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: history of present illness: mr. is a 57 year-old male with known coronary artery disease status post percutaneous transluminal coronary angioplasty in , and in who has had increasing dyspnea on exertion with occasional chest discomfort over the past few months. he was catheterized on the day of admission and that revealed an occlusion of the left anterior descending coronary artery and right coronary artery with instent stenosis and moderate obtuse marginal disease. past medical history: coronary artery disease status post myocardial infarction in . hypertension, hypercholesterolemia, chronic back pain, question of a transient ischemic attack versus a cerebrovascular accident at the time of his angioplasty in with no residual deficit. degenerative joint disease. status post total hip replacement on the left. medications prior to admission: 1. toprol xl 100 mg q.d. 2. lipitor 20 mg q.d. 3. diovan 80 mg q.d. 4. aspirin 325 q.d. 5. motrin 800 q.d. 6. percocet on a prn basis. 7. plavix 75 mg q.d. 8. imdur no dose provided. 9. multivitamin. allergies: zestril to which he gets a cough. laboratory data: white blood cell count 7.9, hematocrit 44, platelets 225, inr 0.91, sodium 140, potassium 4.8, chloride 109, co2 25, bun 14, creatinine 0.8. physical examination: neurological grossly intact. pulmonary lungs clear to auscultation bilaterally. heart regular rate and rhythm. s1 and s2. no murmur. abdomen obese, soft and nontender. positive bowel sounds. extremities are warm. no edema. pulses bilaterally. hospital course: following his cardiac catheterization cardiothoracic surgery was consulted and the patient was seen and accepted for surgery. while awaiting surgery he had a carotid duplex that showed no significant hemodynamic lesions in the right or left. on the patient was brought to the operating room. please see the or report for full details. in summary the patient had coronary artery bypass graft times three with a left internal mammary coronary artery to the left anterior descending coronary artery, saphenous vein graft to obtuse marginal and saphenous vein graft to the right posterior descending coronary artery. bypass time was 66 minutes. cross clamp time was 39 minutes. he tolerated the procedure well and was transferred from the operating room to the cardiothoracic intensive care unit. at that time he had propofol at 30 mcs per kilogram per minute. the patient did well in the immediate postoperative period. his anesthesia was reversed. sedation discontinued. he was weaned from the ventilator and successfully extubated. on the morning of postoperative day one the patient remained hemodynamically stable. swan-ganz catheter and central venous access lines were discontinue. if a bed had been available he would have been transferred to the floor, however, there were none and he stayed in the intensive care unit where is activity level was gradually increased. on postoperative day two the patient's chest tubes were discontinued and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation. once on the floor a chest x-ray revealed significant right pneumothorax. a chest tube was placed at that time and the lung was successfully reexpanded. over the next two days the patient's activity level was increased. on postoperative day five the chest tube that was placed for the pneumothorax was discontinued. the patient ambulated to a level five and it was decided that he was stable and ready to be discharged to home. physical examination on discharge: vital signs temperature 99. heart rate 83, sinus rhythm. blood pressure 116/56. respiratory rate 20. o2 sat 99% on room air. weight preoperatively is 147.5 kilograms, at discharge it is 145.6 kilograms. alert and oriented times three, moves all extremities. follows commands. respirations scattered rhonchi, distant breath sounds. cardiac regular rate and rhythm. s1 and s2. no murmurs. sternum was stable. incision with steri-strips open to air, clean and dry. abdomen is obese, soft, nontender, nondistended with positive bowel sounds. extremities are warm and well perfuse with 1+ bilateral edema. right leg incision with steri-strips open to air clean and dry. laboratory data: white blood cell count 11.7, hematocrit 32, 4, platelets 224, sodium 138, potassium 3.7, chloride 97, co2 29, bun 19, creatinine 0.9, glucose 124. discharge medications: 1. metoprolol 75 mg b.i.d. 2. lasix 20 mg q.d. times two weeks. 3. potassium chloride 20 milliequivalents q.d. times two weeks. 4. enteric coated aspirin 325 q.d. 5. lipitor 20 mg q.d. 6. percocet 5/325 one to two tabs q 4 hours prn. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass grafting times three. 2. hypertension. 3. hypercholesterolemia. 4. chronic back pain. 5. degenerative joint disease. 6. status post total hip replacement of the left. he is to be discharged to home and follow up in the wound clinic in two weeks. follow up with his primary care physician in two to three weeks and follow up with dr. in six weeks. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome iatrogenic pneumothorax other complications due to other cardiac device, implant, and graft hip joint replacement 

Answer: The patient is high likely exposed to