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: penicillins attending: chief complaint: exertional chest pain major surgical or invasive procedure: cardiac cathetherization . cabgx4(lima-lad,svg-pda,svg-diag-om) history of present illness: 63yom known cad s/p lad stenting x3 most recent cypher stent in ' now with recurrent exertioal chest pain. admitted to hosp for r/o mi, then transferred to for cardiac catheterization which showed lm and 3vd. he was then referred for surgical evaluation past medical history: cad ^chol gerd achilles fisulectomy social history: lives with wife occasional etoh denies tobacco family history: mother died mi in her 70's physical exam: admission t 98 hr 52 bp 148/80 rr 18 ht 5'9" wt 88k gen: nad anxious chest: cta bilat cv: rrr, no mrg abdm: soft-protuberant, nt/nd/nabs ext: warm, well perfused. no edema discharge t 97.6 hr 73sr bp 100/60 rr 18 o2sat 97%ra gen: nad neuro: a&ox3, nonfocal exam cv rrr, sternum stable, incision cdi pulm: cta-bilat abdm: soft, nt/+bs ext: warm, left leg evh site cdi with steri strips pertinent results: 01:30pm glucose-115* urea n-16 creat-0.9 sodium-136 potassium-3.7 chloride-101 total co2-26 anion gap-13 01:30pm alt(sgpt)-19 ast(sgot)-16 alk phos-48 amylase-83 tot bili-0.9 01:30pm albumin-4.1 01:30pm %hba1c-5.8 01:30pm wbc-7.2 rbc-4.68 hgb-15.3 hct-44.2 mcv-95 mch-32.7* mchc-34.5 rdw-13.5 01:30pm plt count-184 01:30pm pt-13.3* ptt-34.9 inr(pt)-1.2* 06:10am blood wbc-7.5 rbc-3.05* hgb-9.9* hct-28.6* mcv-94 mch-32.5* mchc-34.7 rdw-14.3 plt ct-203 06:10am blood plt ct-203 06:10am blood glucose-120* urean-19 creat-0.9 na-141 k-4.6 cl-103 hco3-34* angap-9 radiology final report chest (portable ap) 4:02 pm chest (portable ap) reason: r/o pneumothorax medical condition: 63 year old man with cabg s/p l chest tube removal and 2 meds tube removal reason for this examination: r/o pneumothorax portable chest, one view at 16:06 hours comparison study: . clinical information: left chest tube removal. question pneumothorax. findings: the left chest tube has been removed. no pneumothorax was identified. the lungs appear clear. the heart and mediastinum are within normal limits. the swan-ganz catheter has also been removed. impression: status post left-sided chest tube removal. no pneumothorax. dr. cardiology report echo study date of patient/test information: indication: intraoperative tee for cabg status: inpatient date/time: at 13:22 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw4-: test location: anesthesia west or cardiac technical quality: suboptimal referring doctor: dr. r. measurements: left atrium - long axis dimension: *4.7 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.4 cm (nl <= 5.2 cm) left ventricle - ejection fraction: 60% (nl >=55%) aorta - ascending: 3.1 cm (nl <= 3.4 cm) aorta - descending thoracic: 2.4 cm (nl <= 2.5 cm) aortic valve - lvot diam: 1.9 cm interpretation: findings: left atrium: mild la enlargement. no spontaneous echo contrast in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv systolic function. aorta: simple atheroma in ascending aorta. focal calcifications in ascending aorta. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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. suboptimal image quality. the patient appears to be in sinus rhythm. results conclusions: pre-cpb the left atrium is mildly dilated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular systolic function is normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trace to mild (1+) mitral regurgitation is seen. post-cpb there is normal biventricular systolic function. thoracic aorta appears intact. no significant changes from pre-cpb findings. electronically signed by , md on 13:34. physician: radiology final report carotid series complete 10:28 am carotid series complete reason: pre op cabg medical condition: 63 y old male w/ hx of prior lad stents presented to osh with exertional angina, troponins negative, sent to for diagnosis with cath showing l main stenosis 30-40% and patent stents, admitted for eval for cabg reason for this examination: r/o carotid stenosis indication for exam: this is a 63-year-old male with history of lad stents, admitted for evaluation for cabg. radiologist: exam was read by drs. and . technique and findings: extracranial evaluation of bilateral carotids was performed using b-mode, color and spectral doppler ultrasound modes. on grayscale evaluation, there is mild amount of plaque within bilateral internal carotid arteries. on the right, peak systolic velocities are 75, 48 and 85 cm/sec, in the internal, common, and external carotid arteries respectively. the right ica to cca ratio is 1.56. on the left, peak systolic velocities are 71, 67, and 88 cm/sec in the internal, common, and external carotid arteries respectively. the left ica to cca ratio is 1.05. both vertebral arteries present with antegrade flow. comparison, unavailable. impression: there is less than 40% stenosis within bilateral internal carotid arteries. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: mr was transferred to on for cardiac catheterization which revealed left main and 3vd. he was then referred for surgical evaluation and was deemed an appropriate candidate. he went to the operating room on for coronary artery bypass-please see or report for details. in summary he had lima-lad, svg-pda, svg-diag, svg-om, bypass time was 87 min with crossclamp of 70 min, he tolerated the operation well and was transferred from the or to the icu in stable condition. he did well in the immediate post-op period and was extubated several hours after arrival in the icu. on pod1-2 he was hemodynamically stable on low dose neosynephrine infusion, this was weaned off by pod3 and on pod4 he was transferred to the step down floor for continued post-op care. on pod5 it was decide he was stable and ready for discharge to home with visiting nurses. medications on admission: asa 81 qd lipitor 20 qd protonix 40 qd discharge medications: 1. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 2 weeks. disp:*28 capsule, sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. 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* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day): 20mg x 7 days then 20mg qd x7 days . disp:*21 tablet(s)* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. lovastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: s/p cabgx4. cad s/p stents, hyperlipidemia, gerd, achilles , fistulectomy. discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, erdness or drainage from wounds. 10 pound lifting restriction x 6 weeks no driving x 4 weeks followup instructions: clinic in 2 weeks dr in weeks dr in 4 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia 

Answer: The patient is high likely exposed to