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: history of present illness: this is a 60 year old man with a history of diabetes type i, heavy smoking and two myocardial infarctions over the past five years, who is status post percutaneous transluminal coronary angioplasty three years ago. he presented to an outside hospital with indigestion, chest burning on . he ruled out for myocardial infarction and was referred to dr. who sent the patient to for cardiac catheterization on . results revealed three vessel disease, for which the patient was referred to dr. for coronary artery bypass grafting surgery. the patient is to be a postoperative admit. past medical history: significant for hypertension, hypercholesterolemia, insulin dependent diabetes mellitus, cataracts bilaterally, myocardial infarction five years ago, obesity, chronic low back pain. past surgical history: significant for appendectomy, cataract surgery and right cyst removal. cardiac catheterization revealed an ejection fraction of 63%, left main with no critical lesions, left anterior descending 40% with distal left anterior descending 80%; first diagonal small with 80% lesion; left circumflex with 70% lesion and right coronary artery totally occluded. his medications preoperatively included atenolol 125 mg twice a day, hydrochlorothiazide 25 mg q. day, colchicine 0.6 mg twice a day, lipitor 20 mg q. day, univasc 15 mg q. day, humulin n 80 units q. a.m. and 80 units q. p.m. multivitamins q. day. excedrin q. a.m. allergies: no known drug allergies. social history: retired machinist. he smoked two packs per day times 45 years. he quit on . former alcoholic who stopped drinking in . he lives in with his wife. physical examination: preoperatively, heart rate was 60, sinus rhythm; blood pressure 156/90; weight 321 pounds; height 5'". general: obese, pleasant man, in no acute distress. skin: well hydrated, no rashes or lesions. head, eyes, ears, nose and throat: pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. normal dentition. normal buccal mucosa. neck is supple with no jugular venous distention, no lymphadenopathy, no thyromegaly. chest is clear to auscultation bilaterally, with no wheezes, rhonchi or rales. heart: regular rate and rhythm. s1 and s2 with no murmurs or rubs. abdomen is obese, nontender, nondistended, normoactive bowel sounds. no guarding, rebound or rigidity. extremities: warm with no edema, cyanosis or clubbing, varicosities none. neurologic: cranial nerves 2 through 12 grossly intact. pulses: femoral 2+ bilaterally. dorsalis pedis 1+ on the right, 2+ on the left, posterior tibial 2+ bilaterally, radial 2+ bilaterally. no carotid bruits noted. carotid pulses 2+ bilaterally. laboratory data: preoperatively, glucose was 221; bun 17; creatinine 0.7; sodium 141; potassium 3.7; chloride 99; c02 29. alt 41; ast 28; alkaline phosphatase 111; total bilirubin of 0.3. white count 9.1; hematocrit of 41.7. platelets 215. pt 14, ptt 26. inr of 1.3. negative urinalysis. electrocardiogram showed a sinus rhythm with q waves in 2, 3 and f. normal intervals. hospital course: as stated previously, the patient was directly admitted to the operating room on . at that time, he underwent coronary artery bypass grafting times two. please see the operating room report for full details. in summary, the patient had a coronary artery bypass graft times two with a left internal mammary artery to the diagonal and a saphenous vein graft to obtuse marginal. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, mean arterial pressure was 80 with a central venous pressure of 12. he was on nitroglycerin at 0.5 mcg per kg per minute and propofol at 10 mcgs per kg per minute. the patient did well in the immediate postoperative period. he was weaned off all cardioactive drugs; however, on postoperative day number one, he remained intubated on pressure support ventilation with 12 of pressure support and peep and fi02 of 0.5 with an arterial blood gases of 7.42. c02 of 44 and p02 of 78. during the course of the day, the patient was exercised on pressure support ventilation. we were unable to extubate him successfully on postoperative day number one. for the next several days, the patient was exercised with pressure support ventilation, with decreasing amounts of pressure support on a daily basis. he did, however, remain somewhat hypoxic although he did show improvement on a daily basis. on postoperative day number two, it was also noted that the patient had atrial fibrillation and, at that time, he was started on amiodarone. on postoperative day number three, the patient underwent a transesophageal echocardiogram at that time. no thrombus was seen. his ejection fraction was normal. following echocardiogram, the patient was successfully cardioverted back to sinus rhythm. on postoperative day number four, the patient underwent a bronchoscopy because of increasing secretions. bronchoscopy revealed purulent secretions, predominantly in the right upper and right lower lobe, with mild tracheomalacia. at that time, he was started on zosyn and cultures were sent. on postoperative day number five, the patient was again placed on minimal pressure support ventilation and successfully extubated. he remained in the intensive care unit for the next few days because of required aggressive pulmonary toilette. on postoperative day number seven, the patient was transferred from the cardiothoracic intensive care unit to for continuing postoperative care and cardiac rehabilitation. over the next five days, the patient remained on the floor. his activity level was increased with the assistance of the nursing staff and the physical therapist and on postoperative day number 11, it was decided that the patient would be stable and ready for discharge to rehabilitation on the following morning. at the time of this dictation, the patient's physical examination is as follows: vital signs: temperature 98.4; heart rate 71 sinus rhythm; blood pressure 130/70; respiratory rate of 20; oxygen saturation 96% on room air. weight preoperatively was 145 kg. at discharge, his weight was 141.3 kg. laboratory data: white count of 15; hematocrit of 33.5; platelets 330. sodium 137; potassium of 4.2; chloride 99; c02 30; bun 14; creatinine 0.8; glucose 140; pt 14; ptt 51.2. inr of 1.3. ptt of 51.2 was on 1,800 units per hour of heparin. physical examination: alert and oriented times three; moves all extremities, follows commands. breath sounds clear to auscultation bilaterally. heart sounds: regular rate and rhythm. s1 and s2. no murmur. sternum is table. incision with steri-strips, open to air, clean and dry. abdomen is soft, nontender, nondistended with normoactive bowel sounds. extremities are warm and well perfused with no peripheral edema. discharge medications: metoprolol 50 mg twice a day. lasix 40 q. day times ten days. potassium chloride 20 meq q. day times ten days. aspirin 81 mg q. day. atorvistatin 10 mg q. day. wolfram to reach a goal inr of 2.0. in the past three days, he has received 5 mg, 5 mg and is to receive 7.5 mg on . amlodipine 10 mg q. day. amiodarone 400 mg q. day times one week and then 200 mg q. day. colchicine 0.6 mg twice a day. combi-vent two puffs q. six hours. erythromycin 500 mg twice a day times two weeks. regular insulin sliding scale on 70/30 insulin, 40 units in the a.m. and 40 units in the p.m. condition at discharge: good. discharge diagnoses: coronary artery disease, status post coronary artery bypass grafting times two with left internal mammary artery to the diagonal and saphenous vein graft to obtuse marginal. hypertension. hypercholesterolemia. diabetes mellitus. obesity. chronic low back pain. status post appendectomy. status post cataract surgery. status post right cyst removal. the patient is to have follow-up with his primary care physician in three to four weeks, following his discharge from rehabilitation. he is to have follow-up with dr. in six weeks following his discharge from . , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances other bronchoscopy (aorto)coronary bypass of one coronary artery atrial cardioversion diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to