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 pain/shortness of breath major surgical or invasive procedure: - coronary artery bypass graft x4 (left internal mammary artery to left anterior descending coronary artery, reverse saphenous single vein graft from the aorta to the second obtuse marginal coronary artery, reverse saphenous vein, single vein graft from the aorta to the first diagonal coronary artery, and reverse saphenous vein graft, single graft from the aorta to the posterior descending artery. history of present illness: 53 year old gentleman with three vessel disease transferred from outside hospital after presenting with chest and jaw pain as well as shortness of breath which have all increased over the past 6 weeks. he now presents for surgical revascularization. past medical history: hyperlipidemia htn obesity umbilical hernia new onset diabetes type 2 past laminectomy social history: retired semi-pro football player. he is know a trucking company manager. he drinks 5 drinks per week. denies tobacco use. family history: father with cad at age 53. physical exam: admission ht 70" wt 282lb vs t 98 degrees bp 138/72 hr 67 sr rr 20 o2sat 95% ra nad cv rrr, no m/r?g lungs ctab abd obese, soft, nt/nd ext: no edema, 2+ pulses, no varicosities, no carotid bruits. discharge vs t 98.6 hr 89sr bp 144/72 rr 20 o2sat 90% ra gen: nad neuro: a&ox3, nonfocal exam pulm: cta bilat cv: rrr, s1-s2. sternum stable incision cdi abdm: soft, nt/nd/+bs ext: warm, 1+edema bilat. svg site w steri's cdi pertinent results: 04:44pm pt-10.6 ptt-23.9 inr(pt)-0.9 04:44pm wbc-7.0 rbc-4.92 hgb-15.2 hct-43.5 mcv-89 mch-30.9 mchc-34.9 rdw-13.7 04:44pm alt(sgpt)-55* ast(sgot)-24 alk phos-98 amylase-41 tot bili-0.2 04:44pm glucose-160* urea n-15 creat-0.9 sodium-141 potassium-4.6 chloride-101 total co2-31 anion gap-14 05:24pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 06:20am blood hct-30.0* 11:45am blood glucose-225* urean-13 creat-0.9 na-135 k-4.7 cl-97 hco3-31 angap-12 04:44pm blood %hba1c-8.3* radiology final report chest (pa & lat) 2:50 pm chest (pa & lat) reason: eval effusions, atelectasis medical condition: 53 year old man s/p cabg reason for this examination: eval effusions, atelectasis pa and lateral views of the chest reason for exam: evaluate pleural effusions, patient post-cabg. comparison is made with prior study dated . there has been interval decrease in the mediastinal widening and enlarged cardiac silhouette seen postoperatively. there are small bilateral pleural effusions. there is no pneumothorax. mild atelectasis is in the left lower lobe, otherwise the lungs are clear. patient is post-median sternotomy and cabg; retrosternal air is likely due to recent surgery. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: mr. was admitted to the on for surgical management fo his coronary artery disease. he was worked-up in the usual preoperative manner and was found to be ready for surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. later that evening, he awoke neurologically intact and was extubated. on postoperative day one, beta blockade, aspirin and his statin were resumed. he was then transferred to the step down unit for further recovery. over the next several days he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his chest tubes and epicardial wires were removed. on pod 5 it was decided he was stable and ready to be discharged home with visiting nurses. it should be noted that while mr was an inpatient he was seen in consultation by the clinic for diabetes management. medications on admission: aspirin 325mg qd lopressor 25mg zocor 40mg qd diclonfenac 50mg prn discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q 3-4 hrs as needed. disp:*50 tablet(s)* refills:*0* 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. disp:*qs 1 month* refills:*0* 8. diabetic supplies lancets test strips insulin syringes 9. zantac 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: cad s/p cabg hyperlipidemia obesity umbilical hernia diabetes mellitus type 2 htn discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increasing pain. please contact surgeon ( with all wound issues. 2) please shower daily. you may wash incision and gently pat dry. you may have steri-strips on incisions which should fall off on their own. if still intact after 3 weeks, you mat remove them. no lotions, creams or powders to incision until it has healed. no swimming until wound has healed. use sunscreen on incision when out in sun after it has healed. 3) no lifting greater then 10 pounds for 10 weeks from the date of surgery. 4) no driving for 1 month. 5) report any fever greater then 100.5. 6) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with cardiologist dr. in 2 weeks. please follow-up with pcp . in weeks. please follow-up with diabetes service as instructed. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia other and unspecified angina pectoris morbid obesity family history of ischemic heart disease umbilical hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to