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: hydrochlorothiazide attending: chief complaint: left arm pain major surgical or invasive procedure: cabg x4/ left cea (lima to lad, svg to diag, svg to om, svg to pda) history of present illness: 74 yo male originally seen in after diagnosis of cad. workup revealed bilat. carotid disease. referred for cabg/ left cea with drs. and . past medical history: htn dm cri mi cad although the mi appears silent gout elevated cholesterol osteoarthritis cataracts social history: alcohol, two glasses a week. tobacco, stopped in . he smoked one to two packs a day for 20 years. he is a salesman, retired. family history: father died of stroke, mother broke hip - died of blood clot, brother with unknown resp problems physical exam: admission: 70" 83.9 kg nad skin unremarkable eomi/perrl neck supple, full rom, no jvd, ? bil. carotid bruits ctab rrr , no murmur present soft, nt, nd, + bs warm, well-perfused, no edema superficial varicosities noted left foot healing neuro grossly intact, alert and oreinted x3, mae, nonfocal exam 1+ bil. fems, 0-1+ bil dp/pts 2+ bil. radials discharge: vs t 98.6 bp 143/78 hr 69sr rr 18 o2sat 96% ra gen nad neuro a&ox3, nonfocal exam cv rrr, sternum stable- incision cdi pulm cta bilat abdm soft, nt/+bs ext warm, trace pedal edema pertinent results: conclusions pre-bypass: 1. the left atrium is mildly dilated. 2. overall left ventricular systolic function is mildly depressed (lvef= 45 %). there is anterior and apical wall hypokinesis. the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. 3.the descending thoracic aorta is mildly dilated. there are complex (>4mm), mobile atheromas, and ulcerated plaques in the descending thoracic aorta. 4.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. the aortic valve leaflets are mildly thickened. aortic sclerosis is noted, is between 2.2-2.4 cm2. no aortic regurgitation is seen. 5. the mitral valve appears structurally normal with trivial mitral regurgitation. 6. there is no pericardial effusion. 7. there is lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. post-bypass 1. lv function is preserved. 2. aortic contours appear intact after decannulation. mobile atheromas appear essentially unchanged.. 3. all other findings unchanged. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 17:21 06:29pm glucose-79 na+-138 k+-5.0 06:16pm urea n-44* creat-3.0* chloride-113* total co2-22 06:16pm wbc-13.7* rbc-2.95* hgb-9.0* hct-26.4* mcv-90 mch-30.4 mchc-33.9 rdw-14.0 06:16pm plt count-149* 06:16pm pt-15.6* ptt-45.1* inr(pt)-1.4* 05:50am blood wbc-10.7 rbc-2.55* hgb-7.8* hct-23.4* mcv-92 mch-30.7 mchc-33.5 rdw-15.6* plt ct-239 05:50am blood plt ct-239 05:50am blood urean-73* creat-3.3* 06:10am blood glucose-98 urean-80* creat-3.7* na-143 k-3.9 cl-108 hco3-24 angap-15 , m 74 radiology report chest (portable ap) study date of 10:39 am , csru sched chest (portable ap) clip # reason: s/p ct d/c medical condition: 74 year old man with reason for this examination: s/p ct d/c provisional findings impression: lcpc fri 3:50 pm since yesterday, the patient was extubated, the nasogastric tube, the swan-ganz and the left chest tube were removed. she remained in right internal jugular vein. retrocardiac atelectasis decreased. bilateral small pleural effusions decreased. interstitial abnormality has improved. there is no overload. there is no pneumothorax. final report chest portable ap reason for exam: 74-year-old man with chest tube removal. since yesterday, the patient was extubated, the nasogastric tube, the swan- ganz catheter and the left chest tube were removed. the sheath of the swan- ganz is still in place in right internal jugular. interstitial abnormality improved. retrocardiac atelectasis decreased. bilateral small pleural effusions also decreased. there is no overload and no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. dr. brief hospital course: admitted and underwent cea/cabg surgery with drs. and . transferred to the cvicu in stable condition on insulin, phenylephrine and propofol drips. did well in the immediate postoperative period. was weaned from ventilator and extubated on day of surgery. remained hemodynamically stable on pod1 but remained in icu for neurologic monitoring. on pod2 was transferred from icu to stepdown floor. once on the floor had an uneventful post-op course and was discharged home with visiting nurses on pod6. medications on admission: allopurinol 100 mg daily felodipine 10 mg daily glipizide 5 mg daily imdur 30 mg daily lopressor 50 mg nitro sl prn percocet prn simvastatin 80 mg daily asa 325 mg daily 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. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). discharge disposition: home with service facility: homecare discharge diagnosis: s/p cabgx4/left cea(lima to lad, svg to diag, svg to om, svg to pda) pmh:cad bil. carotid disease pvd with prior left foot gangrene hypertension hypercholesterolemia osteoarthritis niddm cataracts cri gout discharge condition: good discharge instructions: no lifting greater than 10 pounds for 10 weeks no driving for one month and until off all narcotics no lotions, creams or powders on any incision shower daily, and pat incisions dry call for fever greater than 100.5, redness, or drainage weigh daily and report any weight gain greater than 3 pounds followup instructions: see dr. in weeks see dr. in 2 weeks see dr. in weeks see dr. in 4 weeks sma7 to be drawn by vna on with results called to dr @ procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart endarterectomy, other vessels of head and neck procedure on single vessel diagnoses: acidosis hyperpotassemia coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction 

Answer: The patient is high likely exposed to