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: finasteride / ampicillin / benazepril attending: chief complaint: chest pressure major surgical or invasive procedure: coronary artery bypass grafting x4 with a left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the right posterior descending artery, the obtuse marginal artery, first diagonal artery. history of present illness: 61m p/w angina that progressed to rest pain over the past several months. stress test was abnormal. catheterization revealed multi-vessel cad (lad: 80% 1st septal, 80% mid, 50-60% at d1 origin; lcx: 50-60% at origin, 70% at om bifurcation; rca: 90% diffuse proximal with slow flow to pda). past medical history: cad, dm2, htn, hypercholesterolemia, h/o rhd, asthma, bph w/ elevated psa, hepatitis a, r ankle djd, gout, pneumonia (), gerd, abdominal hernia, chronic neck pain social history: race: caucasian lives with: wife, has two adult sons contact: (cell) occupation: semi-retired, mechanic- works with heavy machinery cigarettes: smoked no yes last cigarette 25 yrs ago hx: 30 pack-years etoh: < 1 drink/week drinks/week >8 drinks/week family history: father had a ppm, dm; died at 90. mother had cad and died at 73. physical exam: pulse: 73sr resp: 13 o2 sat: 100%ra b/p right: left: 139/77 height: 5'" weight: 240lb general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally some inspiratory wheezing, mostly clear heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema _none__ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:1+ dp right: 2+ left:2+ pt : 1+ left:1+ radial right: cath left: carotid bruit right: left: no carotid bruits discharge exam: t: 98.9 hr: 70-80 sr bp: 120-130/60 rr 18 sats: 98% ra wt: 114.6 kg bs /195 general: 61 year-old male in no apparent distress heent: normocephalic, mucus membranes moist card: rrr normal s1,s2 no murmur resp: decreased breath sounds. no crackles or wheezes gi: obese, benign extr: warm trace edema neuro: awake, alert oriented pertinent results: cardiac cath: selective coronary angiography of this codominant system demonstrated three vessel coronary artery disease. the lmca was calcified without angiographically-apparent flow-limiting disease. the lad had proximal calcification. there was a focal 80% stenosis at the first septal branch. the lad had a mid 80% stenosis. there was a 50-60% stenosis at the origin of d1. the origin of the lcx had a 50-60% stenosis. there was a 70% stenosis at the distal om bifurcation. the rca had a diffuse proximal 90% stenosis with slow flow to the pda. echo: prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. postbypass biventricular systolic function is preserved. the mr is now mild. the study is otherwise unchanged from prebypass. cxr: frontal and lateral views of the chest were obtained. the patient is status post cabg with sternotomy wires and mediastinal clips that are intact and in similar position to . right ij central line terminates in the low svc. new left uppe zone ill-defined opacity may represent atelectasis, but infection or aspiration cannot be excluded in the appropriate clinical stetting. bilateral pleural effusions, left greater than right are similar to prior. cardiomediastinal silhouette is stable. impression: ill-defined left upper zone new opacity, compatible with atelectasis, although in the correct clinical setting, infection or aspiration cannot be excluded. wbc-6.5 rbc-3.23* hgb-9.9* hct-28.6* mcv-89 mch-30.8 mchc-34.8 rdw-13.2 plt ct-175 na-136 k-4.9 cl-98 glucose-201* urean-14 creat-0.7 na-135 k-5.4* cl-97 hco3-33* urean-24* creat-0.7 na-141 k-3.9 cl-112* hco3-26 mg-2.2 brief hospital course: mr. was taken to the operating room on and underwent cabg x 4 (lima to lad, rsvg to r pda, rsvg to om, rsvg to d1. immediately postoperative he was transfer to the cvicu, where he was extubated and weaned off pressors. on pod 1, he was transferred to the floor. chest tubes were removed on pod 2. wires were removed on pod 3. he was evaluated by pt and cleared for home. he was gently diuresed toward his preoperative weights. his blood sugars continued to be elevated 165-200's. his metformin was restarted. he was discharged home with an rx for a glucometer and supplies to monitor his blood sugars and instructions to follow-up with clinic in nh. on the day of discharge, he was hemodynamically stable, tolerating a diabetic diet, ambulating, and his pain was well controlled on a po regimen. medications on admission: albuternol 2puffs prn, norvasc/valsartan/hctz 10/320/25 mg daily, atorvastatin 80 mg daily, metformin 500 mg daily, toprol xl 25 mg daily, omeprazole 20 mg prn, tamsulosin 0.4 mg daily, artificial tears 0.3% prn, asa 81 mg daily, vit d3 2000u daily, vit b12 1000 mcg daily, glucosamine-chondroitin, omega3 fish oil discharge medications: 1. amlodipine 5 mg po daily hold for sbp < 110 rx *amlodipine 5 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*0 2. aspirin 81 mg po daily 3. fish oil (omega 3) 1000 mg po daily 4. omeprazole 20 mg po daily 5. tamsulosin 0.4 mg po hs 6. atorvastatin 80 mg po daily 7. valsartan 80 mg po daily hold for sbp <100 rx *valsartan 80 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*1 8. acetaminophen 650 mg po q4h:prn pain 9. docusate sodium 100 mg po bid 10. metformin (glucophage) 500 mg po bid rx *metformin 500 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*5 11. metoprolol tartrate 25 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 25 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*5 12. hydromorphone (dilaudid) 2-4 mg po q3h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every six (6) hours disp #*50 tablet refills:*0 13. furosemide 20 mg po daily rx *furosemide 20 mg 1 tablet(s) by mouth once a day disp #*5 tablet refills:*0 14. artificial tears 1-2 drop both eyes prn xerophthalmia 15. vitamin d unit po daily 16. hydrochlorothiazide 25 mg po daily rx *hydrochlorothiazide 25 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*1 17. albuterol inhaler 2 puff ih q4h:prn sob discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease pmh: hypertension dyslipidemia diabetes bph, elevated psa hepatitis a rheumatic fever (remote) djd right ankle gout asthma pneumonia () gerd abdominal hernia chronic neck pain past surgical history: none discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: shower daily including washing incisions gently with mild soap, no baths or swimming no lotions, cream, powder, or ointments to incisions daily weights: keep a log fingerstick blood sugars twice daily: keep a log no driving for approximately one month and while taking narcotics no lifting more than 10 pounds for 10 weeks **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: wound check at cardiac surgery office, 10:45, in the medical building surgeon dr. , 01:30p in the medical building cardiologist dr. , md phone: date/time: 11:00 clinical center, cardiology floor please call to schedule the following: primary care dr. , a. in weeks please call and make an appointment with clinic in nh dr. for diabetes management. **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 diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified asthma, unspecified type, unspecified personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified angina pectoris examination of participant in clinical trial 

Answer: The patient is high likely exposed to