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: angina major surgical or invasive procedure: cabgx4 (lima>lad,svg>om,svg>ramus,svg>pda) history of present illness: 61 yo f with known cad s/p pci/stent, angioplasty, now with angina at rest. cath showed 3vd and she was transferred for surgery. past medical history: pmh: cad(ptca of lad/rca ' and bms of rca ') htn, ^chol, dm2, obesity, hgba1c 8.6 preop psh: tubal ligation, lumpectomy social history: no tobacco, etoh family history: father deceased from mi at age 89 physical exam: 5'4" 85.7 kg nad lungs ctab heart rrr, no m/r/g abdomen benign extrem warm, no edema neuro nonfocal exam 2+ bil. radials/dps np bil. fems/pts no carotid bruits appreciated pertinent results: 07:20am blood wbc-10.3 rbc-3.31* hgb-8.5* hct-26.3* mcv-80* mch-25.6* mchc-32.2 rdw-15.6* plt ct-205 07:46pm blood wbc-6.5 rbc-4.32 hgb-10.5* hct-34.1* mcv-79* mch-24.2* mchc-30.6* rdw-15.3 plt ct-247 07:20am blood plt ct-205 07:46pm blood pt-12.4 ptt-36.8* inr(pt)-1.0 07:20am blood glucose-53* urean-16 creat-0.9 na-137 k-4.0 cl-101 hco3-29 angap-11 07:46pm blood glucose-66* urean-20 creat-1.0 na-142 k-3.9 cl-103 hco3-30 angap-13 01:00pm blood alt-21 ast-17 alkphos-79 amylase-55 totbili-0.4 01:00pm blood lipase-52 07:46pm blood ck-mb-3 ctropnt-<0.01 05:20am blood mg-2.0 07:46pm blood %hba1c-8.6* chest (pa & lat) 10:06 am chest (pa & lat) reason: r/o inf, eff medical condition: 61 year old woman with reason for this examination: r/o inf, eff history: rule out effusion, infiltrate. chest, two views. the patient is status post sternotomy, with cardiomegaly and borderline ectatic, tortuous aorta. there is blunting of the costophrenic angles posteriorly consistent with small effusions or a small amount of pleural thickening. minimal blunting is also seen laterally. there is linear atelectasis or scarring in the left greater than right mid zones. no chf or focal infiltrate is identified. probable atelectasis at left base as well. impression: cardiomegaly. small bilateral effusions. bilateral atelectasis. no definite infiltrate _____ exclude an infiltrate at the left base. dr. sinus rhythm. low normal voltage in the limb leads, low voltage in the precordial leads. left atrial abnormality. qs deflections in leads vi-v2 compatible with anteroseptal myocardial infarction. significant q waves in leads iii and avf compatible with inferior wall myocardial infarction. compared to the previous tracing of no significant change. read by: , i. intervals axes rate pr qrs qt/qtc p qrs t 81 170 78 418/454 38 -7 28 echocardiography report , (complete) done at 5:39:23 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 61 f hgt (in): bp (mm hg): / wgt (lb): 240 hr (bpm): bsa (m2): indication: coronary artery disease icd-9 codes: 440.0 test information date/time: at 17:39 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 #: 2008aw03-: machine: 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: 4.7 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec findings left atrium: dilated la. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh with normal cavity size and regional/global systolic function (lvef>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. 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. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data conclusions pre-bypass: the left atrium is dilated. 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. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). 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. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. dr. was notified in person of the results on ms. at 1pm post-bypass: regional and global left ventricular systolic function are normal. thoracic aortic contour is intact. minimal mr. electronically signed by , md, interpreting physician 17:42 brief hospital course: she was taken to the operating room on where she underwent a coronary artery bypass graft. see operative report for further details. she was transferred to the icu in stable condition. she was extubated later that night. she was given 48 hours of iv vancomycin as she was in the hospital preoperatively. she was hypertensive and required nipride initially which was weaned to off on pod #1 and she was transferred to the floor. gently diuresed toward her preop weight and beta blockade titrated. physical therapy worked with her on strength and mobility. she continued to progress and was ready for discharge home with services pod 5. medications on admission: lopressor xl 100', metformin 500", glipizide 10", actos 30', lipitor 80', asa 325', plavix 75', zetia 10' 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 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:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. glipizide 10 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 11. actos 30 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 12. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: cad now s/p cabg cad(ptca of lad/rca ' and bms of rca '), mi htn, ^chol, dm2, obesity + ppd discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving for one month or until follow up with surgeon. followup instructions: please call to schedule all appointments dr. (primary care doctor) ( 2 weeks dr. (cardiologist) ( 2 weeks dr. 4 weeks wound check appointment 6 please schedule with rn 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 pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status 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 old myocardial infarction obesity, unspecified 

Answer: The patient is high likely exposed to