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: clindamycin / vicodin attending: chief complaint: angina and stemi major surgical or invasive procedure: cabg x4 on picc line colonoscopies and sternal debridement/rewiring rewiring of sternum / pect. and omental flap history of present illness: 63 yo male transferred in from with stemi there one week prior to admission here.he was treated there with asa, integrilin, heparin, and nitroglycerin and underwent cath: rca 100%, lad 80%, cx 70-80%. ef 60-65% by echo.stents were placed in lad and rca. cabg surgery moved up as pt. had recurrent chest pain and referred to dr. . past medical history: htn elev. chol. stemi s/p appy s/p rih social history: married no tobacco occ. etoh runs own company family history: father died of mi at 72 mother died of cva at 53 sister with stents/mi another sister with cabg physical exam: 96.6 hr 67 140/89 rr 18 ra sat 98% 94.8 kg nad, eomi, perrl, oropharynx clear neck supple, no carotid bruits lungs ctab rrr, nl s1 s2 no m/r/g soft,obese, + bs, nt, nd right groin ecchymosis at cath site, no heamtoma warm extrems, no c/c/e pertinent results: 05:25am blood wbc-5.9 rbc-3.56* hgb-9.4* hct-28.4* mcv-80* mch-26.5* mchc-33.2 rdw-15.9* plt ct-359 07:38pm blood wbc-6.6 rbc-4.61 hgb-13.8* hct-38.1* mcv-83 mch-30.0 mchc-36.3* rdw-13.7 plt ct-184 05:25am blood pt-16.1* ptt-40.3* inr(pt)-1.5* 05:25am blood plt ct-359 05:25am blood glucose-113* urean-12 creat-1.0 na-135 k-3.6 cl-100 hco3-27 angap-12 07:38pm blood glucose-99 urean-16 creat-1.1 na-139 k-4.2 cl-104 hco3-26 angap-13 05:25am blood alt-34 ast-22 ld(ldh)-211 alkphos-200* amylase-99 totbili-0.4 05:25am blood lipase-278* 05:25am blood albumin-2.8* final report indication: 52-year-old male with status post cabg, now with status post sternal closure. evaluate for large bowel dilatation. comparisons: comparison is made to . technique: ap upright and supine views of the abdomen. findings: the patient is status post median sternotomy. there are two mediastinal drains. there are skin staples overlying the abdomen. there are surgical clips in the right lower quadrant as well as left upper quadrant. there are vasectomy clips. there is a moderate amount of stool within the colon. there is no evidence of small or large bowel obstruction. there is air in nondilated small bowel. the bowel gas pattern is unchanged when compared to . there is no evidence of colonic dilatation. impression: no evidence of colonic dilatation. the study and the report were reviewed by the staff radiologist. dr. dr. final report reason for examination: followup of a patient after sternal reexploration and closure. pa and lateral upright chest radiographs compared to . the appearance of the sternal wire, cardiomediastinal silhouette, and lungs has been unchanged. there is diffuse mild increase in the left pleural effusion which is still of small size and now partially entering the major fissure. there is no congestive heart failure or pulmonary infiltrates. the tip of the left picc line is in the inferior portion of superior vena cava. impression: slightly increased pleural effusion on the left, still small. otherwise, no change. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 6:17 am procedure date: echocardiography report , (complete) done at 4:26:54 pm final referring physician information , , status: inpatient dob: age (years): 53 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. coronary artery disease. left ventricular function. pericardial effusion. icd-9 codes: 410.92, 440.0, 396.9 test information date/time: at 16:26 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2006aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 40% to 50% >= 55% findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. no mass or thrombus in the ra or raa. no asd by 2d or color doppler. left ventricle: mildly depressed lvef. right ventricle: mildly dilated rv cavity. moderate global rv free wall hypokinesis. aorta: normal aortic root diameter. normal ascending aorta diameter. simple atheroma in ascending aorta. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: moderate pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. suboptimal image quality - poor echo windows. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no mass or thrombus is seen in the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is mildly depressed. . the right ventricular cavity is mildly dilated. there is moderate global right ventricular free wall hypokinesis. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is a moderate sized pericardial effusion. electronically signed by , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: admitted on for pre-op workup for cabg. right groin us done to r/o fistula or pseudoaneurysm. vertigo was treated with phenergan. underwent cabg x4 with dr. on . transferred to the csru in stable condition on neosynephrine and propofol drips.extubated and briefly on milrinone drip and repeat echo/cultures done. amiodarone started for a fib and off milrinone on pod #2. echo showed no pericardial effusion. transfused to hct of 30 and chest tubes removed with foley on pod #3. transferred to the floor on pod #3 to begin increasing his activity level. developed sternal drainage on pod #5 and started on abx. developed abd. distention, had ng tube placed and ultimately diagnosed with dilated colon/ileus. picc line placed for poor access on , and colonoscopy performed by gi service on for decompression and rectal tube placement. sternal debridement and rewiring was done by dr. on for dehiscence. developed sob on and ct scan showed a massive pe. started on iv heparin and transferred back to the icu. lower extrem duplex showed no thrombus or dvt. coumadin also started and diuresis continued. ip placed pigtail cath for drainage of pleural effusion and sternal drainage started again on pod # 19/9. sternal debridement performed by dr. on , and pectoralis/omental flaps constructed by dr. . kub repeated for recurrent abd. distention and gi reconsulted. this improved and diet was advanced. heparin stopped on for therapeutic inr. repeat colonoscopy done on with improvement and continuing diet advancement. pigtail cath removed on . cleared for discharge to home with vna on . pt. will have lovenox until inr 2.0-2.5. first blood draw with inr follow up/coumadin dosing per pcp . medications on admission: lipitor 10 mg daily atenolol 37.5 mg asa 81 mg daily ?hctz 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. tegaserod hydrogen maleate 6 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 days. disp:*8 tablet(s)* refills:*1* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 9. duricef 1 g tablet sig: one (1) tablet po once a day as needed for while drains are in: while drains are in. disp:*10 tablet(s)* refills:*0* 10. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 11. enoxaparin 100 mg/ml syringe sig: one (1) 90 mg dose subcutaneous q12h (every 12 hours): subcutaneous injecion until inr 2.0-2.5. disp:*10 90 mg dose* refills:*0* 12. coumadin 2.5 mg tablet sig: as directed tablet po once a day: 5mg dose today , then all subsequent doses per dr. . disp:*40 tablet(s)* refills:*2* discharge disposition: home with service facility: home care discharge diagnosis: s/p cabg x4 s/p debridement/rewiring/flap reconstr. pulmonary embolus postop ileus with 2 colonoscopies postop afib stemi htn elev. chol. discharge condition: stable discharge instructions: may have sponge baths until drains removed, and pat dry no lotions, creams or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100, redness or drainage pt. to record jp drain output daily for dr. first blood draw by vna sat , results to be called to dr. at followup instructions: follow up with dr. in weeks follow up with dr. (plastics) in 1 week follow up with dr. (cardiologist) in weeks follow up with dr. in 4 weeks procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia advancement of pedicle graft transfusion of packed cells dilation of intestine dilation of intestine diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other specified intestinal obstruction disruption of internal operation (surgical) wound percutaneous transluminal coronary angioplasty status other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care paralytic ileus other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to