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: nitroglycerin transdermal attending: chief complaint: chest pain major surgical or invasive procedure: - cabgx4 (lima->lad, vein graft->diagonal, vein to obtuse marginal, vein to posterior lateral branch) history of present illness: 69 year old gentleman with shest discomfort and dyspnea on exertion which started 6-7 months ago. he underwent a a stress test which was positive and was referred for a cardiac catheterization. he was found to have 3 vessel disease and now presents for surgical revascularization. past medical history: copd hyperlipidemia obesity diabetes smoking history social history: retired custodian. lives with wife. smokes 1ppd for 50 years. family history: mother died of mi at age 59. physical exam: 68 120/60 6' 240 gen: nad heent: unremarkable heart: rrr, nl s1-s2 abd: benign ext: no varicosities, 1+ le edema, 2+ pulses neuro: nonfocal. pertinent results: ct scan: 1. 5 mm left upper lobe subpleural nodule and 2 mm left lower lobe superior segment nodule. follow up in one year's time is recommended for further evaluation. 2. focal irregularity in the superior left main stem bronchus is likely inflammatory. attention to this area should be paid on subsequent follow-up exams. 3. 17 x 1mm left adrenal lesion. while this statistically represents an adenoma, further evaluation with dedicated ct or mri would be required to secure that interpretation. 06:55pm blood wbc-11.2* rbc-4.94 hgb-16.1 hct-45.9 mcv-93 mch-32.5* mchc-35.0 rdw-14.1 plt ct-209 06:50am blood wbc-12.7* rbc-3.41* hgb-10.7* hct-32.0* mcv-94 mch-31.3 mchc-33.4 rdw-13.9 plt ct-345# 06:55pm blood pt-12.2 ptt-26.9 inr(pt)-1.0 02:23am blood pt-14.2* ptt-35.5* inr(pt)-1.3* 06:55pm blood glucose-163* urean-20 creat-1.0 na-146* k-4.7 cl-107 hco3-31 angap-13 05:10am blood glucose-102 urean-29* creat-1.1 na-142 k-4.2 cl-102 hco3-33* angap-11 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was worked-up in the usual preoperative manner including vein mapping and pulmonary function testing. (reports currently unavailable) a chest ct scan was performed which showed a 5 mm left upper lobe subpleural nodule and 2 mm left lower lobe superior segment nodule for which follow up in one year's time is recommended for further evaluation. a focal irregularity in the superior left main stem bronchus was seem which was likely inflammatory and a 17 x 1mm left adrenal lesion. while this statistically represents an adenoma, further evaluation with dedicated ct or mri would be required to secure that interpretation. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. toradol was given for pain. beta blockade, a statin and aspirin were resumed. he was then transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. chest tubes and epicardial pacing wires were removed per protocol. on post-op day four he was started on antibiotics for sternal drainage. the remainder of his hospital course was uneventful and he was discharged home with vna services on post-op day seven. he will follow-up in one week for wound check as at outpatient clinic. medications on admission: lopressor 2mg three times daily imdur 60m daily lipitor 80 mg daily ecotrin 325 mg daily lasix 20 mg m/w/f glucophage 500mg three times daily glypizide 2.5mg three times daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. 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* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 6. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 8. glipizide 10 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po bid (2 times a day). disp:*60 tab,sust rel osmotic push 24hr(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po twice a day: please take 40mg twice a day for 5 days then decrease to 40mg once a day for 10 days . disp:*60 tablet(s)* refills:*0* 10. lancets & blood glucose strips combo pack sig: one (1) miscellaneous twice a day. disp:*1 pack* refills:*2* discharge disposition: home with service facility: greater discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 severe copd obesity diabetes hyperlipidemia heavy smoking discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 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. 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. 6)no driving for 1 month. followup instructions: follow-up with surgeon dr. in 1 month. ( follow-up with cardiologist dr. in weeks. follow-up with pcp . in weeks. call all providers for appointments. wound check - heart center thrusday at 9:45 am procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery chronic airway obstruction, not elsewhere classified other and unspecified hyperlipidemia other diseases of lung, not elsewhere classified 

Answer: The patient is high likely exposed to