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: shortness of breath major surgical or invasive procedure: 1. coronary bypass grafting x4: left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to first diagonal coronary; reverse saphenous vein single graft from aorta to first obtuse marginal coronary artery; reverse saphenous vein graft from aorta to the second obtuse marginal coronary artery. 2. epiaortic duplex scanning. 3. endoscopic right greater saphenous vein harvesting. history of present illness: 62 year old male with a history of htn who has had dyspnea on exertion after climbing up a flight of stairs or when he has to execute quickly a physically demanding task for the past year. he had an positive ett and underwent cardiac cath today which revealed tight left main disease and lad and lcx disease as well. past medical history: hypertension gerd social history: lives with: wife occupation: supervisor for tobacco: never etoh: occasional family history: + cancer physical exam: pulse: 69s resp: 20 o2 sat: 95% ra b/p right: 96/80 left: height: 5' 11" weight: 213 lbs. general: 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 varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: cath site left: 2+ carotid bruit right: no left: no pertinent results: intra-op tee conclusions pre cpb: 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 are normal. the left ventricular cavity size 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 descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. post cpb: the patient is being atrial paced. there is trace mr. systolic function is preserved. the visible contours of the thoracic aorta are intact. , jr m 62 radiology report chest (portable ap) study date of 11:25 am , csru 11:25 am chest (portable ap) clip # reason: eval for ptx final report chest on history: question pneumothorax. findings: the endotracheal tube has been removed. there is right ij line with tip in the svc. there is volume loss in the left lower lung. left-sided chest tube has been removed. there is no pneumothorax. dr. 04:55am blood hct-30.5* 06:10am blood wbc-12.2* rbc-3.79* hgb-11.4* hct-32.9* mcv-87 mch-30.2 mchc-34.7 rdw-13.3 plt ct-136* 06:10am blood glucose-107* urean-25* creat-0.7 na-137 k-4.0 cl-101 hco3-31 angap-9 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 4 (lima-lad, rsvg-om1, rsvg-om2, rsvg-diag). overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin 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, weaned from inotropic and 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 home in stable condition on pod#4. medications on admission: fluticasone 50 mcg spray, suspension - 1 (one) intranasally twice daily hydrochlorothiazide - 25 mg 1 (one) tablet(s) by mouth once a day omeprazole magnesium 20 mg one tablet(s) by mouth daily discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna, discharge diagnosis: coronary artery disease pmh: hypertension gerd discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **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 surgeon: dr. @ 2:30 pm cardiologist: dr. @ 2 pm 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: (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 left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension 

Answer: The patient is high likely exposed to