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: chest pain major surgical or invasive procedure: cabgx3 history of present illness: 70 year old female who presented to on with chest pain, dyspnea and palpitations. enzymes were negative. a cardiac catheterization was performed which revealed severe three vessel disease. she was transferred to the for surgical revascularization. past medical history: hyperlipidemia htn copd asthma dilated cardiomyopathy hypothyroid past tubal ligation, ceserean section and ventral hernia repair. social history: does not drink alcohol. quit smoking 30 years ago. lives in and is in visiting her family. lives with daughter. physical exam: bp: 145/72 98.7 pulse 82 neuro: no gross deficits, no carotid bruits, normal strength and gait pulm: bilateral exp wheezes heart: rrr, no murmur abd: obese, soft, nontender ext: warm, no edema. pertinent results: 09:12pm glucose-103 urea n-16 creat-1.0 sodium-142 potassium-3.2* chloride-101 total co2-33* anion gap-11 09:12pm alt(sgpt)-14 ast(sgot)-15 ld(ldh)-167 alk phos-73 tot bili-0.4 09:12pm albumin-4.0 09:12pm %hba1c-5.2 -done -done 09:12pm wbc-6.8 rbc-3.66* hgb-11.4* hct-35.1* mcv-96 mch-31.2 mchc-32.5 rdw-13.2 09:12pm plt count-193 09:12pm pt-12.6 ptt-28.2 inr(pt)-1.1 05:40am blood wbc-11.3* rbc-2.88* hgb-8.6* hct-27.1* mcv-94 mch-29.9 mchc-31.9 rdw-14.5 plt ct-132* 05:40am blood plt ct-132* 05:40am blood glucose-101 urean-17 creat-0.8 na-142 k-4.8 cl-106 hco3-30 angap-11 cxr well defined nodule projecting over 9th left posterior rib. diffuse interstitial markings cxr small left pleural effusion. no pneumothorax. ct chest 1. a 19-mm nodular lesion in the lingula showing eccentric calcifications, is concerning for a scar carcinoma or other lung cancer. pet/ct would be helpful for further evaluation. 2. peribronchial thickening and mild bronchiectasis in the left lower lobe and right middle lobe, likely due to endobronchial infection. 3. mild mediastinal lymphadenopathy. 4. multiple noncalcified less than 5-mm pulmonary nodules; followup for these is recommended in three to six months. 5. coronary artery calcifications. 6. pulmonary arterial hypertension. 7. hypodense 10 mm lesion in the liver,likely a cyst 8. gall stones. carotid ultrasound no appreciable plaque or wall thickening involving either carotid system. antegrade flow in both vertebral arteries. ekg sinus rhythm ventricular premature complexes consider left atrial abnormality right bundle branch block consider prior inferior myocardial infarction st-t wave abnormalities are diffuse - cannot exclude in part ischemia - clinical correlation is suggested since previous tracing of , ventricular ectopy, right bundle branch block, and further st-t wave changes present. brief hospital course: ms. was admitted to the on for surgical management of her coronary artery disease. she was worked-up by the cardiac surgical service in the usual preoperative manner including a carotid duplex ultrasound which showed no flow limiting stenosis. a chest x-ray revealed a nodule which was further worked-up by a chest ct scan. this revealed a 19 x 13 mm nodular lesion in the lingula with some eccentric calcifications. noncalcified nodules, smaller than 5mm, were seen in the posterior segment of the right upper lobe, lingula, and left lower lobe. mild bronchiectasis and peribronchial thickening is noted in the left lower lobe and right middle lobe with thickening along the right major fissure. the airways are patent up to the subsegmental bronchi. there are no pleural of pericardial effusions. an 11-mm internal mammary and 15-mm precarinal enlarged lymph nodes were also noted. follow-up ct scan and or pet scan were recommended in the future to assess the stability of these lesions. levofloxacin was started for a urinary tract infection. on , ms. was taken to the operating room where she underwent coronary artery bypass grafting to three vessels. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, ms. neurologically intact and was extubated. she grew pseudomonas in her sputum for which she was switched to clindamycin. the pulmonology service was consulted for bronchiectasis who recommended good pulmonary toilet and incentive spirometry. later on postoperative day one, she was transferred to the cardiac surgical step down unit for further recovery. ms. was gently diuresed toward her preoperative weight. she developed atrial fibrillation which converted to normal sinus rhythm with amiodarone. her drains and pacing wires were removed per protocol. the physical therapy service worked with ms. to help with her postoperative strength and mobility. she continued to make steady progress and was discharged home on postoperative day five. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: prazosin 5mg twice daily lipitor 20 mg daily synthroid 100mcg once daily aspirin 81mg once daily calcium lisinopril 20mg once daily discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). disp:*120 capsule, sustained release(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 30 doses. disp:*30 tablet(s)* refills:*0* 5. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 6. clindamycin hcl 150 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 2 weeks. disp:*112 capsule(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: four (4) tablet po bid (2 times a day): take in place of toprol xl. disp:*240 tablet(s)* refills:*2* 9. lipitor 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: discharge diagnosis: coronary artery disease dilated cardiomyopathy asthma/copd/chronic bronchitis hypertension hypercholesterolemia hypothyroid discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet shower daily, wash incision with mild soap and water and pat dry. no lotions, creams, powders, or baths. no lifting more than 10 pounds or driving until folloup with surgeon. call with temperature more than 101.4, redness or drainage from incision, or weight gain more than 2 pounds in one day or five in one week. followup instructions: dr. 4 weeks dr. 1-2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation pneumonia due to pseudomonas bronchiectasis without acute exacerbation 

Answer: The patient is high likely exposed to