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: pollen extracts attending: chief complaint: decreased exrercise tolerance and dypnea on exertion major surgical or invasive procedure: coronary artery by pass graft x3 history of present illness: mr. is a 70 year old male with increased dyspnea nd decreased exercise tolerance over the past year. he had a postive stress test on suggestive of an imi and anterior wall ischemia. cardiac actheterization showed severe lm and 3 vessel disease. admitted for cabg. past medical history: coronary artery disease inferior mi, hypertension hyperlipidemia gerd/dysphagia vitamen d deficiency social history: retired lives with wife former - quit 7 yrs ago social etoh use. family history: non- contributory physical exam: general; well appearing male in nad heent: unremarkable. carotids +2 bilat chest: clear to asculation bilaterally cor: rrr s1, s2 abd: soft, round, nt, nd, +bs extrem; trace le edema bilat. pulses +2 bilat le groin and feet. neuro; intact pertinent results: radiology report esophagus study date of 1:49 pm , r. csurg fa6a 1:49 pm esophagus clip # reason: please do barium swallow to look for esophageal stricture pe medical condition: 70 year old man s/p cabg reason for this examination: please do barium swallow to look for esophageal stricture per recommendations of speech and swallow provisional findings impression: ymf fri 5:39 pm 1. no evidence of esophageal stricture. 2. abnormal esophageal motility, characterized by interrupted peristaltic primary wave, with prominent tertiary contractions. 3. intraesophageal reflux, with backflow of contrast into the piriform sinuses, resulting in intermittent trace silent penetration, which clears with cued cough. final report barium esophagogram indication: 70-year-old man status post cabg, with dysphagia. comparison: not available at the . findings: double contrast esophagram was performed. the patient was viewed in upright, oblique and lateral positions. fluoroscopic spot views of the esophagus were obtained. no mucosal abnormality is detected. there is normal distensibility of the esophagus, without evidence of stricture. there is abnormal esophageal motility, with interrupted primary peristalsis and very prominent tertiary contractions. there is residual contrast in the esophagus after the swallow and intraesophageal reflux. backflow into the piriform sinuses resulting in silent trace penetration is noted on today's study. 13-mm barium tablet passes through the esophagus into the stomach without holdup. impression: 1. no evidence of esophageal stricture. 2. abnormal esophageal motility, characterized by interrupted primary peristalsis and prominent tertiary contractions. 3. intraesophageal reflux, resulting in the backflow into the piriform sinuses and trace silent penetration, which cleared with cued cough. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 10:03 am wbc 10.4, hct 25.3* 90 31.8 35.5* 14.2 176 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 07:35am 176 chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:35am 129* 19 1.0 135 3.8 99 28 12 chemistry totprot albumin globuln calcium phos mg uricacd iron 05:55am 2.4 brief hospital course: mr. was admitted and taken to the or for cabg x3 (lima-lad, svg to om, svg to rca) on . see operative note for details. post operatively mr. intubated and was taken to the cvicu for ongoign post operative care and monitoring. on pod#1 he was extubated, satrted on diuretics and beta blockers and transferred to the floor for ongoing care. his chest tubes remained in place due to large volume chest tube output. the chest tubes were removed on pod#2 and his temporary pacing wires were removed on pod#3. he was seen by physical therapy and was claered for discharge to home with vna services on pod#4. medications on admission: atenolol 50', lipitor 80', asa 325', prilosec-prn, lisinopril 20' 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. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily) for 7 days. disp:*7 capsule, sust. release 24 hr(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*0* 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease inferior mi, hypertension hyperlipidemia gerd/dysphagia vitamen d deficiency discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 3 weeks at for wound check and post-op follow-up : 1- dr. (primary care)in 3 weeks dr. in 2 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 esophageal reflux intermediate coronary syndrome 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 emphysema (subcutaneous) (surgical) resulting from procedure acute myocardial infarction of other inferior wall, subsequent episode of care benign essential hypertension 

Answer: The patient is high likely exposed to