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: eye drops attending: chief complaint: shortness of breath with exertion major surgical or invasive procedure: 1. coronary artery bypass grafting x4 with left internal mammary artery left anterior descending coronary; reverse saphenous vein single graft from aorta to first diagonal coronary; reverse saphenous vein single graft from aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the second obtuse marginal coronary artery. 2. removal of left ventricular outflow tract intracardiac tumor. history of present illness: 67 year old male complains of having increased dyspnea on exertion, upon climbing 1 flight of stairs. he does get regular exercise. he had a positive stress test and sent directly to cath lab for further evaluation. cath showed severe coronary artery disease and referred for cardiac surgery. past medical history: diabetes hypertension hypercholesterolemia glaucoma past surgical history: s/p tonsillectomy at age 12 social history: race:caucasian last dental exam:1.5 years ago lives with:18 year old son occupation:retired, musician tobacco:denies etoh:rare family history: father had cabg, mother mi, brother cad physical exam: height:5'9" weight:113.4 kgs general:nad, alert, cooperative skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular no murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:+1 left:+1 dp right: +1 left:+1 pt :+1 left:+1 radial right: +2 left:+2 carotid bruit right: none left:none pertinent results: echo: pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. there is severe regional left ventricular systolic dysfunction with severley hypokinetic anterior wall and septal wall. apex is akinetic. overall left ventricular systolic function is mildly depressed (lvef= 30-35 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is moderate thickening of the mitral valve chordae. trivial mitral regurgitation is seen. there is no pericardial effusion.a filamentous echo density (freely mobile) was visualized in the lvot. 3d analysis showed it to be attached to the interventricular septum. it was not associated with with aortic valve regurgitation, stenosis or any other abnormality. post cpb: 1. no change in ventricular global or focal lv systolic function 2. preserved rv systolic function. 3. the echo density visualized in the lvot is no longer visualized. 4. no change in valve structure and function. admission labs: 07:46am hgb-12.9* calchct-39 07:46am glucose-135* lactate-2.5* na+-139 k+-4.6 cl--99* 01:51pm glucose-141* lactate-2.2* na+-136 k+-4.4 cl--107 01:52pm fibrinoge-175 01:52pm pt-14.6* ptt-32.1 inr(pt)-1.3* 01:52pm plt count-148* 01:52pm wbc-11.8* rbc-3.49*# hgb-8.9*# hct-26.8*# mcv-77* mch-25.6* mchc-33.3 rdw-13.6 02:56pm urea n-28* creat-1.1 sodium-139 potassium-4.2 chloride-110* total co2-23 anion gap-10 discharge labs: 04:40am blood wbc-10.6 rbc-3.64* hgb-9.1* hct-27.8* mcv-77* mch-25.2* mchc-32.9 rdw-13.5 plt ct-203# 04:40am blood plt ct-203# 04:40am blood glucose-109* urean-33* creat-1.4* na-136 k-3.8 cl-100 hco3-28 angap-12 radiology report chest (pa & lat) study date of 11:37 am medical condition: 67 year old man s/p cabg final report cardiomediastinal silhouette is stable. lungs are essentially clear except for bibasilar opacities consistent with atelectasis. overall, there is improvement of the right basal consolidation. no pneumothorax has been demonstrated. brief hospital course: mr. was a same day admit and on he was brought directly to the operating room where he underwent a coronary artery bypass graft x 4 and removal of left ventricular outflow tract intracardiac tumor. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one beta blockers and diuretics were started and he was diuresed towards his pre-op weight. on post-op day one he was transferred to the telemetry floor for further care. chest tubes and epicardial pacing wires were removed per protocol. during his post-op course he worked with physical therapy for strength and mobility. on post-op day 4 he was discharged home with vna services and the appropriate medications and follow-up appointments. medications on admission: atenolol - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth daily brinzolamide - (prescribed by other provider) - dosage uncertain fosinopril - (prescribed by other provider) - 20 mg tablet - 3 tablet(s) by mouth daily metformin - (prescribed by other provider) - dosage uncertain pravastatin - 80 mg tablet - 1 tablet(s) by mouth once a day timolol - (prescribed by other provider) - dosage uncertain travoprost - (prescribed by other provider) - dosage uncertain medications - otc aspirin - (prescribed by other provider) - 81 mg tablet, chewable - 1 tablet(s) by mouth daily nph insulin human recomb - (prescribed by other provider) - dosage uncertain tetrahydrozoline-peg - (prescribed by other provider) - dosage uncertain discharge medications: 1. pravastatin 20 mg tablet sig: four (4) tablet po daily (daily). disp:*120 tablet(s)* refills:*2* 2. 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* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. brinzolamide 1 % drops, suspension sig: as directed ophthalmic daily (). 6. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic (2 times a day). 7. metformin 500 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 9. travoprost 0.004 % drops sig: one (1) ophthalmic daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 11. lasix 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*14 tablet(s)* refills:*0* 12. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 7 days. disp:*14 tablet sustained release(s)* refills:*0* 13. nph insulin 40 units sq 14. humalog insulin humalog insulin based on sliding scale before meals and at bedtime discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history: diabetes hypertension hypercholesterolemia glaucoma past surgical history: s/p tonsillectomy at age 12 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ lower extremity edema 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 approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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 surgeon: dr. on 1:15 cardiologist: dr. : dr. office will call you with an appointment to been in 3 weeks. please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use unspecified glaucoma long-term (current) use of insulin benign neoplasm of heart chronic kidney disease, stage i 

Answer: The patient is high likely exposed to