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: history of present illness: mrs. is a 64-year-old white female with a past medical history significant for hypertension and hyperlipidemia who presented to dr. office with a complaint of disabling claudication in her right lower extremity thigh and calf that occurred after walking approximately one block. it was relieved by resting one to two minutes and recurred after she resumed ambulation. she had an magnetic resonance scan of her back as well as x-rays which failed to reveal any kind of degenerative joint disease. she is evaluated by dr. who felt that it was secondary to aortoiliac disease and arterial insufficiency. she was sent for an angiogram which revealed diffuse disease of the lower abdominal aorta especially just above the iliac bifurcation with complete occlusion of the right common iliac artery. stenosis of the proximal left iliac artery, proximal left external iliac artery and at the ostium of the left internal iliac artery. no evidence of disease in the femoral arteries on either side was noted. there was patency of the three distal vessel run offs in the right lower leg with the exception of the distal few cm of the anterior tibial arteries with no complaint of the dorsalis pedis on that side and focal stenosis in the distal peroneal artery. due to these findings it was decided by dr. that she would require an aortobifemoral bypass and she was subsequently admitted for this procedure. past medical history: significant for hypertension and hyperlipidemia that is managed with oral medication. she has a history of proteinuria with workup pending at this time. also of note with that is mild hyponatremia and hypokalemia that is managed with oral medications. she also has a history of urinary tract infection with questionable pyelonephritis in the past managed with antibiotics. hypothyroidism. past surgical history: significant for bladder suspension as well as left shoulder surgery for a bursitis and a left ganglion cyst. she also admits to a history of having tonsillectomy and adenoidectomy performed as well as a hysterectomy. medications in admission: 1. lipitor 10 mg p.o. q day. 2. verapamil 240 mg p.o. q day, sustained release. 3. atenolol 50 mg p.o. q day. 4. hydrochlorothiazide 25 mg p.o. q day. 5. premarin 0.625 mg p.o. q day. 6. synthroid 0.112 mcg p.o. q day. 7. amitriptyline 10 mg p.o. q day. social history: remarkable for her being married and living with her husband at this time. she has a significant history of nicotine abuse with an over 100 pack year history that continues today. she denies any history of alcohol abuse. hospital course: the patient was admitted to where she underwent an aorto-bifemoral bypass on . details of this procedure are dictated in a separate operative note. on the way to surgery she had become lightheaded and had a pre-syncopal episode, was initially taken to the emergency room prior to admission. this was felt to be secondary to mild hypovolemia and hypokalemia. she subsequently was taken to the pre-op holding area where she was hydrated adequately and her electrolytes were repleted. she felt better, back to her baseline and it was decided they would continue with surgery. postoperatively she did quite well and was transferred up to the vascular intensive care unit. she was monitored with a swann-ganz catheter for any fluid shifts as well as cardiac events. initially postoperatively she was maintained on renal dose dopamine as well as neo-synephrine for a low blood pressure and low svr and low urine output. she subsequently improved with two units of packed red blood cells and some mild gentle hydration. on postoperative day one she was subsequently weaned off of both medications and had adequate urine output. she continued to do well and was maintained on npo until her bowel function returned. her electrolytes were repleted adequately and she continued to progress well without any hemodynamically significant events. on postop day four her swann-ganz catheter was removed and she was now making good urine, passing flatus and was having a clear lung exam. she was gotten out of bed and evaluated by physical therapy. they felt she would need several days of acute rehabilitation while in hospital and would benefit from another two days. currently she is doing quite well and she is tolerating an oral diet without any difficulty. she is afebrile with vital signs stable. she has been restarted on all of her usual medications. her physical examination at this time reveals a well developed female appearing older than her standard age of 64. her neck is supple without evidence of jugular venous distention and there is a left carotid bruits. her heart is regular rate and rhythm. lungs are clear to auscultation bilaterally without wheezes, rales or rhonchi. abdomen is soft, nontender, nondistended with positive bowel sounds present. her incisions are clean, dry and intact with staples present in the midline and in both groins. there is no drainage from these incisions or erythema noted. her pulse exam is remarkable for palpable femoral pulses bilaterally as well as posterior tibial pulses bilaterally. her disposition at this time is stable, progressing well. she will be discharged when she is cleared by physical therapy and wishes to be discharged home to go to a rehabilitation facility. her staples are to remain in until she follows up with dr. in approximately 10 days to two weeks. a nurse will be arranged for routine vitals and monitoring. at this point home physical therapy is not necessary. discharge medications: same as admission medication list without changes. discharge diagnosis: 1. disabling claudication secondary to severe aortoiliac disease and right common iliac artery occlusion. 2. hypertension. 3. hypercholesterolemia. 4. low urine output, currently resolved. 5. hypothyroidism. 6. urinary tract infection. currently resolved. 7. anemia postoperatively resolved with blood transfusion. laboratory values: at the time of discharge are significant for glucose of 111, bun 10, creatinine 0.5, potassium 3.7, calcium 8.2, phosphorus 3.0, magnesium 1.4, hematocrit 31.3. white blood count was within normal range. her electrocardiogram is without change from her admission which revealed mildly prolonged qt interval without evidence of ischemic changes. a chest x-ray revealed resolving congestive heart failure as well as bibasilar atelectasis. she is being treated with her daily doses of diuretics. , m.d. dictated by: medquist36 procedure: aorta-iliac-femoral bypass reopening of recent laparotomy site diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia hyposmolality and/or hyponatremia atherosclerosis of native arteries of the extremities with intermittent claudication hematoma complicating a procedure pulmonary collapse 

Answer: The patient is high likely exposed to