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: ampicillin / amoxicillin / ativan attending: chief complaint: fatigue major surgical or invasive procedure: op cabgx2(lima-lad,svg-om) history of present illness: 61 yo m with 2 month decline in energy and malaise who was walking at home, unable to sleep and tripped/lost balance and fell against the bath tub and developed sob. at osh, was found to have r ptx and rib fx. was also found to have pulmonary edema with elevated trops.had known cad, uncerwent repeat cath which showed significant cad. tansferred to for further eval. past medical history: acute on chronic systolic heart failure dm htn esrd - on hd (mwf) - last dialysis ; thrombectomy l arm fistula hypercholesterolemia gib in prepyloric area by egd (? nsaids) gastritis (egd) anemia hip surgery - on coumadin prostate adenocarcinoma chronic low back pain social history: occasional etoh, no tobacco, no drugs family history: mother: physical exam: obese m in nad neuro a&o, forgetful train of though, wanders, grip strenth l , r perrl cv rrr 2/6 sem resp crackles thoughout right, left clear gi obese, soft/nt right groin macerated/fungal infection pertinent results: 08:20am blood wbc-8.0 rbc-2.74* hgb-8.4* hct-24.9* mcv-91 mch-30.5 mchc-33.6 rdw-16.4* plt ct-130* 08:35am blood wbc-7.9 rbc-3.03* hgb-9.4* hct-27.5* mcv-91 mch-31.1 mchc-34.2 rdw-16.9* plt ct-127* 08:20am blood plt ct-130* 08:35am blood plt ct-127* 01:33pm blood pt-19.9* ptt-39.1* inr(pt)-1.9* 08:20am blood glucose-155* urean-38* creat-6.8*# na-129* k-4.4 cl-89* hco3-30 angap-14 08:35am blood glucose-123* urean-22* creat-5.2* na-135 k-4.2 cl-92* hco3-31 angap-16 echocardiography report , (complete) done at 10:54:10 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 61 m hgt (in): 70 bp (mm hg): 137/74 wgt (lb): 235 hr (bpm): 68 bsa (m2): 2.24 m2 indication: intraoperative tee for cabg icd-9 codes: 410.91, 440.0 test information date/time: at 10:54 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw2-: machine: 2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.9 cm <= 5.6 cm left ventricle - ejection fraction: 40% >= 55% left ventricle - peak resting lvot gradient: 3 mm hg <= 10 mm hg aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: *3.6 cm <= 3.4 cm aorta - descending thoracic: *2.9 cm <= 2.5 cm aortic valve - peak velocity: 1.7 m/sec <= 2.0 m/sec aortic valve - peak gradient: 11 mm hg < 20 mm hg aortic valve - mean gradient: 7 mm hg aortic valve - lvot pk vel: 0. m/sec aortic valve - lvot diam: 2.1 cm aortic valve - valve area: *2.0 cm2 >= 3.0 cm2 findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. dynamic interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. mildly dilated lv cavity. moderate regional lv systolic dysfunction. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. mildly dilated ascending aorta. simple atheroma in aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-revascularization: 1. the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. there is moderate to severe regional left ventricular systolic dysfunction of the inferior, septal and anterior walls. overall left ventricular systolic function is mildly depressed (lvef= 40 %). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened with focal calcification of left coronary cusp causing aorto sclerosis. there is no aortic valve stenosis. trace aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 7. there is no pericardial effusion. post revascularization: pt on phenylephrine infusion in intrinsic sinus rhythm: 1. normal rv function. lvef 40% 2. no new regional wall motion abnormalites, valves as listed pre-revascularization. 3. thoracic aortic contour is intact chest (portable ap) 4:28 pm chest (portable ap) reason: r/o ptx medical condition: 61 year old man s/p cabg and ct removal reason for this examination: r/o ptx history: status post cabg with chest tube removal; to assess for pneumothorax. findings: in comparison with the study of , the endotracheal tube, swan-ganz catheter, and nasogastric tube have all been removed. left chest tube has also been removed and there is no evidence of pneumothorax. there is probably some residual atelectatic change at the left base as well as in the right upper zone, both of which are decreasing. brief hospital course: he was admitted to cardiac surgery. he was seen by renal to continue his hd. he was taken to the operating room on where he underwent an opcabg x 2. he was transferred to the icu in critical but stable condition. he was given vancomycin perioperative prophylaxis as he was in house preoperatively. he was extubated the morning of pod #1. he continued on hd postop. he was transferred to the floor on pod #1. he was started on renagel per renal. he did well postoperatively and was ready for discharge to rehab on pod #4. medications on admission: crestor 40', colace 150", zoloft 100', lisinopril 40', norvasc 10', asprin 81', thiamin 100', plavix 75', protonix 40', toprol xl 200', ambien 10', folate 1", sensipar 180', lovaza 1"" discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. sevelamer 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 5. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 6. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 11. cinacalcet 30 mg tablet sig: six (6) tablet po daily (daily). 12. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. discharge disposition: extended care facility: rehab discharge diagnosis: cad now s/p cabg acute on chronic systolic heart failure esrd on hd(l av fist), cad s/p mi, htn, ^lipids, dm2 , s/p l thr, prostate ca s/p cryo/lupron, h/o gastric ulcer discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions,creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 4 weeks md procedure: single internal mammary-coronary artery bypass diagnostic ultrasound of heart hemodialysis (aorto)coronary bypass of one coronary artery pulmonary artery wedge monitoring transfusion of packed cells perioperative autologous transfusion of whole blood or blood components diagnoses: anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of prostate pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia old myocardial infarction long-term (current) use of anticoagulants obesity, unspecified closed fracture of one rib lumbago acute on chronic systolic heart failure home accidents hip joint replacement long-term (current) use of aspirin other fall polycystic kidney, unspecified type 

Answer: The patient is high likely exposed to