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: chest pain major surgical or invasive procedure: coronary artery bypass x 4 (lima to lad, svg to diag, svg to om, svg to pda) history of present illness: 62 y/o male with abnormal ekg during stress test. underwent cardiac cath which revealed three vessel disease. referred for surgical revascularization. past medical history: diabetes mellitus, hypertension, myocardial infarction, right knee surgery social history: 1/2ppd since age 17. quit several early . rare etoh family history: father with "heart problems" physical exam: vs: 75 16 159/83 gen: wdwn malw in nad skin: wd intact heent: eomi, perrl ncat neck: supple, from -jvd, -bruits chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused -edema neuro: a&o x 3, mae, non-focal pertinent results: echo : pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. there is mild to moderate regional left ventricular systolic dysfunction of the basal to mid- inferior wall and distal anterior walls.. overall left ventricular systolic function is low normal (lvef 50-55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-bypass: 1. biventricular function is maintained lvef 50-55%, wall motion is same as pre-bypass. 2. aortic contours are intact post-decannulation. chest (portable ap) 11:06 am chest (portable ap) reason: eval for pneumothorax s/p chest tube removal medical condition: 63 year old man s/p cabg reason for this examination: eval for pneumothorax s/p chest tube removal history: cabg, status post chest tube removal. findings: in comparison with the study of , the endotracheal tube, nasogastric tube, and swan-ganz catheter have been removed, as have been the mediastinal leads. specifically, no evidence of pneumothorax. some atelectatic changes persist at the left base. 12:15am blood wbc-13.7* rbc-3.26* hgb-9.4* hct-28.3* mcv-87 mch-28.8 mchc-33.2 rdw-13.3 plt ct-153 07:15am blood wbc-15.6* rbc-3.36* hgb-9.8* hct-29.2* mcv-87 mch-29.1 mchc-33.5 rdw-13.6 plt ct-131* 12:15am blood plt ct-153 02:00pm blood pt-13.7* ptt-32.9 inr(pt)-1.2* 12:15am blood glucose-177* urean-15 creat-0.9 na-134 k-4.0 cl-95* hco3-31 angap-12 brief hospital course: mr. was a same day admit and was brought directly to the operating room where he underwent a coronary artery bypass graft x 4. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later on op day 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 he pre-op weight. later on this day he was transferred to the sdu for further care. on post-op day two his chest tubes and epicardial pacing wired were removed. he did well postoperatively and was ready for discharge home on pod #4. medications on admission: toprol xl 50mg qd, lisinopril 10mg qd, metformin 500mg , plavix 75mg qd (stopped), crestor 5mg qd, aspirin 81mg qd, mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. 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* 3. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. rosuvastatin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*1* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po bid (2 times a day) for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: diabetes mellitus, hypertension, myocardial infarction, right knee surgery 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 call with any questions or concerns followup instructions: 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 unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified angina pectoris old myocardial infarction 

Answer: The patient is high likely exposed to