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: cepacol / benicar / zaroxolyn attending: chief complaint: decreased activity tolerance major surgical or invasive procedure: cabg x 4 (lima to lad, svg to diag, svg to om, svg to rca) history of present illness: 70 yo male with positive ett and elevated calcium scores. referred for cardiac cath which revealed three vessel cad. returns today for cabg. past medical history: diabetes mellitus, hypertension, hyperlipidemia, tia , h/o vertigo, hearing loss, recent removal of right cataract, s/p prior bil. mastoidectomies, s/p prior tonsillectomy social history: works in high tech lives with wife smokes occasional cigar 1-2 drinks per week family history: no premature cad; father with aaa in his 70's physical exam: 6'0" 207 # hr 73 rr 21 135/82 nad, lying flat after cath skin/heent unremarkable neck supple with full rom and no carotid bruits apppreciated ctab anterolaterally rrr no murmur soft, nt, nd, + bs;protuberant cool extremities, no edema or varicosities noted neuro grossly intact; unable to assess gait 2+ bil. fem/dp/pt/radials pertinent results: echo: pre bypass: the left atrium is moderately dilated a small secundum atrial septal defect is present. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is top normal/borderline dilated. 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. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. 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. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. post bypass: patient is a paced on phenylepherine infuson. preserved biventricular function lvef >55%. aortic contours intact remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. ct: 1. there is no evidence of retroperitoneal hematoma. cxr: small bilateral pleural effusions have decreased since . severe left lower lobe atelectasis persists. moderate enlargement of the postoperative cardiomediastinal silhouette is stable and small retrosternal air and fluid collections, a common postoperative finding, have not increased. no pneumothorax. 03:33pm blood wbc-17.1*# rbc-3.40* hgb-10.7* hct-31.7* mcv-93 mch-31.5 mchc-33.8 rdw-13.6 plt ct-231 06:40am blood wbc-7.3 rbc-2.64* hgb-8.3* hct-24.1* mcv-91 mch-31.5 mchc-34.5 rdw-13.9 plt ct-183 06:20am blood wbc-6.3 rbc-3.09* hgb-9.6* hct-27.3* mcv-88 mch-31.1 mchc-35.1* rdw-14.2 plt ct-339 05:02pm blood pt-14.7* ptt-43.5* inr(pt)-1.3* 05:02pm blood urean-16 creat-0.7 cl-110* hco3-25 06:20am blood glucose-126* urean-17 creat-1.0 na-143 k-3.8 cl-103 hco3-27 angap-17 06:20am blood calcium-8.8 phos-4.2 mg-2.2 brief hospital course: mr. was a same day admit and brought directly to the operating room where he underwent cabg x 4 with dr. . please see operative report for surgical details. following surgery he was transferred to the csru for invasive monitoring in stable condition. later that evening he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one beta blockers and diuretics were started and he was gently diuresed towards his pre-op weight. later on post-op day one he was transferred to the telemetry floor for further care. on post-op day two his chest tubes were removed. a slow drop in hct to 20 prompted a repeat cxr as well as abd. ct scan on post-op day three. this ruled out any active bleed and he was transfused prbcs. also on this day his epicardial pacing wires were removed. hct slowly increased over next several days. on post-op day four/five he had episode of atrial fibrillation which was treated with beta blockers and amiodarone. he converted back into sinus rhythm and remained in sr until discharge. he was ready for discharge home with services on post operative day 6. medications on admission: fortamet 100 mg actos 45 mg daily vytorin daily gemfibrozil 600 mg finasteride 5 mg daily asa daily hctz 25 mg daily toprol 25 mg daily 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:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. pioglitazone 45 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. fortamet 1,000 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po bid (2 times a day). disp:*60 tab,sust rel osmotic push 24hr(s)* refills:*0* 12. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 10 days. disp:*20 capsule, sustained release(s)* refills:*0* 13. furosemide 20 mg tablet sig: two (2) tablet po once a day for 10 days. disp:*20 tablet(s)* refills:*0* 14. vytorin 10-80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 15. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): please take 400mg twice a day for 5 days then decrease to 400mg daily for 7 days then decrease to 200mg daily and follow up with dr . disp:*80 tablet(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 atrial fibrillation pmh: diabetes mellitus, hypertension, hyperlipidemia, tia , h/o vertigo, hearing loss, recent removal of right cataract discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please check blood glucose follow up with pcp > 200 x2 please call with any questions or concerns followup instructions: please call to schedule all appointments see dr. in 1 week see dr. in weeks see dr. in 4 weeks wound check 2 please schedule with rn procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia personal history of other diseases of circulatory system unspecified hearing loss dizziness and giddiness cataract extraction status 

Answer: The patient is high likely exposed to