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: pravachol / lipitor / zocor / vytorin / crestor / boniva / fosamax / niaspan / latex attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 (left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: 77 year old female with history of hypertension, hyperlipidemia, and carotid artery stenosis with complaints of exertional chest pain and episodes of shortness of breath at rest. she had an abnormal stress test yesterday and was referred for cardiac catheterization. now asked to evaluate for surgical revascularization given 3vd. past medical history: hypertension hyperlipidemia carotid artery stenosis osteoporosis degenerative joint disease-right knee right hip trochanter bursistis basal cell ca left cheeck irritable bowel syndrome ?right nostril hemangioma- (in chart, pt unsure) s/p mohs surgery x2 left cheek s/p tonsillectomy s/p cholecystectomy social history: race:caucasian lives with:husband occupation:retired tobacco:denies etoh:occasional family history: father died of cad in 50s; mother died of cad in her 70s; son with mi, cad, and stents physical exam: pulse:57 resp: 18 o2 sat: 100%ra b/p right:162/61 left: 173/59 height:5'5" weight:125 lbs general: comfortable skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur negative abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact. moves 4 ext pulses: femoral right: drsg c/i/d left:palp dp right: palp left: palp pt : left: radial right: palp left: palp carotid bruit right: (-) left: (-) pertinent results: 01:39pm blood wbc-9.8 rbc-3.71* hgb-10.9*# hct-31.5* mcv-85 mch-29.5 mchc-34.7 rdw-13.7 plt ct-203 04:59pm blood pt-13.0 ptt-58.6* inr(pt)-1.1 09:10pm blood pt-13.0 ptt-22.2 inr(pt)-1.1 09:10pm blood glucose-113* urean-37* creat-1.3* na-141 k-3.7 cl-101 hco3-28 angap-16 09:10pm blood alt-14 ast-21 ld(ldh)-222 ck(cpk)-36 alkphos-50 totbili-0.4 09:10pm blood ck-mb-notdone ctropnt-<0.01 09:10pm blood albumin-4.6 09:10pm blood %hba1c-5.8 ======================================================== 05:55am blood wbc-9.8 rbc-4.02*# hgb-11.5*# hct-33.1* mcv-82 mch-28.6 mchc-34.8 rdw-15.7* plt ct-158 05:55am blood plt ct-158 05:55am blood glucose-93 urean-16 creat-0.9 na-141 k-4.2 cl-103 hco3-29 angap-13 ========================================================= radiology report chest (pa & lat) study date of 9:38 am medical condition: 77 year old woman s/p cabg findings: in comparison with the study of , there is persistence of a small right apical pneumothorax. continued bilateral pleural effusions with relatively mild engorgement of pulmonary vessels. dr. approved: tue 10:21 am = = = = = ================================================================ brief hospital course: mrs was admitted to preoperatively after having several episodes of chest pain at home while awaiting coronary bypass surgery. on day of admission she was ruled out for myocardial infarction and started on heparin infusion. she had no further episodes of chest pain. on she was brought to the operating room where she underwent a coronary artery bypass graft x3. please see operative report for surgical details. i summary she had left internal mamary to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery and reverse saphenous vein graft to posterior diagonal artery. her bypass time was 63 minutes with a crossclamp of 56 minutes. she tolerated the operation well and following surgery she was transferred to the cvicu for continued monitoring. she did well in the immediate post-op period was weaned from sedation, awoke neurologically intact and extubated. she was hemodynamically stable and weaned off of all vasoactive medications on the operative night. her chest tubes and pacing wires were removed per cardiac surgery protocol. she was started on bblockers and these were titrated up. she was transferred to the floor on pod#2. she did experience some nausea and indigestion on transfer to the floor and this was treated with zofran and reglan with good effect. she was very anxious and had to have several family members present at times to help calm her down. her activity level was advanced with the assistance of physical therapy. the remainder of her hospital course was uneventful and on pod 4 it was decided she was ready for transfer to rehabilitation at lifecare in . medications on admission: asa 81mg po daily atenolol 50mg po daily hctz 25mg po daily vitamin d 1000 units po bid fluocinonide topical 0.025% prn:rash discharge medications: 1. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 6. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 7. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for throat discomfort. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 9. furosemide 20 mg tablet sig: one (1) tablet po once a day. 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for hr<60 sbp<100. 11. fluocinonide 0.1 % cream sig: as directed topical once a day as needed for rash. 12. vitamin d 1,000 unit capsule sig: one (1) capsule po twice a day. discharge disposition: extended care facility: life care center of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x3 with lima-lad, svg-om, svg-pda pmh: hypertension hyperlipidemia carotid artery stenosis osteoporosis degenerative joint disease-right knee right hip trochanter bursistis basal cell ca left cheeck irritable bowel syndrome ? right nostril hemangioma- (in chart, pt unsure) s/p mohs surgery x2 left cheek s/p tonsillectomy s/p cholecystectomy discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact you at ( with all wound issues. 2) report any fever of greater then 100.5 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) please shower daily. wash wound with soap and water. no lotions, creams or pwoders to incision until it has healed. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month from date of surgery. 7) please call with any questions or concerns. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin osteoporosis, unspecified osteoarthrosis, unspecified whether generalized or localized, lower leg 

Answer: The patient is high likely exposed to