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: percocet attending: chief complaint: chest tightness major surgical or invasive procedure: five vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending artery with vein grafts to the diagonal, first obtuse marginal, second obtuse marginal, and pda) history of present illness: mr. is a 74 year old male with known coronary artery disease. he presented to hospital with a six week history of chest tightness and heaviness. he underwent cardiac catheterization which revealed 70% left main lesion including severe three vessel coronary artery disease. he was subsequently transferred to the for cardiac surgical intervention. past medical history: coronary artery disease - prior ptca/stenting to rca in type ii diabetes mellitus hypertension dyslipidemia benign prostatic hypertrophy, s/p turp degenerative joint disease diverticular disease sigmoid resection cataract surgery right knee operation social history: performs office work part time. 30 pack year history of tobacco but quit smoking in . denies etoh. family history: father died of mi at age 62. physical exam: bp 126/69, p 62, rr 12 ht 70 inches wt 80 kg general - wdwn male in nad skin - unremarkable heent - oropharynx benign, eomi, sclera anicteric neck - supple, no jvd chest - lungs cta bilaterally heart - regular rate and rhythm, normal s1s2, no rub or murmur abdomen - benign ext - warm, no edema neuro - alert and oriented, cn 2-12 grossly intact, from, strength pertinent results: 01:32pm blood wbc-6.0 rbc-3.98* hgb-12.7* hct-35.3* mcv-89 mch-32.0 mchc-36.0* rdw-13.0 plt ct-196 01:32pm blood pt-14.4* ptt-29.8 inr(pt)-1.3* 01:32pm blood glucose-149* urean-10 creat-0.8 na-141 k-4.0 cl-108 hco3-30 angap-7* 01:32pm blood alt-12 ast-16 ld(ldh)-131 alkphos-67 totbili-0.7 01:32pm blood albumin-3.9 calcium-8.9 phos-2.7 mg-1.9 01:32pm blood %hba1c-7.9* carotid ultrasound 1. mild plaque in the right internal carotid artery with less than 40% stenosis. 2. no stenosis in the left internal carotid artery. this is a baseline examination at the . echocardiogram the left atrium is mildly dilated. the estimated right atrial pressure is 0-5 mmhg. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad. brief hospital course: mr. was admitted to the intensive care unit given his critical coronary anatomy. he underwent routine preoperative evaluation - please see result section for preoperative study results. he remained pain free on medical therapy and was cleared for surgery. the following day, dr. performed coronary artery bypass grafting surgery. please see operative note for details. following the operation, he was transferred to the surgical intensive care unit for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. his unit course was otherwise routine and he transferred to the step down floor on postoperative day one. his chest tubes and epicardial wires were removed. he was seen in consultation by the physical therapy service. his beta blockade was titrated up as tolerated. by post-operative day five he was ready for discharge to home. medications on admission: aspirin 81 qd, enalapril 10 qd, fexofenadine 180 qd, levemir 23 units, novolog sliding scale, lopressor 50 , lovastatin 40 qd, omeprazole 20 qd, terazosin 4 qd, viagra prn discharge medications: 1. 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* 2. atorvastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 5. terazosin 1 mg capsule sig: four (4) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*2* 6. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*2* 7. levemir flexpen 100 unit/ml insulin pen sig: twenty three (23) units subcutaneous at bedtime. disp:*qs * refills:*2* 8. novolog flexpen 100 unit/ml insulin pen sig: see sliding scale subcutaneous three times a day. disp:*qs * refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease - s/p cabg type ii diabetes mellitus hypertension dyslipidemia prior ptca/stenting to rca in discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: dr. in weeks, call for appt ( dr. sanan (pcp) in weeks, call for appt ( dr. or caligan (cardiology) in weeks, call for appt 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 esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia long-term (current) use of insulin family history of ischemic heart disease diverticulosis of colon (without mention of hemorrhage) lumbosacral spondylosis without myelopathy cervical spondylosis without myelopathy acquired absence of intestine (large) (small) 

Answer: The patient is high likely exposed to