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: aspirin / lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass grafting x4 with a left internal mammary artery to left anterior descending coronary artery, reverse saphenous vein graft from the aorta to the first diagonal, reverse saphenous vein graft from the aorta to the first obtuse marginal coronary artery, as well as reverse saphenous vein graft from the aorta to the distal right coronary artery . history of present illness: pt. with years of chest pain, crescendoing over past 6 months with minor exertion and associated palpations. pain, sob resolve with rest after 120 minutes. denies rest symptoms. stress echo was positive with preserved lv function 55-60%. cathed electively today. past medical history: hyperlipidemia insulin dependent diabetes mellitus depression hernia spondylosis duodenal ulcer gerd post traumatic stress disorder arthritis gib tonsillectomy coronary artery disease-s/p cabg social history: last dental exam: 4-6 months lives with: alone, estranged from his family occupation: unemployed at this time tobacco:denies etoh:occ. family history: unremarkable physical exam: on admission: pulse: resp: o2 sat: b/p right:110/70 left: 106/66 height:63" weight:154# general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally x heart: rrr irregular murmur n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right: n left:n pertinent results: 05:10am blood wbc-10.2 rbc-3.40* hgb-9.9* hct-29.0* mcv-85 mch-29.0 mchc-34.0 rdw-13.2 plt ct-298# 01:44pm blood pt-13.9* ptt-42.6* inr(pt)-1.2* 05:10am blood glucose-195* urean-11 creat-1.0 na-130* k-4.2 cl-93* hco3-29 angap-12 01:20pm blood %hba1c-7.9* eag-180* , m m 59 radiology report chest (portable ap) study date of 8:45 am , csru 8:45 am chest (portable ap) clip # reason: r/o ptx final report chest radiograph indication: status post cabg and chest tube removal. rule out pneumothorax. comparison: . findings: as compared to the previous radiograph, the chest tubes have been removed. the right central venous access line is in unchanged position. there is no evidence of pneumothorax. unchanged lung volumes. unchanged size of the cardiac silhouette. unchanged minimal basal atelectasis, unchanged retrocardiac atelectasis, no newly appeared focal parenchymal opacities. dr. approved: 12:22 pm echocardiography report , (complete) done at 9:38:50 am final referring physician information , c. , status: inpatient dob: age (years): 59 m hgt (in): 64 bp (mm hg): 118/65 wgt (lb): 154 hr (bpm): 58 bsa (m2): 1.75 m2 indication: intraoperative tee for cabg. cest pain. hypertension. left ventricular function. shortness of breath. icd-9 codes: 786.05, 786.51, 424.1, 424.0 test information date/time: at 09:38 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 #: 2010aw5-: machine: echocardiographic measurements results measurements normal range left atrium - four chamber length: 4.2 cm <= 5.2 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% to 60% >= 55% left ventricle - stroke volume: 57 ml/beat left ventricle - cardiac output: 3.28 l/min left ventricle - cardiac index: *1.87 >= 2.0 l/min/m2 aorta - annulus: 2.1 cm <= 3.0 cm aorta - sinus level: *3.9 cm <= 3.6 cm aorta - sinotubular ridge: *3.4 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - arch: 2.4 cm <= 3.0 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: 4 mm hg < 20 mm hg aortic valve - mean gradient: 2 mm hg aortic valve - lvot vti: 18 aortic valve - lvot diam: 2.0 cm aortic valve - valve area: *2.1 cm2 >= 3.0 cm2 findings left atrium: no mass/thrombus in the laa. no spontaneous echo contrast is seen in the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). no lv mass/thrombus. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. focal calcifications in aortic arch. normal descending aorta diameter. focal calcifications in descending aorta. aortic valve: three aortic valve leaflets. mild (1+) ar. mitral valve: mild (1+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. the patient appears to be in sinus rhythm. resting bradycardia (hr<60bpm). results were personally reviewed with the md caring for the patient. conclusions pre bypass: 1. no mass/thrombus is seen in the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). no masses or thrombi are seen in the left ventricle. 3. right ventricular chamber size and free wall motion are normal. 4. the aortic root is mildly dilated at the sinus level. there are simple atheroma in the aortic arch. there are focal calcifications in the aortic arch. 5. there are three aortic valve leaflets. mild (1+) aortic regurgitation is seen. 6. mild (1+) mitral regurgitation is seen. 7. dr. was notified in person of the results on at 0845. post bypass: 1. biventricular systolic function remains preserved. the study is other3wise unchanged from prebypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 07:54 ekg sinus rhythm. normal tracing. compared to the previous tracing of no diagnostic interim change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 83 148 100 384/424 29 57 12 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 4. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. cefazolin was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to center in good condition with appropriate follow up instructions. medications on admission: vitamin d unit capusle- 1 capsule po daily nexium 40mg po bid fenofibrate micronized 200mg po daily fluoxetine 20mg po daily lantus 12 units once daily discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 9. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 10. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 11. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 12. sodium chloride 0.65 % aerosol, spray sig: sprays nasal tid (3 times a day) as needed for congestion. 13. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (): with 48mg dose for total daily dose of 193mg. 14. fenofibrate micronized 48 mg tablet sig: one (1) tablet po daily (daily): total dose = 193mg daily. patient takes 200mg daily at home. . 15. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 16. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous q breakfast. 17. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 18. metformin 500 mg tablet sig: one (1) tablet po at bedtime: metformin: 1000mg in am, 1500mg pm. 19. insulin regular human 100 unit/ml (3 ml) insulin pen sig: one (1) subcutaneous four times a day: regular insulin -dose per sliding scale. discharge disposition: extended care facility: - discharge diagnosis: hyperlipidemia insulin dependent diabetes mellitus depression hernia spondylosis duodenal ulcer gerd post traumatic stress disorder coronary artery disease-s/p cabg . discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid. incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 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 until follow up with surgeon 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: please call to schedule appointments with your primary care dr. in weeks cardiologist dr. in weeks dr. in 4 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 coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified other and unspecified hyperlipidemia other and unspecified angina pectoris posttraumatic stress disorder acquired spondylolisthesis 

Answer: The patient is high likely exposed to