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: iodine-iodine containing attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: coronary aretery bypass grafts x 4 (lima-lad,svg-dg,svg-om,svg-pda) history of present illness: this 72 year old white male with known coronary artery disease has had recurrent palplitations and dyspnea. a stress test was positive and a cardiac csatheterization reveled triple vessel disease. he was referred for revascularization for which he is now admitted. past medical history: hypertension fatty liver noninsulin dependent diabetes mellitus paroxysmal atrial fibrillation s/p appendectomy social history: dental exam within 6 months lives with his wife. 50-100 pk year history prior to 16 years ago rare etoh use parttime truck driver,retired fireman family history: father and brother with coronary disease in 50s physical exam: pulse: 73 sr resp: 16 o2 sat: 98% ra b/p right: 195/94 left: 184/97 height: 66" weight: 155 general: wdwn in nad skin: warm, dry and intact heent: ncat, perrl, eomi, sclera anicteric, op benign. teeth in good repair. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, nl s1-s2, i/vi systolic ejection murmurbest heard at right sternal border. abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 2 left: 2 pt : 2 left: 2 radial right: 2 left: 2 carotid bruit right: + bruit left: none pertinent results: 01:00am blood wbc-5.4 rbc-3.05* hgb-9.2* hct-26.5* mcv-87 mch-30.0 mchc-34.6 rdw-14.5 plt ct-209 01:00am blood glucose-146* urean-13 creat-0.7 na-135 k-3.8 cl-101 hco3-27 angap-11 12:27pm blood urean-13 creat-0.7 cl-109* hco3-23 05:05am blood wbc-5.6 rbc-3.58* hgb-10.4* hct-30.9* mcv-87 mch-29.2 mchc-33.7 rdw-14.8 plt ct-300 09:10am blood pt-17.1* ptt-51.4* inr(pt)-1.5* 05:05am blood glucose-157* urean-12 creat-0.7 na-135 k-3.8 cl-100 hco3-24 angap-15 04:50am blood pt-24.5* ptt-54.3* inr(pt)-2.3* 06:00pm blood ptt-65.7* 09:10am blood pt-17.1* ptt-51.4* inr(pt)-1.5* 04:50am blood urean-14 creat-0.9 na-137 k-3.9 cl-103 mr head w/o contrast; mra brain w/o contrast; mra neck w&w/o contrast clip # reason: evaluate for r mca stroke 1. multiple punctate acute infarcts bihemispherically in watershed distribution, many more on the right than on the left. 2. high-grade proximal right internal carotid artery stenosis. echocardiography report pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no pericardial effusion. post_bypass: biventricular normal systolic function. lvef 55%. trivial mr. mild ai. intact thoracic aorta. brief hospital course: on mr. was taken to the operating room and underwent coronary artery revascularization x 4 (left internal mammary artery grafted to the left anterior descending artery/saphenous vein grafted to the diag/obtuse marginal/posterior descending artery). please refer to dr operative report for further details. the patient tolerated the procedure well and was weaned from bypass on neo synephrine and propofol in sinus rhythm. he was transferred to the cvicu for further invasive monitoring. he awoke neurologically intact, weaned from his drips and was extubated without incident postoperative night. cts were removed per protocol and subsequently temporary pacing wires. beta blockers/statin/aspirin and diuresis were initiated. pod 3 he was transferred to the floor for further monitoring. physical therapy was consulted to evaluate his strength and mobility. on pod 2 he was noted to have mild weakness on the left hand and arm and left neglect with visual field cut. a neurology consult was obtained and a head ct suggested a right lucunar infarct of indeterminate age. a mra demonstrated multiple watershed punctate infarcts, more so on the right than left. mr. was transferred back to the cvicu for closer monitoring and cva evolution. physical therapy continued to work with him and by pod6 he had only minor residual weakness of the left arm. vascular surgery saw him and anticoagulation was begun with asa, plavix and a heparin infusion, followed by coumadin. he will be followed after discharge and the 90% right carotid stenosis addressed after recovery from his cardiac surgery. he went into rapid atrial fibrillation on post operative day 6 and converted to sinus rhythm with 20 mg iv lopressor. lopressor was titrated up and he remained in sinus rhythm for the remainder of his hospital course. arrangements were made for coumadin follow up with dr. . his target inr is 2-2.5. first draw to be done by vna with results called to . pod# 8 he was cleared by dr. (dr. colleague) for discharge to home with vna/ot. all follow up appointments and precautions were advised. medications on admission: atnelolo 50mg daily asa25mg daily vitamin glyburide 5mg am/2.5 mg in pm discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 weeks. disp:*56 tablet(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. glyburide 5 mg tablet sig: one (1) tablet po twice a day: one tablet in am(5mg), tablet in pm(2.5mg). disp:*60 tablet(s)* refills:*2* 6. atorvastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 8. amiodarone 200 mg tablet sig: as directed tablet po bid (2 times a day): two tablets twice a day for two weeks, then one tablet twice daily for two weeks, then one tablet daily. disp:*100 tablet(s)* refills:*2* 9. outpatient work pt/inr on 6/***, then prn. call results to **** 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses: inr goal of .5 for atrial fibrillation. coumadin will be dosed by dr. . disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts x4 paroxysmal atrial fibrillation cerebrovascular disease s/p right hemispheric stroke hypertension s/p appendectomy fatty liver noninsulin dependent diabetes mellitus discharge condition: alert and oriented x3, nonfocal. ambulating with steady gait. incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg/left - healing well, no erythema or drainage. edema:none discharge instructions: 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. 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 approximately one month, until follow up with surgeon. no lifting more than 10 pounds for 10 weeks. please call with any questions or concerns (). **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 surgeon: dr. () on thurs., at 1:30pm please call to schedule appointments with: primary care: dr. () in weeks cardiologist: dr. in weeks vascular : , call in weeks neurology: dr., call in weeks **please call cardiac surgery office with any questions or concerns (). answering service will contact on call person during off hours.** labs: pt/inr for coumadin ?????? indication: s/p multiple punctate acute infarcts bihemispherically in watershed distribution, many more on the right than on the left. 90% right carotid stenosis. goal inr: 2-2.5 first draw: results to: dr. phone: procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery 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 atrial fibrillation other and unspecified angina pectoris surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other chronic nonalcoholic liver disease iatrogenic cerebrovascular infarction or hemorrhage occlusion and stenosis of carotid artery with cerebral infarction other musculoskeletal symptoms referable to limbs 

Answer: The patient is high likely exposed to