, there is bibasilar atelectasis, new compared to prior examination. there are also chronic pleural inflammatory changes including fat deposition and fibrotic changes, left greater than right. bilateral small pleural effusions are also identified, right greater than left. no focal pulmonary nodules or opacities are identified in the lung bases. the liver exhibits homogeneous parenchymal enhancement without focal hepatic lesion. the gallbladder is unremarkable without evidence of stones. there is a heterogeneous appearance of the spleen, likely secondary to the late arterial phase of the scan. no focal area of splenic infarct is identified. the portal venous system and hepatic veins are patent. no intra- or extra-hepatic biliary ductal dilatation is identified. dense calcifications are seen within the dorsal pancreatic head and distal tail, findings consistent with chronic pancreatitis. the right adrenal gland is within normal limits. there is symmetric enhancement of the right kidney without evidence of ischemia. there is no hydronephrosis or focal renal mass. the patient is status post left nephrectomy. surgical clips are seen within the resection bed. the visualized stomach and small bowel are normal in caliber and configuration, without evidence of obstruction or ischemia. cta of the abdomen and pelvis: the patient is status post open repair of an inflammatory abdominal aortic aneurysm via a retroperitoneal approach. the grafted abdominal aorta and its branch vessels are patent without evidence of leak. the left hepatic artery arises from the celiac axis and the right hepatic artery arises from the sma. there is complete opacification of the celiac axis, sma, right renal artery, common iliac arteries, external iliac arteries, and distally into the superficial femoral arteries bilaterally. no focal thrombus or dissection is identified. the left renal artery has been previously oversewn at the time of prior left nephrectomy. the was oversewn during the surgery. collateral flow to the distal colon is identified. the bypass graft extends from the supraceliac aorta to the right common iliac artery and left external iliac artery. there is retrograde filling of the left internal iliac artery via collaterals. the aneurysm sac appears to have been entered from a left anterior approach, and there is a small postoperative fluid collection lateral to the grafted aorta at the level of the kidneys (2:69). the hyperattenuating rind of inflammatory tissue appears unchanged compared to prior and extends from the 11 o'clock to 6 o'clock position seen at the level of the lower pole of the right kidney. small foci of air are identified adjacent to the graft consistent with recent surgery (2:78). there is a clear fat plane between the abdominal aorta and duodenum without evidence of fistulous tract formation. there is a hyperattenuating fluid collection within the left nephrectomy bed extending into the left retroperitoneum(2:80). no thick enhancing wall is identified around the collections to suggest abscess formation. the left flank postoperative fluid/hematoma extends inferiorly into the left inguinal canal where foci of gas and blood are identified within the left scrotum. in the midline abdomen/pelvis, there is another fluid collection exhibiting a hematocrit level, consistent with a post-operative hematoma (2:123). the right ureter is in close proximity to this midline hematoma, though there is no evidence of obstruction of the right kidney at this time. ct pelvis with intravenous contrast: the rectum and sigmoid colon are normal in caliber and configuration without evidence of acute inflammation or ischemia. postoperative fluid collections are identified within the pelvis as described above. there is a small foci of air within the bladder most likely secondary to recent foley catheterization, recommend correlation with clinical history (2:146). otherwise, the bladder, prostate, and seminal vesicles are within normal limits. no pathologically enlarged mesenteric, retroperitoneal, pelvic or inguinal lymph nodes are appreciated. there are bilateral fat-containing direct inguinal hernias, unchanged compared to prior. osseous structures: no bone destructive lesion identified. there are degenerative changes of the lower lumbar spine, most severe at l5-s1 with disc space narrowing and sclerosis. impression: 1. patent abdominal aortic graft without evidence of leak. adequate distal runoff into the proximal thighs without evidence of focal thrombus, dissection or acute aortic syndrome. 2. residual soft plaque or thrombus within the abdominal aorta and persistent rind of hyperattenuating inflammatory tissue. 3. post-surgical fluid collection on the left side of the graft at the level of the lower pole of the right kidney, near the site of surgical approach. additionally, a retroperitoneal hematoma is identified extending from the left flank into the pelvis and into the left inguinal canal. a midline pelvic hematoma is identified, in close proximity to the right ureter. no thick enhancing wall is identified around these fluid collections, though infection cannot be excluded. 4. normal parenchymal enhancement of the abdominal organs without evidence of ischemia. 5. stable changes of chronic pancreatitis. 6. bibasilar atelectasis and small bilateral pleural effusions, right greater than left. brief hospital course: mr. was transfered to on and admitted to the vascular surgery service. he had a cta of his abdomen/pelvis which showed: 1. multilobulated infrarenal abdominal aortic aneurysm measuring up to 4.8 cm in maximal dimension. additionally, there is aneurysmal dilatation of the bilateral common iliac arteries. there is no rupture. 2. left lung basilar atelectasis. 3. fatty infiltration of the liver. 4. mild stranding around the middle third of the left ureter is nonspecific. correlate with patient's symptoms and urine cytology. when dr. reviewed the ct scan, he measured the maximal aortic dimension at 4cm. the scan was also concerning for a non specific finding which was thought to be consistent with ureteral inflammation, although urology reviewed the scan and felt this was not the case. there were no previous ct scans sent with the patient. we called the hospital where he has been followed and asked them to overnight a cd of his most recent abdominal ct scan. during his hospital course mr. experienced virtually no pain. he reports an occasional dull twinge in his right low back/ upper gluteal region which he reports has been happening on occasion for many years. he denied any other back pain, abdominal pain, chest pain, dysuria, abnormal bowel movements, or difficulty eating throughout his course. a ua done on showed trace blood with no other abnormalities. a repeat ua on showed no blood, and again no other abnormalities. it was decided to repair the aaa. he agreed to have an elective surgery. pre-operatively, she/he 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: resection of juxtarenal abdominal aortic aneurysm and reconstruction with an 18 x 9-mm dacron bifurcated graft through a retroperitoneal incision. he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, he was extubated and transferred to the pacu for further stabilization and monitoring. he was then transferred to the vicu for further recovery. while in the vicu he recieved monitered care. when stable he was delined. his diet was advanced. a pt consult was obtained. when he was stabalized from the acute setting of post operative care, he was transfered to floor status on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged home in stable condition. to note pt did have what looked like livido reticularis. a ct scan was obtained. this revealed: ct abdomen with intravenous contrast: the heart size is at the upper limits of normal. dense coronary calcifications are identified. in the lung bases, there is bibasilar atelectasis, new compared to prior examination. there are also chronic pleural inflammatory changes including fat deposition and fibrotic changes, left greater than right. bilateral small pleural effusions are also identified, right greater than left. no focal pulmonary nodules or opacities are identified in the lung bases. the liver exhibits homogeneous parenchymal enhancement without focal hepatic lesion. the gallbladder is unremarkable without evidence of stones. there is a heterogeneous appearance of the spleen, likely secondary to the late arterial phase of the scan. no focal area of splenic infarct is identified. the portal venous system and hepatic veins are patent. no intra- or extra-hepatic biliary ductal dilatation is identified. dense calcifications are seen within the dorsal pancreatic head and distal tail, findings consistent with chronic pancreatitis. the right adrenal gland is within normal limits. there is symmetric enhancement of the right kidney without evidence of ischemia. there is no hydronephrosis or focal renal mass. the patient is status post left nephrectomy. surgical clips are seen within the resection bed. the visualized stomach and small bowel are normal in caliber and configuration, without evidence of obstruction or ischemia. cta of the abdomen and pelvis: the patient is status post open repair of an inflammatory abdominal aortic aneurysm via a retroperitoneal approach. the grafted abdominal aorta and its branch vessels are patent without evidence of leak. the left hepatic artery arises from the celiac axis and the right hepatic artery arises from the sma. there is complete opacification of the celiac axis, sma, right renal artery, common iliac arteries, external iliac arteries, and distally into the superficial femoral arteries bilaterally. no focal thrombus or dissection is identified. the left renal artery has been previously oversewn at the time of prior left nephrectomy. the was oversewn during the surgery. collateral flow to the distal colon is identified. the bypass graft extends from the supraceliac aorta to the right common iliac artery and left external iliac artery. there is retrograde filling of the left internal iliac artery via collaterals. the aneurysm sac appears to have been entered from a left anterior approach, and there is a small postoperative fluid collection lateral to the grafted aorta at the level of the kidneys (2:69). the hyperattenuating rind of inflammatory tissue appears unchanged compared to prior and extends from the 11 o'clock to 6 o'clock position seen at the level of the lower pole of the right kidney. small foci of air are identified adjacent to the graft consistent with recent surgery (2:78). there is a clear fat plane between the abdominal aorta and duodenum without evidence of fistulous tract formation. there is a hyperattenuating fluid collection within the left nephrectomy bed extending into the left retroperitoneum(2:80). no thick enhancing wall is identified around the collections to suggest abscess formation. the left flank postoperative fluid/hematoma extends inferiorly into the left inguinal canal where foci of gas and blood are identified within the left scrotum. in the midline abdomen/pelvis, there is another fluid collection exhibiting a hematocrit level, consistent with a post-operative hematoma (2:123). the right ureter is in close proximity to this midline hematoma, though there is no evidence of obstruction of the right kidney at this time. ct pelvis with intravenous contrast: the rectum and sigmoid colon are normal in caliber and configuration without evidence of acute inflammation or ischemia. postoperative fluid collections are identified within the pelvis as described above. there is a small foci of air within the bladder most likely secondary to recent foley catheterization, recommend correlation with clinical history (2:146). otherwise, the bladder, prostate, and seminal vesicles are within normal limits. no pathologically enlarged mesenteric, retroperitoneal, pelvic or inguinal lymph nodes are appreciated. there are bilateral fat-containing direct inguinal hernias, unchanged compared to prior. osseous structures: no bone destructive lesion identified. there are degenerative changes of the lower lumbar spine, most severe at l5-s1 with disc space narrowing and sclerosis. impression: 1. patent abdominal aortic graft without evidence of leak. adequate distal runoff into the proximal thighs without evidence of focal thrombus, dissection or acute aortic syndrome. 2. residual soft plaque or thrombus within the abdominal aorta and persistent rind of hyperattenuating inflammatory tissue. 3. post-surgical fluid collection on the left side of the graft at the level of the lower pole of the right kidney, near the site of surgical approach. additionally, a retroperitoneal hematoma is identified extending from the left flank into the pelvis and into the left inguinal canal. a midline pelvic hematoma is identified, in close proximity to the right ureter. no thick enhancing wall is identified around these fluid collections, though infection cannot be excluded. 4. normal parenchymal enhancement of the abdominal organs without evidence of ischemia. 5. stable changes of chronic pancreatitis. 6. bibasilar atelectasis and small bilateral pleural effusions, right greater than left. there was no acute findings noted, a rheumatology consult was obtained. they thought this was from aortic sholesteral enboli. nothing to do. pt also had normal post op constipation he was treated with different modalities, had a kub. normal postoperative illeus. this resolved with bowel medications. medications on admission: asa 81mg daily rosuvastain 40mg daily methimazole 15mg daily atenolol 50mg daily discharge medications: 1. methimazole 5 mg tablet sig: three (3) tablet po qd (). 2. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 3. rosuvastatin 40 mg tablet sig: one (1) tablet po once a day. 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po once (once) for 7 days: take prn for constipation. disp:*2 bottles* refills:*0* 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for . for 10 days: prn for pain. disp:*30 tablet(s)* refills:*0* 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation for 10 days: prn. disp:*30 tablet(s)* refills:*0* 11. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po once a day. disp:*30 capsule, ext release 24 hr(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: abdominal pain abdominal aortic aneurysm bilateral common iliac aneurysms post op illeus livido reticularis post op confusion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you have an abdominal aortic aneurysm please check your blood pressure twice daily and record. your goal bp is 120/80 or less. if it is consistently higher than this, you need to call your primary care physician and have your medications adjusted if you have acute pain in your back, abdomen or chest you need to go to the emergency room immediately. followup instructions: provider: , md phone: date/time: 11:00 procedure: resection of vessel with replacement, aorta, abdominal diagnoses: pure hypercholesterolemia unspecified essential hypertension hematoma complicating a procedure unspecified transient mental disorder in conditions classified elsewhere personal history of tobacco use paralytic ileus abdominal aneurysm without mention of rupture chronic pancreatitis personal history of malignant neoplasm of kidney aneurysm of iliac artery 

Answer: The patient is high likely exposed to