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: patient recorded as having no known allergies to drugs attending: chief complaint: asymptomatic with 3 vessel disease major surgical or invasive procedure: coronary artery bypass graft x 4 (lima to lad, svg to diag, svg to om, svg to rca) history of present illness: 67 y/o asymptomatic male with complex pmh who had a positive stress test and then referred for cardiac cath. cath revealed severe three vessel disease and he was then referred for surgical revascularization. past medical history: coronary artery disease s/p coronary artery bypass graft x 4 pmh: hypertension, hyperlipidemia, diabetes mellitus, peripheral vascular disease, carotid artery disease s/p left cea, h/o shingles, left shoulder tendenitis, hoh, s/p tonsillectomy, s/p right hand treatment dupuytren's contractures social history: quit smoking after 1.5ppd x 38 yrs. admits to couple etoh drinks/wk. family history: brother s/p cabg at 50. physical exam: admission vs: 65 20 129/64 ht5'6" wt162lbs gen: wdwn male in nad skin: unremarkable heent: eomi, perrl, ncat neck: supple, from -jvd chest: ctab heart: rrr abd: soft, nt/nd +bs ext: warm, well-perfused, -edema, -varicosities neuro: a&o x 3, mae, non-focal discharge vs t 98 hr 74 sr bp 115/58 rr 18 o2sat 95%-ra wt 77.2k gen nad neuro nonfocal exam pulm cta-bilat cv rrr, mo murmur. sternum stable, incision cdi abdm soft, nt/+bs ext warm, well perfused. trace pedal edema bilat pertinent results: echo: pre bypass: the left atrium is normal in size. 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 and cavity size are normal. regional left ventricular wall motion 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 aortic arch. there are complex (>4mm) 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. physiologic mitral regurgitation is seen (within normal limits). there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass: normal right ventricular systolic function. the left ventricle displays very mild mid and distal lateral wall hypokinesis with preserved overall systolic function. the tricuspid regurgitation may be slightly worse. the thoracic aorta appears unchanged. 11:25am blood wbc-13.0*# rbc-2.88*# hgb-9.0*# hct-25.1*# mcv-88 mch-31.3 mchc-35.8* rdw-13.6 plt ct-197 12:00pm blood pt-14.8* ptt-31.3 inr(pt)-1.3* 11:25am blood plt smr-normal plt ct-197 12:00pm blood urean-19 creat-1.0 cl-111* hco3-28 05:27pm blood k-4.7 08:03am blood glucose-230* lactate-1.3 na-138 k-4.0 cl-105 05:30am blood wbc-8.7 rbc-3.22* hgb-10.4* hct-28.0* mcv-87 mch-32.4* mchc-37.2* rdw-14.2 plt ct-161 05:30am blood plt ct-161 06:00am blood glucose-148* urean-21* creat-1.3* na-133 k-3.8 cl-97 hco3-32 angap-8 09:15a other blood chemistry: %hba1c: 7.8 radiology report chest (pa & lat) study date of 8:57 am chest (pa & lat) clip # reason: coronary artery disease\coronary artery bypass graft /sda medical condition: 67 year old man s/p cabg reason for this examination: ?? ptx- apical on cxr preliminary report !! pfi !! no pneumothorax. dr. dr. brief hospital course: mr. was a same day after undergoing pre-operative work-up after his cardiac cath. on day of admission he was brought directly to the operating room where he underwent a coronary artery bypass graft x 4. please see operative report for surgical details. in summary he had cabgx4 with a lima-lad,svg-diag,svg-om,svg-rca. his bypass time was 80 minutes with a crossclamp time of 66 minutes. he tolerated the operation well and following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. later on this day he was transferred to the telemetry floor for further care. once on the floor he had a largely uneventful post-operative course. on post-op day two his chest tubes were removed. chest-x-ray after removal revealed small residual apical pneumothorax, which remained stable throughout his hospitalization. on post-op day three his epicardial pacing wires were removed. during this time his activity level progressed and on pod4 he was discharged home with visiting nurses. medications on admission: plavix 75mg qd, lipitor 20mg qd, zetia 10mg qd, glipizide 10mg qd, novolog 70/30 18u qam, 28u qpm, metformin 1000mg qd, aspirin 325mg, niacin 100mg , 3, lorazepam 0.5mg prn qhs, percocet prn 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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. glipizide 10 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. insulin nph & regular human 100 unit/ml (70-30) suspension sig: 18units qam/28units qpm units subcutaneous qam&pm: 18 units qam 28 units qpm. 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 2 weeks. disp:*28 tablet sustained release(s)* refills:*0* 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 12. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 13. hydromorphone 2 mg tablet sig: 2-6 mg po q3-4hrs as needed. disp:*50 mg* refills:*0* discharge disposition: home with service facility: vna of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x4(lima-lad,svg-om,svg-diag,svg-rca) pmh: hypertension, hyperlipidemia, diabetes mellitus, peripheral vascular disease, carotid artery disease s/p left cea, h/o shingles, left shoulder tendenitis, hoh, s/p tonsillectomy, s/p right hand treatment dupuytren's contractures discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: clinic in 2 weeks dr. in 4 weeks dr. in weeks dr. in weeks 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 intermediate coronary syndrome diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified other and unspecified hyperlipidemia iatrogenic pneumothorax 

Answer: The patient is high likely exposed to