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: chest pain major surgical or invasive procedure: - cabgx3 (left internal mammary->left anterior descending, vein graft->obtuse marginal, vein graft->right coronary artery) history of present illness: 53 year old woman with dyspnea on exertion . she underwent an ett on which was positive for ischemia. she underwent a cardiac catheterizationon which revealed a 60% left main and three vessel coronary artery disease. given these findings, she was transferred to the for coronary artery bypass grafting. past medical history: bipolar disorder diabetes mellitus type 2 hyperlipidemia obesity htn cad social history: lives with sister. on disability. does not smoke or drink alcohol. family history: noncontributory physical exam: 98.9 70 sr 18 104/60 64" 198lbs neuro: nonfocal heent: ncat, perrl, eomi, full dentures pulm: clear heart: rrr, no r/g/m, nl s1-s2 abd: nabs, soft, nt, nd ext: no clubbing, cyanosis or edema. pulses 2+ pertinent results: echo pre-bypass: the left atrium is normal in size. 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 and cavity size are normal. 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. torn mitral chordae are present. no mitral regurgitation is seen. there is no pericardial effusion. post: preserved biventricular systolic function. there is chordal . no other change in valve structure or function 7//29/07 cxr no evidence of acute cardiopulmonary process. brief hospital course: ms. was admitted to the on for surgical management of her coronary artery disease. she was worked-up in the usual preoperative manner. she was originally schedule for surgery on however wanted more time to think things over. as she was having chest discomfort at rest, heparin and nitroglycerin were started. on , ms. was taken to the operating room where she underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. later that day, she awoke neurologically intact and was extubated. on postoperative day one, she was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. she was cleared to go home without physical therapy. she is still mildly volume overloaded at the time of discharge. she will be sent on lasix and potassium for one week. she has a perserved ejection fraction; she will likely not need agressive diuresis beyond this. she will restart lisinopril as an outpatient. medications on admission: metformin 1000mg motrin 800mg tid lisinoprill 40mg qd actos 30mg qd aspirin 81mg qd prilosec 20mg qd vytorin 10/80mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 2. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 3. actos 30 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. vytorin 10-80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*12 tablet(s)* refills:*0* 7. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: multicultural vna discharge diagnosis: hyperlipidemia diabetes mellitus type 2 htn obesity bipolar disorder cad s/p cabgx3 discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in weeks. follow-up with pcp . in weeks. provider: , . follow-up appointment should be in 1 week please call all providers for appointments. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia obesity, unspecified bipolar disorder, unspecified 

Answer: The patient is high likely exposed to