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: exertional angina major surgical or invasive procedure: cabgx5 (lima>lad,svg>diag,svg>ramus,svg>om,svg>drca) history of present illness: 66 yo m with history of untreated prostate cancer x 11 years who presented to ed with chest pain. past medical history: prostate ca x 11 years, hyperlipidemia social history: works as film director denies tobacco 5 glasses of wine/week family history: father with mi at ages 48, 53 and 58 physical exam: hr 61 bp 120/72 nad, flat after cath lungs ctab heart rrr, no murmur abdomen benign extrem warm, no edema no varicose veins pertinent results: 06:50am blood wbc-6.6 rbc-3.30*# hgb-10.1*# hct-28.8*# mcv-87 mch-30.5 mchc-34.9 rdw-14.0 plt ct-243 12:40pm blood pt-14.6* ptt-38.8* inr(pt)-1.3* 06:50am blood glucose-104 urean-21* creat-1.2 na-140 k-4.6 cl-102 hco3-31 angap-12 neurophysiology report eeg study date of object: status post cabg, now with visual disturbances, rule out seizures. referring doctor: dr. findings: background: a well-formed 8 hz posterior dominant rhythm was noted in wakefulness which attenuated appropriately with eye opening. the anterior to posterior voltage gradient was preserved. hyperventilation: could not be performed. intermittent photic stimulation: could not be performed. sleep: the patient progressed from the waking to drowsy state but did not attain stage ii sleep during the recording. cardiac monitor: showed a generally regular rhythm with an average rate of 84 beats per minute. impression: this is a normal routine eeg in the waking and drowsy state. there were no areas of prominent focal slowing. there were no epileptic features. radiology final report chest (portable ap) 8:02 am chest (portable ap) reason: eval for pleural effusions medical condition: 66 year old man s/p cabg reason for this examination: eval for pleural effusions chest radiograph indication: followup. comparison: . as compared to the previous radiograph, the left-sided pleural effusion has minimally increased. on the right, there is no evidence of effusion. unchanged retrocardiac atelectasis. no newly occurred parenchymal opacities suggestive of pneumonia. dr. approved: 10:53 am interpreted by: , b. echocardiography report , (complete) done at 9:10:54 am preliminary referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 66 m hgt (in): 66 bp (mm hg): 120/70 wgt (lb): 150 hr (bpm): 70 bsa (m2): 1.77 m2 indication: intraoperative tee for cabg icd-9 codes: 410.91, 786.05, 786.51, 440.0, 424.1 test information date/time: at 09:10 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 #: 2008aw3-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.6 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - annulus: *3.1 cm <= 3.0 cm aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.9 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: 2.1 cm <= 2.5 cm findings left atrium: normal la size. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). mildly thickened aortic valve leaflets. mildly thickened aortic valve leaflets (3). significant ar, but cannot be quantified. eccentric ar jet directed toward the anterior mitral leaflet. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. pulmonic valve not well seen. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. the left atrium is normal in size. 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%). 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) appear structurally normal with good leaflet excursion. the aortic valve leaflets are mildly thickened. the aortic valve leaflets (3) are mildly thickened. significant aortic regurgitation is present, but cannot be quantified. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and was in normal sinus rhythm. 1. regional and global left ventricular systolic function are normal. 2. right ventricular systolic function is normal. 3. valves are the same as noted pre-bypass. 4. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: he was admitted to cardiology. he ruled in for an nstemi. he refused cardiac catheterization and was started on heparin, , , metoprolol, and ace-i and a statin. he underwent test on where he had st changed with minimal exercise. he agreed to cardiac cath which showed moderate left main and severe 3 vessel disease. he was referred for cardiac surgery. his was dc'd and he was started on heparin. he awaited washout prior to being taken to the operating room on where he underwent a cabg x5. he was transferred to the icu in stable conditon. he was extubated post op. his chest tubes were dc'd and he was transferred to the floor on pod #1. bladder scan post void showed 1 liter residual and foley was reinserted. he had a fever for which he was pancultured. he was evaluated by neurology for visual changes. pacing wires removed on pod #3. oncology also consulted. beta blockade titrated and he was gently diuresed toward his preop weight. on pod#3 he complained of visual changes, seeing frames in front of his eyes, and neurology was consulted. he had an eeg which was negative and then underwent cta of the head and neck as he did not want to have an mri/mra. the cta was negative for cva and he was instructed to follow up with dr. from neurology as an outpatient. the visual changes improved and he was dischared to home on pod#5 in stable condition. medications on admission: ambien 5', 81', celebrex 200', diazepam 2.5', uroxatral 10', viagra prn discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 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:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. uroxatral 10 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 6. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 5 days. disp:*10 packet(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days. disp:*10 tablet(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: hospice program discharge diagnosis: cad s/p cabg pmh: prostate ca x 11 years, hyperlipidemia discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower daily, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks or driving until follow up with surgeon. followup instructions: dr. in 2 weeks dr. 2 weeks dr. in 4 weeks provider: , m.d. phone: date/time: 10:30 provider: /exercise lab phone: date/time: 10:30 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia malignant neoplasm of prostate retention of urine, unspecified other specified visual disturbances 

Answer: The patient is high likely exposed to