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: penicillins / codeine / nitroglycerin attending: chief complaint: substernal chest pain major surgical or invasive procedure: septal myomectomy history of present illness: mr. is a 48 year old male with known history of hypertrophic obstructive cardiomyopathy(hocm). despite several etoh septal ablations in and , he continues to experience worsening substernal chest pain of increasing duration. in preperation for upcoming surgery, he underwent cardiac catheterization which confirmed subaortic gradient consistent with hocm. angiography showed no evidence of coronary artery disease. preoperative echo showed only trivial mitral regurgitation. past medical history: - hypertrophic obstructive cardiomyopathy: echo resting lvot gradient 100 - s/p etoh septal ablation , - h/o nsvt; s/p icd placement (guidant vitality) for primary prevention - hyperlipidemia - secumdum asd - chronic chest pain: no cad by cath in - chronic low back pain with rle radiculopathy: mri l5-s1 right paracentral disc herniation, displacing s1 nerve root. - gerd - spontaneous pneumothorax s/p right lobectomy - left testicular seminoma s/p bilateral orchiectomy - hemorrhoids s/p hemorrhoidectomy - s/p appendectomy - s/p tonsillectomy social history: married, lives in savin with his wife. smokes cigarettes/day for 20 years. denies illicit drug use, including cocaine. alcohol use of beers/day. family history: notable for a number of family members with mi and sudden cardiac death. uncle sudden death. brother and sister with hocm. physical exam: preop exam vitals: 118/80, 72, 14 general: wdwn male in no acute distress heent: oropharynx benign, eomi neck: supple, no jvd, carotids 2+ without bruits lungs: cta bilaterally heart: regular rate and rhythm, normal s1s2, no murmur or rub abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: 05:22am blood wbc-4.6 rbc-3.23* hgb-10.2* hct-30.2* mcv-94 mch-31.6 mchc-33.7 rdw-14.6 plt ct-300 10:25am blood wbc-5.3 rbc-3.46*# hgb-10.9*# hct-32.3*# mcv-94 mch-31.6 mchc-33.8 rdw-15.3 plt ct-242 10:50am blood pt-13.7* ptt-39.4* inr(pt)-1.2* 05:22am blood glucose-92 urean-12 creat-0.8 na-141 k-4.2 cl-107 hco3-27 angap-11 intraop tee: prebypass a mass/thrombus associated with a pacing wire is seen in the right atrium and is most likely on the rv pacing wire. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. there is asymmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). there is a moderate resting left ventricular outflow tract obstruction of 27mm hg.. the gradient increased with the valsalva manuever to 40mm hg. there is systolic anterior motion of the mitral valve leaflets. there is a prominent septal know of 1.8-2.0 cm at the anterosepal base. there is thinning of the septum below this area consistent with previous septal ablations. the findings are consistent with hypertrophic obstructive cardiomyopathy (hocm). right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric, posteriorly directed jet of mild (1+) mitral regurgitation is seen. postbyapass preserved biventricular systolic function. the anteroseptal know appears less prominent ~1.2cm. of the mv is still present but appears less obstructive than compared to prebypass. resting gradient across lvot is ~ 13mm hg. images were not able to be obtained with valsalva maneuver. mr is still present and is mild in quantity. radiology report chest (pa & lat) study date of 2:52 pm , r. csurg fa6a sched chest (pa & lat) clip # reason: evaluate apical ptx medical condition: 48 year old man with s/p septal myectomy reason for this examination: evaluate apical ptx final report chest radiograph indication: followup. comparison: . findings: as compared to the previous examination, the pre-existing left apical pneumothorax is no longer visible. there are no signs of tension. otherwise, the radiograph is also unchanged. brief hospital course: mr. was admitted and underwent septal myomectomy by dr. . given he was a same day admit, cefazolin was used for perioperative antibiotic coverage. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. the initial postoperative chest x-ray showed a left sided pneumothorax. a chest tube was placed without complication. within 24 hours, he awoke neurologically intact and was extubated without incident. followup chest x-rays showed total re-expansion of his left lung. his cvicu course was otherwise uneventful. on postoperative day one, he transferred to the sdu for further care and recovery. icd was interrogated and found to be functioning normally. he did well postoperatively and he was ready for discharge home on pod #6. medications on admission: aspirin 325 qd, pantoprazole 40 , toprol xl 150 tid, verapamil 240 , folate, mv, percocet prn 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:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. multivitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day) for 1 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 11. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: hypertrophic obstructive cardiomyopathy - s/p septal myomectomy prior septal ablations in , aicd placement prior right lobectomy discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach diagnoses: esophageal reflux unspecified essential hypertension paroxysmal ventricular tachycardia other and unspecified hyperlipidemia iatrogenic pneumothorax ostium secundum type atrial septal defect other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to