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: s/p cabgx4(lima->lad, svg->, , rca) s/p r carotid stent history of present illness: 68 y/o male with mild angina symptoms and dyspnea on exertion who had a positive stress test. referred for cardic cath at osh which revealed severe three vessel disease. past medical history: hypertension, hyperlipidemia, diabetes mellitus, depression, macular degeneration, herpes zoster, erectile dsyfunction, renal cyst, s/p prostate needle biopsy social history: ppd x 50yrs with increase to 2ppd. 1 etod drink/wk. family history: father with cad and chf (died at 76) physical exam: vs: 72 18 154/60 5'9" 195# gen: wdwn male in nad skin: w/d, -lesions heent: ncat, perrl, eomi, op benign neck: supple, from, -jvd, + r carotid bruit heart: rrr, -c/r/m/g abd: soft, nt/nd, +bs ext: warm, well-perfused, -edema, -varicosities neuro: a&o x 3, mae, non-focal pertinent results: cta head/neck: 1. atherosclerosis in the proximal right ica with a short segment, 90% stenosis, but preservation of flow distally. 2. atherosclerosis-related, short segment, 30% stenosis in the proximal left internal carotid artery. 3. likely chronic small vessel ischemic changes seen in the subcortical white matter. 4. mild mucosal thickening in the left maxillary sinus, extensive maxillary and mandibular periodontal disease, and cervical spondylosis. cnis: significant right-sided plaque with an 80-99% focal internal carotid artery stenosis. on the left, there is a less than 40% carotid stenosis. echo: pre-bypass: there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. no atrial septal defect is seen by 2d or color doppler. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. post-bypass: preserved -ventricular systolic function. no evidence of aortic dissection post de-canulation. the rest of the study is unchanged from pre-bypass. cxr: improving bilateral opacities, which may be due to a combination of asymmetric edema and atelectasis. infection is also possible in the appropriate clinical setting. 12:10pm blood wbc-9.9 rbc-4.75 hgb-13.6* hct-41.2 mcv-87 mch-28.7 mchc-33.1 rdw-14.0 plt ct-235 06:30am blood wbc-12.9* rbc-3.13* hgb-9.5* hct-26.6* mcv-85 mch-30.2 mchc-35.6* rdw-15.0 plt ct-143* 12:10pm blood pt-11.4 ptt-27.2 inr(pt)-1.0 06:30am blood pt-12.5 ptt-30.3 inr(pt)-1.1 12:10pm blood glucose-90 urean-21* creat-1.1 na-141 k-4.3 cl-104 hco3-28 angap-13 06:30am blood glucose-141* urean-25* creat-1.2 na-139 k-3.8 cl-102 hco3-27 angap-14 06:30am blood calcium-8.4 phos-4.0 mg-2.2 brief hospital course: mr. was admitted prior to surgery after undergoing a carotid ultrasound as an outpatient that revealed 80-90% stenosis in his right carotid artery. he was admitted one day prior to this procedure and underwent usual pre-op labs and a vascular consult. on the next day vascular surgery placed a right carotid stent. please see operative report for details. he was transferred to the vicu following the procedure for post-op management. on hospital day three he was transferred to the cardiac surgery telemetry floor and awaited his bypass surgery. the following day he was brought to the operating room where he underwent a coronary artery bypass graft. please see operative report for details. following surgery he was transferred to the csru for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he required blood transfusion secondary to low hct. also on this day beta blockers and diuretics were started and he was gently diuresed towards his pore-op weight. on post-op day two chest tubes were removed and he was transferred to the telemetry floor. epicardial pacing wires were removed on post-op day three. he worked with physical therapy for strength and mobility. on post-op day four he appeared to be doing well and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: metformin, lipitor, lisinopril, sertraline, aspirin, glucotrol xl, mvi, viagra prn, diltiazem discharge medications: 1. 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* 2. atorvastatin 40 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 3. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po daily (daily). disp:*30 tab,sust rel osmotic push 24hr(s)* refills:*2* 4. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day) for 10 days. disp:*40 capsule, sustained release(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. metformin 500 mg tablet sig: two (2) tablet po qam: in am . disp:*120 tablet(s)* refills:*2* 12. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. metformin 500 mg tablet sig: one (1) tablet po qpm. 15. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 r carotid stenosis s/p stent placement pmh: hypertension, hyperlipidemia, diabetes mellitus, depression, macular degeneration, herpes zoster, erectile dsyfunction, renal cyst, s/p prostate needle biopsy discharge condition: good discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. call our office for temp>101.5, sternal drainage. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. for 4 weeks. wound check please schedule with rn for 2 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel 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 occlusion and stenosis of carotid artery without mention of cerebral infarction 

Answer: The patient is high likely exposed to