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: niaspan extended-release attending: chief complaint: exertional chest heaviness major surgical or invasive procedure: coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the distal right coronary artery, first and second obtuse marginal arteries. history of present illness: 66 year old male with a 2 week history of chest burning which occurs about 10-15 minutes into his daily 1 mile walk. it lasts for 20-30 seconds and then resolves and he is able to finish walking his mile. he notes that he does not get the symptoms everytime he walks. he denies any symptoms at rest. he does note waking up with bilateral ankle/feet pain/throbbing at night. he was referred for a cardiac catheterization and was found to have coronary artery disease. he is now being referred to cardiac surgery for revascularization. past medical history: diabetes type ii hypertension hyperlipidemia osteoarthritis lumbar disc disease proteinuria polyps on colonoscopy s/p left knee scope x 4 social history: race:caucasian last dental exam: 10 years ago lives with:wife contact: (wife) phone # occupation:retired cigarettes: smoked no yes other tobacco use:denies etoh: denies illicit drug use:denies family history: premature coronary artery disease - uncle had a heart transplant in his early 50's. father had 3 mi's, first in his 40's. brother had cabg at age 59. physical exam: pulse:60 resp:16 o2 sat:100/ra b/p right:168/87 left:179/80 height:5'8" weight:175 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally diminished (r)base heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit-none, pulses right: 2+ left:2+ pertinent results: echo: pre-bypass: the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast or thrombus is seen in the body of the right atrium or the right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricle displays normal free wall contractility. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. very trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post- bypass: there is normal biventricular systolic function. the thoracic aorta is intact after decannulation. no other significant changes from the pre-bypass examination. admission labs: 09:27am hgb-14.1 calchct-42 09:27am glucose-231* lactate-2.2* na+-136 k+-4.4 cl--102 02:12pm pt-13.8* ptt-34.1 inr(pt)-1.2* 02:12pm wbc-9.6# rbc-3.62* hgb-11.6*# hct-29.8* mcv-82 mch-32.0 mchc-39.0* rdw-14.3 02:12pm urea n-19 creat-0.7 sodium-140 potassium-3.6 chloride-111* total co2-25 anion gap-8 02:31pm glucose-143* na+-137 k+-3.6 discharge labs: 06:30am blood wbc-6.7 rbc-3.33* hgb-10.4* hct-28.1* mcv-84 mch-31.2 mchc-37.1* rdw-13.6 plt ct-276 06:30am blood plt ct-276 06:30am blood urean-24* creat-1.1 na-133 k-5.2* cl-97 06:50am blood glucose-164* urean-28* creat-1.0 na-133 k-4.7 cl-95* hco3-28 angap-15 06:30am blood mg-2.0 radiology report chest (pa & lat) study date of 10:23 am final report : in comparison to the prior examination, there is little interval change. the left apical pneumothorax is unchanged in size. bibasilar atelectasis remains as well as small pleural effusions remain. there is a left upper lobe opacity that likely represents pleural effusion within an adhesion. sternal wires are intact. brief hospital course: mr was a same day admission for coronary bypass grafting on . please see operative report for details, in summary he had: coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the distal right coronary artery, first and second obtuse marginal arteries. his bypass time was 98 minutes, with a crossclamp time of 85 minutes. he tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition. once in the icu he remained hemodynamically stable, anesthesia was reversed, he woke neurologically intact and was extubated. on pod1 the patient remained hemodynamically stable and was transferred from the icu to the stepdown floor. his chest tubes remained to suction as he was noted to have na airleak. otherwise he was begun on bblockers and diuretics and his activity was advanced. on pod2 the chest tubes were put to water seal, a follow up chest xray revealed a pneumothorax and the chest tubes were put back to suction. the chest tubes were finally removed on pod4 all other tubes lines and drains were removed per cardiac surgery protocols. the remainder of his hospital course was uneventful, he worked with nursing and physical therapy to increase his activity and endurance. he was discharged home on pod5. he is to followup w/dr in 1 month. medications on admission: glyburide 5 mg tablet - 2 tablet(s) by mouth twice a day lisinopril 5 mg tablet - 1 (one) tablet(s) by mouth once a day metformin 1,000 mg tablet - 1 (one) tablet(s) by mouth twice a day metoprolol tartrate 25 mg tablet - 1 tablet(s) by mouth daily pioglitazone 30 mg tablet - 1 tablet(s) by mouth daily rosuvastatin 10 mg tablet - 1 tablet(s) by mouth daily aspirin 81 mg tablet 1 tablet(s) by mouth daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. 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* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 9. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 10. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 11. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 12. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 13. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 7 days. disp:*28 tablet extended release(s)* refills:*0* 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 15. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history: diabetes type ii hypertension hyperlipidemia osteoarthritis lumbar disc disease proteinuria polyps on colonoscopy s/p left knee scope x 4 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right healing well, no erythema or drainage. edema trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1pm in the medical office building chest xray in the clinical center radiology at 9:45am then proceed to wound check on at 10:30am in the medical office building - please call your cardiologist/pcp: . and make an appointment to be seen in the next 2 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia iatrogenic pneumothorax 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 osteoarthrosis, unspecified whether generalized or localized, site unspecified family history of ischemic heart disease other and unspecified disc disorder, lumbar region personal history of colonic polyps 

Answer: The patient is high likely exposed to