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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: bilateral thoracotomies, mini-maze with resection of left atrial appendage history of present illness: mr. is a 57 year old male with history of persistent atrial fibrillation since . he complained of intermittent shortness of breath. in addition he has intermittent palpitations, lightheadedness, dizziness and fatigue. he was on amiodarone in - and maintained a nsr but had to stop taking this medication due to photosensitivity. during this time he had two cardioversions. he is currently taking diltiazem and carvedilol. in addition is currently taking pradaxa instead of coumadin. due to his symptoms, and frequency of atrial fibrillation, he has been referred for maze procedure with left atrial appendectomy. past medical history: chronic paroxysmal atrial fibrillation colon/rectal cancer s/p surgery prostate cancer s/p surgery gerd bowel dysfunction osteoarthritis phlebitis claustrophobia s/p colectomy/ostomy(later reversed) s/p radical prostatectomy s/p right knee surgery s/p right shoulder surgery s/p left hip replacement s/p ventral hernia repair s/p vein stripping of right gsv social history: mr. lives with his wife and is a football coach. he is a non-smoker and drinks alcohol socially. family history: his father had a coronary artery bypass graft in his 70s. physical exam: physical exam pulse: 85 resp: 16 o2 sat: 98%ra b/p right: 117/78 left: 114/75 weight: 237lb general: nad, wgwn, appears stated age, slightly anxious skin: dry intact heent: perrla eomi op benign neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + well healed mid-line and rlq incisions extremities: warm , well-perfused edema varicosities: none neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ pertinent results: echocardiography report , (complete) done at 11:57:33 am preliminary referring physician information , c. , status: inpatient dob: age (years): 58 m hgt (in): 72 bp (mm hg): / wgt (lb): 225 hr (bpm): bsa (m2): 2.24 m2 indication: atrial fibrillation. icd-9 codes: 427.31 test information date/time: at 11:57 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 #: 2011aw-1: machine: us2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.8 cm <= 5.6 cm left ventricle - ejection fraction: 45% to 50% >= 55% left ventricle - lateral peak e': *0.01 m/s > 0.08 m/s aorta - annulus: 2.7 cm <= 3.0 cm aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.8 cm <= 3.0 cm aorta - ascending: 2.8 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - lvot diam: 2.5 cm findings left atrium: no spontaneous echo contrast in the body of the laa. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness. mildly dilated lv cavity. mild regional lv systolic dysfunction. mildly depressed lvef. right ventricle: mildly dilated rv cavity. borderline normal rv systolic function. taspe depressed (<1.6cm) aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: no ms. trivial mr. tricuspid valve: mild tr. 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. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. there is mild regional left ventricular systolic dysfunction with apical hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the right ventricular cavity is mildly dilated with borderline normal free wall function. tricuspid annular plane systolic excursion is depressed consistent with right ventricular systolic dysfunction. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-ligation: the left atrial appendage is not seen. color flow doppler exam demonstrates no evidence of flow from the previous location of the left atrial appendage into the left atrium. brief hospital course: on mr. bilateral thoracotomies, mini-maze with resection of left atrial appendage performed by dr. . please see the operative note for details. he tolerated the procedure well and extubated in the operating room. he was transferred in critical but stable condition to the surgical intensive care unit. his chest tubes and temporary pacing wires were removed per protocol. he was started back on his , calcium channel blocker, and pradaxa. he was placed on indocin and motrin for 1 month post-operatively to reduce pericardial inflammation. he was evaluated by physical therapy for strength and conditioning and was cleared for discharge to home on pod#3. medications on admission: coreg 25mg pradaxa 150mg diltiazem 120mg daily benefiber lactobacillus lotrisone discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. dabigatran etexilate 150 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 7. diltiazem hcl 120 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 8. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. indomethacin 25 mg capsule sig: one (1) capsule po tid (3 times a day) for 1 months. disp:*90 capsule(s)* refills:*0* discharge disposition: home with service facility: vna & hospice discharge diagnosis: atrial fibrillation chronic paroxysmal atrial fibrillation; colon/rectal cancer s/p colectomy; ventral hernia repair; prostate cancer s/p radical prostatectomy; gerd; bowel dysfunction; osteoarthritis; phlebitis; claustrophobia; l hip replacement discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** recommended follow-up: followup instructions: you are scheduled for the following appointments surgeon: dr. on at 2:45pm in the medical office building , cardiologist: on at 1:40pm please call to schedule appointments with your primary care dr. , c. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: excision or destruction of other lesion or tissue of heart, open approach excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: esophageal reflux atrial fibrillation personal history of malignant neoplasm of prostate atrial flutter other isolated or specific phobias osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of malignant neoplasm of large intestine 

Answer: The patient is high likely exposed to