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: egg / shellfish / chocolate flavor attending: chief complaint: exertional epigastric heartburn symptoms, doe major surgical or invasive procedure: coronary artery bypass graft x3 (left internal mammary artery > left anterior descendig, saphenous vein graft > obtuse marginal, saphenous vein graft > posterior descending artery) mitral valve repair (28mm ring) pfo closure, maze, left atrial ligation bronchoscopy history of present illness: this 59m has a h/o exertional angina and had an abnormal stress test and was referred for cath which showed severe three vessel disease which included: 90% prox lad, occluded diag, 90% prox lcx, 100% rca. he is now admitted for cabg. past medical history: chronic af iddm gerd ^chol. gout tinea versicolor social history: cigs: quit 33 yrs. ago etoh: 1 drink/wk lives with wife. family history: father died of mi @ 56 physical exam: wdwn in nad heent: nc/at, perla, eomi, poor dentition neck: supple, from, no lymphadenopathy or thyromegaly, carotids 2+= bilat. without bruits. lungs: clear to a+p cv: rrr without r/g/m, nl s1, s2 abd: +bs, soft, nontender without masses or hepatosplenomegaly ext: without c/c/e, pulses 2+= bilat. throughout neuro: nonfocal pertinent results: 08:07am blood wbc-13.0* rbc-3.67* hgb-11.6* hct-32.7* mcv-89 mch-31.5 mchc-35.3* rdw-15.7* plt ct-214 07:40am blood pt-24.0* inr(pt)-2.4* 08:10am blood glucose-153* urean-20 creat-0.9 na-137 k-3.3 cl-100 hco3-26 angap-14 radiology final report ct chest w/o contrast 9:39 am ct chest w/o contrast reason: evaluate findings on chest xray - right lung apical round sm medical condition: 59 year old man s/p cabg mvrepair reason for this examination: evaluate findings on chest xray - right lung apical round smoothly marginated lobular density representing likely extrapleural hematoma is also unchanged. new nodular opacity in the right midlung zone contraindications for iv contrast: shellfish allergy ct of the chest on history: right apical collection following heart surgery. new lesion right mid lung. technique: multidetector helical scanning of the chest was performed without intravenous contrast reconstructed as contiguous 5 and 1.25 mm thick axial and 5-mm thick coronal images, read in conjunction with chest radiographs from through . findings: a high-density (60 ) extrapulmonary collection along the right posterior costal surface of the upper lobe is either extrapleural or loculated in the pleural space stretching from the second through the fifth ribs, with greatest diameter 51 x 40 mm, at the level of the third posterior interspace. there is no transthoracic extension and the adjacent rib is intact. a small-to- moderate right and small layering left pleural effusions are not clearly hemorrhagic. a small, vertically oriented precardiac hematoma in the upper chest and lower peridiaphragmatic component, 2:26 and 45, are commonly seen after median sternotomy. there is no pericardial effusion. a small irregular opacity in the right upper lung, 3:25-28 is continuous with a small amount of fissural thickening, and corresponds to the opacity seen on chest radiographs on and , following removal of the right pleural tube are probably small areas of atelectasis or contusion associated with thoracostomy. there is no pneumothorax. aside from relaxation atelectasis at the lung bases and in the posterior dependent lungs, lungs are clear. there is no edema or pneumonia. impression: 1. persistent large right upper extrapleural or loculated pleural hematoma, little changed since the earliest post-operative films on . small layering non-hemorrhagic pleural effusions have probably been present through the entire post-operative course. 2. small right upper lobe lesion probably related to since removed right pleural tube. 3. insignificant small mediastinal hematomas, common post-operatively. dr. cardiology report echo study date of patient/test information: indication: h/o cardiac surgery. left ventricular function. prosthetic valve function. tamponade. status: inpatient date/time: at 13:53 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw04-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. interpretation: findings: emergency tee performed in the csru due to declining cardiac index and mixed venous saturation. left atrium: mild la enlargement. right atrium/interatrial septum: mild spontaneous echo contrast in the raa. left ventricle: mildly depressed lvef. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; basal inferoseptal - hypo; mid inferoseptal - hypo; basal inferior - hypo; mid inferior - hypo; basal inferolateral - hypo; mid inferolateral - hypo; basal anterolateral - hypo; mid anterolateral - hypo; anterior apex - hypo; septal apex - hypo; inferior apex - hypo; lateral apex - hypo; apex - hypo; right ventricle: mildly dilated rv cavity. mild global rv free wall hypokinesis. aorta: normal ascending aorta diameter. normal descending aorta diameter. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mitral valve annuloplasty ring. no ms. mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. 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 tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. conclusions: the left atrium is mildly dilated. mild spontaneous echo contrast is seen in the right atrial appendage. overall left ventricular systolic function is mildly depressed. the right ventricular cavity is mildly dilated. there is mild global right ventricular free wall hypokinesis. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. a mitral valve annuloplasty ring is present. no mitral regurgitation is seen. there is no pericardial effusion. electronically signed by , md on 13:56. brief hospital course: mr. is a 59 year-old gentleman who was refferd to for exertional chest pain and dyspnea. a subsequent cardiac catheterization revealed severe three vessel disease. on mr. a coronary artery bypass graft times three, a mitral valve repair, patent foramen ovale closure, left atrial ligation, and a maze. this procedure was performed by dr. . he tolerated the procedure well and was able to be transferred in critical but stable condition to the surgical intensive care unit. in the surgical intensive care unit the patient was extubated by post-operative day two. he was weaned from his pressors. his chest tubes and epicardial wires were removed. he had atrial fibrillation while in the unit and was therefore placed on heparin, coumadin, and amiodarone. on post operative day five he was transferred to the surgical step down floor. on the step down floor mr. was seen in consultation by the physical therapy service. he was gently diuresed. by post-operative day seven he was ready for discharge to home in stable condition with visiting nursing services. medications on admission: lipitor 20 mg po daily digoxin 0.25 mg po daily ecasa 325 mg po daily glyburide 5 mg po bid allopurinol 300 mg po daily prilosec 20 mg po daily plavix 75 mg po daily(for 5 days pta) toprol xl 25 mg po daily imdur 30 mg po daily gemfibrizol 600 mg po bid centrum silver oscal 500-d vit c discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 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:*0* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 5. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. 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* 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 8. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): take 2 tablets daily until then decrease to 1 tablet daily and follow up with cardiologist. disp:*40 tablet(s)* refills:*0* 10. warfarin 1 mg tablet sig: one (1) tablet po once a day for 1 doses: please take 1mg and - then have blood checked , further dosing by dr . disp:*60 tablet(s)* refills:*0* 11. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po twice a day for 7 days. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 13. ibuprofen 400 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 14. outpatient lab work pt/inr for coumadin dosing - atrial fibrillation s/p maze goal inr 2-2.5 first draw with results to dr 15. lancets & blood glucose strips combo pack sig: one (1) pack miscellaneous twice a day: please check blood glucose twice a day goal 70-110. disp:*qs qs* refills:*2* 16. glucometer discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg atrial fibrillation s/p maze and laa ligation mitral regurgitation s/p mv repair pfo s/p closure diabetes mellitus type 2 gerd hyperlipidemia gout discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns please check your blood sugar twice a day - goal 70-110. if greater than 200 two times please contact dr followup instructions: dr in 3 weeks () - please go to radiology in clinical center for chest xray 2 hours prior to appointment, the go to medical building dr in week () please call for appointment dr in weeks please call for appointment wound check appointment 2 as instructed by nurse () +++++++++++++ pt/inr for coumadin dosing - atrial fibrillation s/p maze goal inr 2-2.5 first draw with results to dr procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries fiber-optic bronchoscopy non-invasive mechanical ventilation excision or destruction of other lesion or tissue of heart, open approach annuloplasty other and unspecified repair of atrial septal defect other operations on heart and pericardium transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified atrial fibrillation other and unspecified hyperlipidemia iatrogenic pneumothorax ostium secundum type atrial septal defect other ill-defined heart diseases 

Answer: The patient is high likely exposed to