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: penicillins attending: chief complaint: s/p left heart catheterization for exertional angina major surgical or invasive procedure: coronary artery bypass grafting x3 with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch of the right coronary artery. history of present illness: 64 year old primarily portuguese speaking woman with diet controlled diabetes, hypertension and hyperlipidemia has been experiencing symptoms of angina over the last several months. pain is substernal chest discomfort and occurs with exertion and resolves with rest. she has no pain at rest. of note, pt presented to hosp er recently with nausea/vomiting/headache and was referred for stress testing, which was done on . she experienced chest pain during exercise and ekg was positive for 1-2 mm of upsloping st segment depression in v3-v6 and in inferior leads. nuclear imaging was normal. she was recommended to get cardiac catheterization after positive stress result, and she is s/p diagnostic cath today via right radial access initially, then right groin with 2 puncture wounds, which "demonstrated left main and 2 vessel coronary artery disease. the lmca had an 80% ostial stenosis. the lad had a 60% lesion in the mid-aspect of the vessel. the lcx had minor luminal irregularities. the rca was notable for a proximal 70% stenosis that was long, as well as a 50% mid lesion." she was then admitted for for cabg and cardiac surgery is following. she has been placed on a heparin gtt but has not been given plavix. . she denies prior history of cardiac disease. she denies shortness of breath while lying on her back and shortness of breath in general. she sleeps on three pillows at night reflux. no nausea, vomiting, headache. no change in bm or blood in stool. no swelling in hands or feet. admits to leg cramping in her right leg. . on arrival to the floor, patient was lying comfortably on her back. she denies cp, admits only to pain in right wrist and in her back, which is chronic. vitals on arrival to floor are 98.4, 138/65, 60, 16, 99% ra. . review of systems per hpi past medical history: past medical history: 1. cardiac risk factors: +diabetes, +dyslipidemia, +hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: diabetes- diet controlled hypertension hyperlipdemia appendectomy knee surgery- metal implant gerd social history: widow. lives with daughter. on disability. tobacco: no etoh: no illicits: no family history: sister has a pacemaker at age 61, father had "open heart surgery". physical exam: admission exam: vs: 98.4, 138/65, 60, 16, 99% ra. general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: no jvd. cardiac: rrr, scratchy-sounding systolic murmur heard best at usb's. no gallops. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi at lateral bases or anteriorly; could not assess posteriorly due to pt requiring supine position abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: 2+ dp's bilat, 2+ radial on left, could not assess right radial post-cath sheath discharge 99.0 81 sr 100/59 18 92%-ra gen nad neuro a&o x3, nonfocal cv rrr, no murmur. sternum stable incision cdi pulm cta-bilat abdm soft, nt/nd/+bs ext warm trace le edema pertinent results: admission labs: 10:15am blood wbc-7.3 rbc-3.73* hgb-11.4* hct-31.2* mcv-84 mch-30.5 mchc-36.5* rdw-13.3 plt ct-160 10:15am blood neuts-68.0 lymphs-26.3 monos-4.4 eos-0.6 baso-0.7 10:15am blood pt-12.6* ptt-150* inr(pt)-1.2* 10:15am blood glucose-114* urean-17 creat-0.9 na-142 k-4.0 cl-105 hco3-25 angap-16 10:15am blood alt-15 ast-23 alkphos-67 totbili-0.6 06:50am blood calcium-9.1 phos-4.1 mg-1.9 10:15am blood albumin-3.8 10:15am blood %hba1c-6.5* eag-140* discharge labs: 05:15am blood wbc-9.7 rbc-3.70* hgb-11.1* hct-32.2* mcv-87 mch-30.1 mchc-34.5 rdw-13.8 plt ct-177# 05:15am blood plt ct-177# 04:29am blood pt-13.7* ptt-31.0 inr(pt)-1.3* 05:15am blood urean-19 creat-0.9 na-135 k-4.5 cl-98 imaging: c. cath : 1. selective coronary angiography of this right dominant system demonstrated left main and 2 vessel coronary artery disease. the lmca had an 80% ostial stenosis. the lad had a 60% lesion in the mid-aspect of the vessel. the lcx had minor luminal irregularities. the rca was notable for a proximal 70% stenosis that was long, as well as a 50% mid lesion. 2. limited resting hemodynamics revealed normal systemic systolic arterial pressures, with a central aortic pressure of 138/66, mean 97 mmhg. final diagnosis: 1. left main and two vessel coronary artery disease. 2. systemic systolic arterial normotension. 3. evaluation for coronary artery bypass graft surgery. carotid duplex:minimal bilateral ica calcific plaque, no appreciable associated stenosis, however, (graded as less than 40% bilaterally). radiology report chest (pa & lat) study date of 3:59 pm findings: as compared to the previous radiograph, the patient has developed mild bilateral pleural effusions, better visible than on the previous radiograph and better seen on the lateral than on the frontal image. the size of the cardiac silhouette is unchanged. there are mild areas of basal atelectasis but no evidence of acute changes. the right central venous access line has been removed in the interval. dr. echocardiography report echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - ejection fraction: 50% to 55% >= 55% - ascending: 3.4 cm <= 3.4 cm aortic valve - peak gradient: 6 mm hg < 20 mm hg findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: low normal lvef. right ventricle: normal rv chamber size and free wall motion. : normal ascending diameter. simple atheroma in descending . aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic . the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post-cpb: the patient is on no inotropes and is av-paced. preserved biventricular systolic fxn. trace tr, no ai, no mr. . interpretation assigned to , md, interpreting physician brief hospital course: 64 year old female with htn, hld, and dm found to have two vessel disease with left main on cardiac catheterization and referred to cardiac surgery for evascularization. after preop workup patient was brought to the operating room for coronary bypass grafting with dr on . please see the operative report for details, in summary she had: coronary artery bypass grafting x3 with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch of the right coronary artery. her bypass time was 61 minutes with a crossclamp time of 48 minutes. she tolerated the operation well and post-operatively was transferred to the cardiac surgery icu in stable condition. in the immediate post-op period she remained hemodynamically stable, woke neurologically and was extubated. she remained stable throughout the operative night and on pod1 she was started on bblockers and diuretics. additionally she was transferred to the stepdown floor for continued post-operative management. all tubes lines and drains were removed per cardiac surgery protocol. once on the floor she worked with nursing and physical therapy to increase her strength and mobility. the remainder of her hospital course was uneventful. on pod4 she was cleared for discharge home with visiting nurses. she is to follow up with dr in 1 month medications on admission: amlodipine 5 mg daily hydrochlorothiazide 25 mg daily lisinopril 40 mg daily nitroglycerin 0.4 mg tablet, sublingual- 1 tablet sub lingually prn omeprazole 20 mg daily pravastatin 40 mg daily ranitidine hcl 300 mg daily- last dose two months ago aspirin 81 mg daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. pravastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 9. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) gm po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg x3 pmhx: diabetes- diet controlled hypertension hyperlipidemia gerd lumbosacral neuritis appendectomy s/p repair of left lateral meniscus tear discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema- trace bilat le discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: clinic @ 10:45am surgeon: dr @1pm cardiologist: , md phone: date/time: 1:40 primary care dr. , md phone: date/time: 12:15 provider: , m.d. phone: date/time: 2:00 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to