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: chest pressure major surgical or invasive procedure: - cabgx3(lima-lad, svg-om, svg-pda). aortic valve replacement (21mm mosaic ultra porcine valve) bronchoscopy thoracentesis history of present illness: this 84 year old white female with long standing complaints of exertional chest pressure and dyspnea and a lbbb underwent a stress test today. the stress test was positive for complaints of chest pressure and negative for ekg changes. nuclear imaging showed no evidence of ischemia or wall motion abnormalities. she was sent to the emergency room for evaluation and was treated for chf on her cxr with lasix. she was then transfered to for cardiac catheterization. past medical history: hypothyroidism hyperlipidemia hypertension social history: married and living with husband. two children live in triple above and below pt. family history: noncontributory physical exam: discharge: vs t97.9 hr 69 sr bp 116/57 rr 22 o2sat 93% 2lnp neuro: a&ox3. non focal exam lungs- decreased bs at bases, occ. rhonchi. cor- rrr no murmur. sternum stable, incision cdi abd: soft, nt/nd/+bs exts- trace edema, warm. palpable pulses pertinent results: 06:09pm urea n-12 creat-0.7 chloride-112* total co2-26 06:09pm wbc-16.1* rbc-2.77*# hgb-8.9*# hct-26.1* mcv-94 mch-32.2* mchc-34.2 rdw-12.8 06:09pm plt count-146* 06:09pm pt-14.4* ptt-38.4* inr(pt)-1.3* 05:23pm glucose-126* lactate-3.4* na+-139 k+-4.1 cl--111 01:12am blood wbc-14.2* rbc-3.50* hgb-10.8* hct-32.6* mcv-93 mch-30.9 mchc-33.2 rdw-14.6 plt ct-436 01:12am blood plt ct-436 03:25am blood pt-15.2* ptt-32.4 inr(pt)-1.3* 01:12am blood glucose-102 urean-26* creat-0.7 na-142 k-3.7 cl-106 hco3-30 angap-10 echo pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 40 - 45 %). hypokinesis of the septum and inferior walls is seen. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is severe aortic valve stenosis (area <0.8cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient initally had moderate lv systolic depresson. an infusion of epinephrine was started. lv systolic fxn returned to mild depression. rv systolic fxn was good. a prosthetic aortic valve is well-seated and functional. no leak is seen. a residual peak gradient of 30 mmhg is seen. aorta intact. , e f 84 radiology report chest (portable ap) study date of 7:19 am medical condition: 84 year old woman with reason for this examination: s/p thoracentesis evaluate re-expansion? final report reason for exam: followup pleural effusion post left thoracentesis and pulmonary edema. comparison is made with prior studies of and 13. low lung volumes are unchanged. moderate cardiomegaly is table. mild-to- moderate pulmonary edema is unchanged. left lower lobe retrocardiac opacity has increased likely due to atelectasis. there is a small amount of left pleural effusion. ng tube tip is out of view below the diaphragm. sternal wires are aligned. left subclavian catheter tip is in the svc. dr. dr. approved: fri 2:33 pm brief hospital course: ms. was admitted to the on for surgical management of her aortic valve and coronary artery disease. she was taken directly to the operating room where she underwent coronary artery bypass grafting and an aortic valve replacement. please see operative note for details. she weaned from bypass on epinephrine and nitroglycerine in stable condition. she was transferred to the icu. she was acidotic and treated with fluid resuscitation, levophed and milrinone. hemodynamics stabilized and lactates cleared by the morning after surgery. pressors were weaned and discontinued over the first three days. she was extubated on the second day after surgery, but required reintubation for fatigue and increased work of breathing. amiodarone was utilized for af control with eventual restoration of sr .a chest ct was done to evaluate for effusions. a small to moderate rt effusion was and a thoracentesis yielded 400cc of fluid. bronchoscopy on for small amounts of white secretions. diuresis was continued and cv remained stable. ace inhibition and beta blockade were begun and advanced to adequate levels. the ventilator was weaned and she was again extubated on . bipap was utilized nocturnally and aggressive pulmonary toilet was performed. she improved and bipap was stopped after . a speech and swallowing evaluation was done and she was cleared for ground solids and thin liquids, to be advanced as tolerated. with strength improving and pulmonary status stable she was ready for discharge to a rehabilitation facility. her cxr shows low volumes, consistent with poor inspiratory effort, but no effusions or infiltrates. labs are stable. follow up requirements,medications and precautions are outlined in the discharge paperwork. medications on admission: lipitor 20', levothyroxine 150', mevacor 20', lopressor 50', asa 81', pletal 100' discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain. 2. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po daily (daily) as needed for constipation. 3. levothyroxine 50 mcg tablet : three (3) tablet po daily (daily). 4. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 5. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : 2.5 mg inhalation q4h (every 4 hours). 7. ipratropium bromide 0.02 % solution : one (1) ih inhalation q6h (every 6 hours). 8. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 10. amiodarone 200 mg tablet : one (1) tablet po daily (daily). 11. captopril 25 mg tablet : one (1) tablet po tid (3 times a day). 12. metoprolol tartrate 25 mg tablet : 1.5 tablets po bid (2 times a day). 13. lasix 40 mg tablet : one (1) tablet po once a day. 14. potassium chloride 20 meq packet : one (1) po once a day. 15. insulin regular human 300 unit/3 ml insulin pen : see sliding scale subcutaneous ac & hs: 120-160:2units sq 161-200:4units sq 210-240:6units sq 241-280:8unitssq. 16. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). discharge disposition: extended care discharge diagnosis: aortic stenosis coronary artery disease s/p aortic valve replacement & coronary artery bypass grafts hypercholesterolemia hypertension hypothyroidism discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month () please follow-up with dr. in 2 weeks. please follow-up with dr. in weeks () procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other bronchoscopy open and other replacement of aortic valve with tissue graft transfusion of packed cells diagnoses: acidosis other iatrogenic hypotension thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism aortic valve disorders systolic heart failure, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution 

Answer: The patient is high likely exposed to