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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cabgx5(lima->lad, svg-., , pda, plb) history of present illness: mr. is a 70 year old active male with significant family history for coronary artery disease who complained of exertional chest discomfort for the past month. underwent stress test which was positive for chest pain and st changes. then underwent a cardiac cath which found severe three vessel coronary artery disease. presents today for evaluation for surgical revascularization. patient complains of more recent chest symptoms at rest, described as heart burn. past medical history: hypertension hyperlipidemia benign prostatic hypertrophy turp 10 yrs ago social history: he lives with his wife is a professor at denies tobacco use and reports only rare alcohol. family history: mr. father had several myocardial infarction, died at age 53. physical exam: pulse: 47 resp: 16 o2 sat: 100% b/p right: 111/70 left: 123/76 height: 5'5" weight: 150 lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: superficial greater in right 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: - left: - pertinent results: date/time: test type: portable tte (complete) son: atrium - long axis dimension: 3.2 cm <= 4.0 cm left atrium - four chamber length: 4.9 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.4 m/s left atrium - peak pulm vein a: 0.3 m/s < 0.4 m/s right atrium - four chamber length: *5.2 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - systolic dimension: 2.7 cm left ventricle - fractional shortening: 0.40 >= 0.29 left ventricle - ejection fraction: >= 60% >= 55% left ventricle - lateral peak e': 0.11 m/s > 0.08 m/s left ventricle - septal peak e': *0.08 m/s > 0.08 m/s left ventricle - ratio e/e': 8 < 15 aorta - sinus level: 3.0 cm <= 3.6 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - arch: 2.6 cm <= 3.0 cm aortic valve - peak velocity: 1.1 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.0 cm mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.33 mitral valve - e wave deceleration time: 246 ms 140-250 ms tr gradient (+ ra = pasp): 24 to 25 mm hg <= 25 mm hg pulmonic valve - peak velocity: 0.6 m/sec <= 1.5 m/sec findings left atrium: normal la size. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: trivial/physiologic pericardial effusion. conclusions the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is 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. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. brief hospital course: mr. was transferred from an outside hospital with symptomatic coronary artery disease. pre-operative testing ensued. on he underwent a coronary artery bypass grafting x5 (left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the first diagonal artery, obtuse marginal artery, and reverse sequential saphenous vein grafts to the posterior descending artery and posterior left ventricular branch artery).cross-clamp time: 75 minutes. pump time: 84 minutes. please see the operative note for further surgical details. he tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. he awoke neurologically intact and was extubated without difficulty. he was weaned from pressors support and started on beta-blocker/ statin/aspirin and diuresis. chest tubes and epicardial wires were removed per protocol. he was transferred to the step down floor for further monitoring. physical therapy was consulted for evaluation of strength and mobility. on postoperative day #3 radiology noted on cxr a 4 mm nodular density at the right base laterally. per radiology, it was recommended that a chest ct when the patient is stable, be performed. follow up chest ct scan has been arranged to be done as an outpatient, prior to his follow up visit with dr.. the remainder of his postoperative course was essentially uneventful. he progressed well and was ready for discharge to home by post-operative day #4. all follow-up appointments were advised. medications on admission: lisinopril 10mg daily aspirin 325mg daily witamin d3 1000units daily lopressor 25mg discharge medications: 1. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day): 75 mg twice a day . disp:*90 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 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:*0* 5. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). disp:*30 capsule, ext release 24 hr(s)* refills:*0* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days. disp:*14 tablet extended release(s)* refills:*0* 10. vitamin d-3 1,000 unit tablet, chewable sig: one (1) tablet, chewable po once a day. disp:*30 tablet, chewable(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with 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 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 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: you are scheduled for the following appointments wound check appointment cardiac surgery office medical building - on 10:45 am ct scan phone: cat scan phone: date/time: 10:45 - surgeon: dr. on wed at 1:15pm cardiologist: dr. - cardiac surgery office will call with appt please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) family history of ischemic heart disease other symptoms involving urinary system 

Answer: The patient is high likely exposed to