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: ciprofloxacin / sulfa (sulfonamides) attending: chief complaint: shortness of breath major surgical or invasive procedure: off pump cabg x2(lima-lad,svg-om) history of present illness: 3month history of shortness of breath and orthopnea. evaluated at hospital , cardiac cath revealed multi-vessel disease with global hypokinesis and ef 48%. past medical history: cad htn copd dm2 osa gout cva(r hemiplegia) b arthroscopy knee scrotal hernia repair social history: lives with wife retired remote tobacco-quit occasional wine w/dinner family history: non-contributory physical exam: admission: vs t 9.1 hr 72 bp 147/71 rr 20 o2sat 93% 2lnp ht 75" wt 122k gen nad neuro grossly intact pulm cta bilat cv rrr, no murmur abdm soft, nt/nd/+bs ext warm well perfused, no varicosities pertinent results: 05:25am blood wbc-10.3 06:55am blood wbc-14.9* rbc-3.79* hgb-10.2* hct-31.9* mcv-84 mch-27.1 mchc-32.1 rdw-14.1 plt ct-186 03:02am blood pt-15.9* ptt-34.2 inr(pt)-1.4* 04:00am blood pt-15.3* ptt-33.5 inr(pt)-1.4* 06:55am blood glucose-140* urean-30* creat-1.0 na-139 k-4.9 cl-98 hco3-34* angap-12 radiology final report chest (portable ap) 11:15 am chest (portable ap) reason: eval interval change medical condition: 75yom s/p opcabgx2(lima-lad,svg-om) reason for this examination: eval interval change study: ap chest, . history: 75-year-old man status post cabg. evaluate for interval change. findings: the sheath in the right ij has been removed. there are markedly low lung volumes which limits evaluation. there is crowding of the pulmonary vascular markings at the lung bases. there is a left retrocardiac opacity. there are no signs for overt pulmonary edema. dr. echocardiography report , (complete) done at 1:07:52 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 75 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. chest pain. coronary artery disease. hypertension. left ventricular function. shortness of breath. icd-9 codes: 402.90, 786.05, 786.51, 440.0 test information date/time: at 13:07 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 #: 2008aw1-: machine: aw1 echocardiographic measurements results measurements normal range right atrium - four chamber length: *8.2 cm <= 5.0 cm left ventricle - ejection fraction: 40% to 45% >= 55% aorta - sinus level: 3.4 cm <= 3.6 cm aorta - ascending: *3.7 cm <= 3.4 cm findings left atrium: mild la enlargement. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: markedly dilated ra. no spontaneous echo contrast in the body of the ra. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. mildly depressed lvef. transmitral doppler and tvi c/w grade ii (moderate) lv diastolic dysfunction. right ventricle: rv hypertrophy. moderately dilated rv cavity. mild global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. mildly dilated ascending aorta. complex (>4mm) atheroma in the ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. 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. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. 2. the right atrium is markedly dilated. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with antero and anteroseptal hypokinesis.. overall left ventricular systolic function is mildly depressed (lvef= 45 %). transmitral doppler and tissue velocity imaging are consistent with grade ii (moderate) lv diastolic dysfunction. 4. the right ventricular free wall is hypertrophied. the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. 5. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. dr. was notified in person of the results. 8. the procedure was done off-pump. transient regional changes with om, lad occlusion. on infusions of phenylephrine, epi. 9. the aortic contour is normal postcabg. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:12 brief hospital course: mr was transferred from hospital on for surgical evaluation for coronary bypass surgery. he was brought to the operating room on for coronary bypass grafting, see or report for details. in summary he had off pump cabg x2 with a lima-lad, svg-om. he tolerated the operation well and was transferred to the cardiac surgery icu in stable condition. he was hemodynamically stable in the immediate post-op period but given his copd he was ventilated throughout the operative day. on the morning of pod1 he was weaned and extubated without difficulty. on pod2 he was transferred to the step down floor for continued post-operative care. over the next several days his activity level was advanced by nursing and pt and on pod #4 he was ready for discharge home. medications on admission: lisinopril 40' lasix 20' labetelol 300''' naprosyn 500"-prn kcl 10' metformin probenecid 500' plavix 75' advair 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. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. probenecid 500 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: community vna, discharge diagnosis: s/p op-cabg x2(lima-lad,svg-om) pmh: cad, dm2, htn, copd, gout, s/p cva(r hemiplegia), s/p scrotal hernia repair, s/p b arthroscopy discharge condition: stable discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever,redness or drainage from wounds. followup instructions: clinic in 2 weeks dr in weeks dr in 4 weeks dr in 4 weeks pt to call for all appointments procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of one coronary artery diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified gout, unspecified atrial fibrillation systolic heart failure, unspecified obesity, unspecified 

Answer: The patient is high likely exposed to