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: positive stress test major surgical or invasive procedure: cabg x3 lima-lad, svg-ramus, svg-pda history of present illness: 51yo man that had positive outpatient stress test. he then had f/u cardiac catheterization that revealed 3 vessel disease and he was then referred to for coronary bypass grafting. past medical history: ^chol dm hand surgery social history: lives w/brother. for denies tobacco and etoh family history: mother and father both +cad physical exam: admission: t 96.6 hr 55 bp 130/70 rr 18 o2sat 94% ra gen: nad cv: rrr no m/r/g pulm: cta-bilat abdm: soft, nt/nd ext: warm, no edema or varicosities. palpable pulses discharge: pertinent results: 07:25pm glucose-163* urea n-14 creat-1.0 sodium-141 potassium-3.8 total co2-30 07:25pm alt(sgpt)-52* ast(sgot)-26 alk phos-78 amylase-72 tot bili-0.7 07:25pm lipase-60 07:25pm %hba1c-5.8 07:25pm wbc-8.5 rbc-5.04 hgb-14.6 hct-40.5 mcv-80* mch-29.0 mchc-36.1* rdw-13.8 07:25pm plt count-212 07:25pm pt-12.7 ptt-26.9 inr(pt)-1.1 06:30am blood wbc-13.1* rbc-3.93* hgb-11.7* hct-32.6* mcv-83 mch-29.8 mchc-35.9* rdw-13.7 plt ct-187 06:30am blood plt ct-187 02:00am blood pt-14.0* ptt-31.2 inr(pt)-1.2* 06:30am blood glucose-230* urean-12 creat-1.0 na-137 k-4.6 cl-99 hco3-30 angap-13 radiology final report chest (portable ap) 1:31 pm chest (portable ap) reason: s/p chest tube removal medical condition: 51 year old man s/p cabg. reason for this examination: s/p chest tube removal history: cabg, status post chest tube removal. findings: in comparison with the study of , the left chest tube has been removed and there appears to be a very small apical pneumothorax. the endotracheal tube, nasogastric tube, and mediastinal drains have been removed. some atelectatic change persists at the left base. impression: removal of various tubes with possible small apical pneumothorax. dr. , (complete) done at 12:02:46 pm preliminary referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 51 m hgt (in): 71 bp (mm hg): 138/76 wgt (lb): 220 hr (bpm): 53 bsa (m2): 2.20 m2 indication: intraoperative cabg icd-9 codes: 410.91, 440.0 test information date/time: at 12:02 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 #: 2007aw4-: machine: 4 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - systolic dimension: 3.8 cm left ventricle - fractional shortening: *0.24 >= 0.29 left ventricle - ejection fraction: 55% to 60% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: *3.8 cm <= 3.6 cm aorta - sinotubular ridge: *3.5 cm <= 3.0 cm aorta - ascending: *3.5 cm <= 3.4 cm findings left atrium: good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. simple atheroma in ascending aorta. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. post-bypass: pt came off bypass on phenylephrine drip at 0.3mcg/kg/min and sinus rhythm. 1. preserved biventricular function (ef>55%). 2. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: mr was transferred from to for cabg on after cardiac catheterization revealed 3vd. on he was brought to the operating room for cabg. please see or report for details, in summarry he had cabg x3 with lima-lad, svg-ramus, svg-pda. his bypass time was 71 minutes with a crossclamp time of 57 minutes. he was transferred from the or to the icu in stable condition. he did well in the immediate post-op period, his anesthesia was reversed and he extubated. he remained hemodynamically stable and on pod1 was transferred to the step down floor. he had an uneventful post-operative recovery. he worked with nnursing and physical therapy to regain his strenghth and on pod 6 he was discharged home with visiting nurses. he is to follow up with drs and . to note pt had low grade temp., no source of infection identified. dis have sone serous drainage from sternal incision. sternal incision is stable. dc on levfloxacin for 7 days medications on admission: asa 81' lipitor 10 qod metoprolol 50' metformin 500" glyburide 5' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. glyburide 5 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(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. 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* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 7 days. disp:*7 capsule, sustained release(s)* refills:*0* 12. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: cad s/p cabgx3 lima-lad, svg-ramus, svg-pda pmh: ^chol, dm, hand surgery discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medication as prescribed. call for any fever, redness or drainage from wounds. followup instructions: dr in weeks dr in 4 weeks wound check on 2 - come in at your convienance / report to the nursing station procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart cardioplegia diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse 

Answer: The patient is high likely exposed to