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: thoracic aortic penetrating major surgical or invasive procedure: repair of descending thoracic aortic penetrating ulcer with a tag endograft, reference number , lot number history of present illness: this is a woman who presented with anemia and ct scan showing left chest full of blood and a bedside mr indicative of ulceration of the aorta with intramural hematoma just past the subclavian takeoff. the patient was transferred here and ct was repeated without an interval change in the left chest hematoma or the appearance of the aorta. she is taken emergently for stent graft repair. past medical history: pmh: pud,asthma, hypothyroid, migranes psh: hyst, bilat knee , hernia repair, back surgery(tumor) social history: neg alcohol neg tobacco family history: n/c physical exam: a/o cta rrr benign distal pulses palp ct site - serous sang drainage pertinent results: 07:00am blood wbc-11.0 rbc-3.46* hgb-10.9* hct-31.7* mcv-92 mch-31.4 mchc-34.3 rdw-13.6 plt ct-225 02:06am blood pt-12.2 ptt-24.5 inr(pt)-1.0 07:00am blood glucose-101 urean-15 creat-0.6 na-140 k-3.9 cl-100 hco3-31 angap-13 02:56am blood alt-13 ast-16 ld(ldh)-155 alkphos-73 amylase-33 totbili-0.4 04:22am blood mg-2.0 05:15am urine color-straw appear-clear sp -1.048* urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg urine hours-random urine bnzodzp-neg barbitr-pos opiates-neg cocaine-neg amphetm-neg mthdone-neg 9:39 am chest (pa & lat) the cardiomediastinal contour is stable with no change in appearance of the endo-aortic graft. the left retrocardiac atelectasis is unchanged. small amount of subcutaneous air in the right chest wall is stable. there is no change in small right pleural effusion. there is no pneumothorax. there is no evidence of failure 11:04 am cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons ct of the chest with intravenous contrast: since the examination of , there has been placement of an endovascular aortic stent graft with its proximal end at the level of the distal aspect of the left subclavian artery, terminating in the distal descending aorta. there is no evidence of contrast extravasation beyond the margins of the graft. the mediastinal hematoma has decreased slightly in size since . the left-sided hemothorax has been largely evacuated, and a left-sided chest tube is in place entering via a left intercostal approach, tracking in the major fissure and terminating adjacent to the mediastinum. a small right-sided hydropneumothorax with apical/anterior and posteromedial component is present. a right-sided pleural effusion and adjacent compressive atelectasis have decreased. the heart and pericardium, and central airways appear unremarkable. ct of the abdomen without and with intravenous contrast: the aorta is normal in caliber and contour with mural calcification consistent with atheromatous disease. the branch vessels, including the celiac, superior mesenteric, renal, and inferior mesenteric arteries, are patent. note is made of an accessory renal artery on the right. there is an accessory left hepatic artery arising from the left gastric artery. two hypodense lesions in the liver (segment ivb, 3:109 and segment i, 3:97) are unchanged and likely represent cysts. contrast in the gallbladder is consistent with vicarious excretion. in the pancreatic head, a 7-mm oval hyperenhancing nodule appears unchanged from the contrast-enhanced examination performed at the outside hospital on . the spleen and splenule, right adrenal gland, appear unremarkable. multiple parapelvic cysts are present on the left. a 3.5 x 6.5 cm fat and soft tissue density lesion which is continuous with the medial limb of the left adrenal gland, is consistent with a myelolipoma. a second smaller fat density lesion in the upper portion of the left adrenal gland (3:87), is consistent with a smaller adrenal myelolipoma. the large and small bowel loops are normal in caliber. there is diverticulosis of the sigmoid colon with contrast retained in multiple diverticulae. ct of the pelvis with intravenous contrast: the bladder, distal ureters, prostate and seminal vesicles, rectum appear unremarkable. there is sigmoid colonic diverticulosis without evidence of inflammatory change. there are no pathologically enlarged pelvic or inguinal lymph nodes. bilateral fat-containing inguinal hernias are present. bone windows: no lesions worrisome for osseous metastatic disease are identified. there is subcutaneous emphysema within the tissues of the left chest wall near the site of insertion of the chest tube. impression: 1. status post placement of descending aortic endovascular stent graft without evidence of leak. 2. left-sided hydropneumothorax with marked decrease in hemothorax since , and with interval placement of a chest tube. 3. decreased simple right pleural effusion and atelectasis. 4. 7 mm enhancing nodule in the pancreatic head most likely represents a hyperenhancing pancreatic mass such as a neuroendocrine tumor. 5. two fat and soft tissue density containing left adrenal lesions consistent with myelolipoma. 6. unchanged hypodense hepatic lesions consistent with cysts. brief hospital course: this is a woman who presented with anemia and ct scan showing left chest full of blood and a bedside mr indicative of ulceration of the aorta with intramural hematoma just past the subclavian takeoff. the patient was transferred here and ct was repeated without an interval change in the left chest hematoma or the appearance of the aorta. she is taken emergently for stent graft repair. pt did recieve transfusion x 3 / hct stable ct placed - left chest hematoma pt tolerated the procedure well. no complications. she was transfered to the cvicu in stable condition. weaned from pressure suppore / extubated. she then transfered to the fllor in stable condition. pt worked with patient cta performe post - placement of descending aortic endovascular stent graft without evidence of leak. ct dc'd cxr showed - post removal of a right central line, a left chest drainage tube with no pneumothorax. small post-operative pneumomediastinum seen along the left heart border. prominent aorta; ascending aorta and arch secondary to previous surgery with graft placement. slight increase in the left pleural effusion. medications on admission: : premarin 0.3', advair 50/100", zantac 150', fiorocet-prn, levothyroxine 137' discharge medications: 1. conjugated estrogens 0.3 mg tablet sig: one (1) tablet po daily (daily). 2. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 6. levothyroxine 137 mcg tablet sig: one (1) tablet po daily (daily). 7. fioricet 50-325-40 mg tablet sig: one (1) tablet po prn. 8. advair diskus 100-50 mcg/dose disk with device sig: one (1) inhalation twice a day. 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*3* 10. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: home health of discharge diagnosis: penetrating ulcer on mid arch w/intramural hematoma asthma discharge condition: good discharge instructions: division of vascular and endovascular surgery endovascular abdominal aortic aneurysm (aaa) 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: see dr. in 3 months with a ct angio of the torso with mms reconstruction. call dr and schedule an appointment. this should be done in one week. phone: . procedure: aortography transfusion of packed cells endovascular implantation of graft in thoracic aorta diagnoses: unspecified acquired hypothyroidism asthma, unspecified type, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus dissection of aorta, thoracic 

Answer: The patient is high likely exposed to