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: percocet / vicodin / levofloxacin / oxycodone attending: chief complaint: 43m with r flank pain and recent chest pain major surgical or invasive procedure: 1. coronary artery bypass grafting x4 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first diagonal coronary artery; reverse saphenous vein single graft from aorta to the second obtuse marginal coronary artery; as well as reverse saphenous vein graft to the distal right coronary artery. 2. endoscopic left greater saphenous vein harvesting. cardiac catheterization history of present illness: 43 year old male with h/o dmii, htn, hyperlipidemia and recent nephrolithiasis who was admitted to with recurrent right flank pain and chest pain. he was originally admitted to hospital one week prior and found to have a right 8mm upj stone and 9mm lower pole stone in the kidney. he underwent right ureteral stent placement. he has continued to have right flank pain and hematuria and returned to the emergency . in the ed, he experienced a 3 hour episode of substernal chest pressure. he reports it started shortly after eating breakfast. it was accompanied by nausea, which he feels may be related to the pain medication he was given. he also reports associated shortness of breath.this resolved prior to the resolution of the chest pain. he denies pain radiation,vomiting or diaphoresis. he has multiple risk factors for cad including htn, t2dm, fatty liver, and recent significant family stress. in addition, his ecgs are concerning for coronary ischemia given the dynamic changes with his episode of chest pressure. his troponin also elevated somewhat from his admission troponin, and on +stress test. cardiac cath was performed on . significant coronary artery disease was revealed. cardiac surgery was consulted for revascularization. past medical history: dmii (diet controlled) hypertension hyperlipidemia fatty liver h/o alcohol abuse(quit 23 years ago) h/o renal colic in the past right ureteral stent placement due to right sided nephrolithiasis psh: cystogram retrograde pyelogram- r stent- social history: lives in city with his fiancee. he works as an administrator at a recovery facility for alcoholics and people with drug abuse problems. himself used to be an alcoholic, but had his last drink 23 years ago. he also used to smoke 2ppd for 21 years, but quit 9 years ago. he also used illicit drugs, but never ivdu. family history: uncles with mi. parents with dm and htn. older borther with kidney stones. physical exam: vitals: t:97 bp:145/86 p:76 r:18 o2:95%ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, tongue midline and pink neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, +mild suprapubic tenderness, otherwise nt/nd, bs+; liver edge 1cm below costal margin by percussion and palpatation back: no cva tenderness, no paraspinal tenderness ext: wwp, no peripheral edema, 2+ pulses pertinent results: admission labs: - 08:40pm glucose-91 urea n-9 creat-0.7 sodium-135 (repeat 5.6*) potassium-8.0* chloride-102 total co2-23 anion gap-18 - 08:40pm wbc-8.8 rbc-5.03 hgb-15.6 hct-44.3 mcv-88 mch-31.0 mchc-35.2* rdw-14.2 plt count-336 - 05:47pm urine color-straw appear-clear sp -1.008 blood-lg nitrite-neg protein-75 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod rbc->50 wbc-* bacteria-few yeast-none epi-0-2 09:00am blood ctropnt-<0.01 04:00pm blood ctropnt-0.02* 11:51am blood %hba1c-6.3* eag-134* discharge labs: 03:56am blood wbc-6.9 rbc-2.97* hgb-8.9* hct-26.4* mcv-89 mch-29.9 mchc-33.6 rdw-15.5 plt ct-416 03:56am blood plt ct-416 02:10am blood pt-13.5* ptt-24.7 inr(pt)-1.2* 03:56am blood glucose-125* urean-18 creat-0.6 na-140 k-3.7 cl-101 hco3-31 angap-12 06:49pm blood alt-48* ast-38 ld(ldh)-203 alkphos-104 amylase-53 totbili-0.9 radiology kub: renal stent in proper position. radiology report chest (pa & lat) study date of 3:13 pm medical condition: 44 year old man with s/p cabg reason for this examination: eval for effusion pod 4 s/p cabg final report findings: right middle lobe opacification with sharp lateral edge is again seen and stable since , possibly atelectasis versus fibrosis. slight reduction in retrocardiac opacification likely due to decrease in left pleural effusion and atelectasis. stable postoperative mediastinal widening. stable moderate-to-large cardiac silhouette. hilar contours are normal. impression: decreased retrocardiac opacity likely due to decreased effusion and atelectasis. stable right mid lung opacification of unclear etiology may represent scarring. consider chest ct to better evaluate when patient clinically appropriate. dr. bishop echocardiography report date/time: at 10:11 interpret md: , md echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.7 cm <= 5.6 cm left ventricle - systolic dimension: 4.0 cm left ventricle - fractional shortening: 0.30 >= 0.29 left ventricle - ejection fraction: 55% >= 55% left ventricle - stroke volume: 66 ml/beat aorta - sinus level: 3.2 cm <= 3.6 cm aorta - ascending: 2.3 cm <= 3.4 cm aortic valve - peak velocity: 1.1 m/sec <= 2.0 m/sec aortic valve - peak gradient: 5 mm hg < 20 mm hg aortic valve - mean gradient: 3 mm hg aortic valve - lvot vti: 21 aortic valve - lvot diam: 2.0 cm aortic valve - valve area: *2.8 cm2 >= 3.0 cm2 mitral valve - mva (p t): 3.3 cm2 mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.4 m/sec mitral valve - e/a ratio: 1.75 findings left atrium: no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: no mvp. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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 tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. results were personally reviewed with the md caring for the patient. conclusions pre cpb: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left 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. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no mitral valve prolapse. trivial mitral regurgitation is seen. dr. was notified in person of the results. post cpb: preserved biventricular systolic function. lvef 55% intact thoracic aorta. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 18:35 brief hospital course: 43 year old male who was admitted to with recurrent right flank pain and chest pain. originally admitted to hospital one week prior found to have a right 8mm upj stone and 9mm lower pole stone in the kidney. he underwent right ureteral stent placement. he has continued to have right flank pain and hematuria and returned to the emergency . in the ed, he experienced a 3 hour episode of substernal chest pressure. his ecgs were concerning for coronary ischemia. his troponin was elevated somewhat on he had a +stress test. cardiac cath was performed on . significant coronary artery disease was revealed. cardiac surgery was consulted for revascularization. he was brought to the operating room on for coronary artery bypass grafting. please see operative report for details, in summary he had: 1. coronary artery bypass grafting x4 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first diagonal coronary artery; reverse saphenous vein single graft from aorta to the second obtuse marginal coronary artery; as well as reverse saphenous vein graft to the distal right coronary artery. 2. endoscopic left greater saphenous vein harvesting. his bypass time was 89 minutes with a crossclamp time of 74 minutes. he tolerated the operation well and post-operatively was transferred to the cardiac surgery icu in stable condition. he remained hemodynamically stable in the immediate post-op period. on the day of surgery he woke neurologically intact and was extubated. he required low dose neosynephrine to support his blood pressure and stayed in the icu on pod1. all tubes lines nad drains were removed per cardiac surgery protocol. after his chest tubes were removed he developed white out of the left side and a chest tube was placed, it subsequently drained 1.5l of serosang fluid. on pod 3 he was transferred from the icu to the stepdown floor. once on the stepdown floor he worked with the nursing and physical therapy staff to regain his strenghth and mobility. the remainder of his post-operative course was uneventful. he was discharged home with services on pod6. he is to follow up with dr in 3 weeks. medications on admission: simvastatin 40mg po daily asa 81 mg po daily mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 3. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 4. 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* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) for 2 weeks. disp:*14 adhesive patch, medicated(s)* refills:*0* 9. potassium chloride 10 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 2 weeks. 10. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 11. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch transdermal every seventy-two (72) hours for 2 weeks. disp:*4 patches* refills:*0* 12. ibuprofen 600 mg tablet sig: six hundred (600) mg po q8h (every 8 hours) as needed for pain. discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: s/p coronary bypass graft x4 pmh: coronary artery disease dmii (diet controlled) hypertension hyperlipidemia fatty liver h/o alcohol abuse(quit 23 years ago) h/o renal colic in the past right ureteral stent placement due to right sided nephrolithiasis psh: cystogram retrograde pyelogram r stent- discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral dilaudid/fentanyl patch incisions: sternal - healing well, no erythema or drainage leg: left -healing well, no erythema or drainage. edema: 1+ bilaterally 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 **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 1:30pm cardiologist: need to identify cardiologist please call to schedule appointments with your primary care dr. in weeks urologist as needed **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: insertion of intercostal catheter for drainage (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified alcohol dependence, in remission other and unspecified hyperlipidemia hemorrhage complicating a procedure 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 old myocardial infarction calculus of ureter calculus of kidney alcoholic fatty liver other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to