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: chest pain/dyspnea on exertion major surgical or invasive procedure: - coronary artery bypass graft x 4 (lima->lad, vein to ramus, vein to posterior descending artery, vein to diagonal artery) history of present illness: mr. is a 76-year-old male with worsening anginal symptoms. he underwent cardiac catheterization that showed severe 3-vessel disease. he is presenting for revascularization. past medical history: myocardial infarction, diabetes mellitus, hypothyroid, anemia, arthritis, gastroesophageal reflux disease w/ duodenal ulcer, hemorrhoids, s/p mastoidectomy, s/p vasectomy, s/p tonsillectomy social history: retired photographer. smoked up to 100 cigs/day for 48 years quitting 14 years ago. lives with his wife.drinks 2oz of rum daily. edentulous. family history: father mi in 60's, brother with heart issues. physical exam: 70 sr 18 146/68 66" 187lbs gen: nad, lying flat in bed skin: unremarkable heent: perrl, anicteric sclera, mmm, oropharynx benign neck: supple, from, no carotid bruits heart: rrr, no murmur abd: soft, nt, nd, nabs ext: warm, dry, 2+ pulses except for nonpalp bilateral pt pulses. no varicosities neuro: nonfocal pertinent results: 06:50am blood wbc-13.0* rbc-3.34* hgb-9.9* hct-29.3* mcv-88 mch-29.8 mchc-33.9 rdw-14.0 plt ct-593* 07:07am blood pt-17.9* ptt-32.1 inr(pt)-1.7* 06:50am blood glucose-167* urean-7 creat-1.0 na-138 k-3.9 cl-99 hco3-32 angap-11 radiology final report chest (pa & lat) 9:00 am chest (pa & lat) reason: evaluate for pleural effusions medical condition: 76 year old man s/p cabgx4 reason for this examination: evaluate for pleural effusions pa and lateral chest at 0901 hours. history: post cabg. comparison: . findings: a somewhat dense linear opacity remains evident in the retrocardiac region, relatively smaller in size than that noted on . small bilateral posterior pleural effusions are again evident. otherwise, the remaining lungs remain clear. again noted is evidence of prior median sternotomy and cabg consistent with given history. there is a tortuous aorta. the cardiac silhouette is top normal for size. no pneumothorax is seen. impression: decrease in size of retrocardiac opacity. atelectasis is favored given time course. there are persistent bilateral small pleural effusions. dr. cardiology report echo study date of patient/test information: indication: chest pain. left ventricular function. preoperative assessment. right ventricular function. valvular heart disease. status: inpatient date/time: at 10:37 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw2-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left ventricle - diastolic dimension: 5.1 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 30% to 35% (nl >=55%) aorta - valve level: 3.2 cm (nl <= 3.6 cm) aorta - ascending: *3.7 cm (nl <= 3.4 cm) interpretation: findings: right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: moderate regional lv systolic dysfunction. lv wall motion: regional lv wall motion abnormalities include: basal inferoseptal - hypo; mid inferoseptal - hypo; basal inferior - dyskinetic; mid inferior - akinetic; basal inferolateral - hypo; mid inferolateral - akinetic; septal apex - hypo; inferior apex - akinetic; apex - hypo; right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated ascending aorta. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild thickening of mitral valve chordae. mild to moderate (+) mr. eccentric mr jet. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. conclusions: prebypass no atrial septal defect is seen by 2d or color doppler. there is moderate regional left ventricular systolic dysfunction. there is dyskinesis of the inferior base, akinesis and thinning of the remaining inferior wall. the is severe hypokinesis of the inferolateral and inferoseptal walls. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric, directed posteriorly and may cause underestimation of true mr. postbypass lv systolic function is marginally improved (the anterior wall is more hyperkinetic) lvef~35%. the previous rwma's persist. rv systolic function remains preserved. the mr, although eccentric, now appears mild. remaining study is unchanged from prebypass. electronically signed by , md on 11:24. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by postoperative day one, mr. had awoke neurologically intact and was extubated. beta blockade, a statin and aspirin were resumed. on postoperative day two, he was transferred to the step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted of assistance with his postoperative strength and mobility. his abdomen was noted to be distended and an x-ray was obtained which was consistent with an ileus. a nasogastric tube was placed and feedings were withheld. a general surgery consult was obtained and it was recommended to leave the nasogastric tube in place until he developed flatus and to minimize narcotics. by post-op day seven he was passing gas and the ng tube was removed. over the next several days he continued to make clinical improvements and worked with physical therapy for strength and mobility. he did require oxygen supplementation for several days d/t decreased o2 sats. finally on post-op day 11 he appeared to be suitable for discharge home with the appropriate medications and follow-up appointments. medications on admission: crestor 10', lasix 40', levoxyl 50mcg', lisinopril 40', spirinolactone 25mg m-w-f, toprol xl 150', iron 325', aspirin 81', imdur 30', plavix 75', prevacid 30' 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. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*qs qs* refills:*2* 9. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 10. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 11. spironolactone 25 mg tablet sig: one (1) tablet po every mon,wed,fri. disp:*30 tablet(s)* refills:*0* 12. levoxyl 50 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. furosemide 40 mg tablet sig: one (1) tablet po twice a day: please take twice a day for 10 days then decrease to once a day . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: myocardial infarction, diabetes mellitus, hypothyroid, anemia, arthritis, gastroesophageal reflux disease w/ duodenal ulcer, hemorrhoids, s/p mastoidectomy, s/p vasectomy, s/p tonsillectomy discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in 2 weeks. follow-up with dr. in weeks. call all providers for appointments. 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus 

Answer: The patient is high likely exposed to