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: chief complaint: the patient is a 40 year-old male with a past medical history significant for 60 pack year smoking history who presents with several episodes of substernal chest pain. history of present illness: mr. was in his usual state of health until one month prior to admission when he noted mild substernal chest pain after climbing four flights of stairs with 100 pound load while at work. he also felt winded with mild chest pain when playing basketball with his son. is usually able to play without discomfort. one week prior to admission he was doing mild activity when he had to sit down due to shortness of breath and diaphoresis. one evening prior to admission he had one minute of substernal chest pain without radiation while having intercourse with his wife. she gave him two baby aspirins and the pain resolved within one minute. on the morning of admission he was walking a short distance when he felt an intense pain substernally. he sat down and the pain worsened to 7 out of 10. the pain then radiated to his left arm, which he described as burning and tingling. he also reported feeling somewhat dizzy and disoriented and diaphoretic. he denied nausea, vomiting or further symptoms. at that time the ambulance had arrived and his chest pain had mostly abated, however, he continued to have arm pain. on arrival to the emergency department his chest pain was completely resolved. in the emergency department his vital signs were temperature afebrile, blood pressure 140/88, heart rate 73. respiratory rate 20. o2 sat 98% on 3 liters. he was admitted for rule out myocardial infarction. past medical history: significant for c7 disc herniation in , trauma to the eye and arm in , trigeminal neuralgia in , which resolved and hepatitis b positive as of . medications prior to admission: none. allergies: no known drug allergies. social history: he lives with wife and 8 year-old son. works as a pipe fitter. occupation, exposure to asbestosis and tungsten during welding. positive tobacco use times thirty years two packs per day, decreased to one to two per day the week prior to admission. alcohol use two beers a day during the week and six beers a day during the weekend. physical examination: general, no acute distress. heent pupils are equal, round and reactive to light. anicteric. neck no masses or goiter. no palpable nodes. cor regular rate and rhythm. s1 and s2 with physiologic split s2. no murmurs, rubs or gallops. lungs, rhonchi in mid lung zones bilaterally, decreased breath sounds in lower lung bilaterally. abdomen soft, nontender, nondistended with normoactive bowel sounds. no hepatosplenomegaly. extremities no clubbing, cyanosis or edema. 2+ pulses bilaterally. neurological alert and oriented times three. normal affect. laboratory: sodium 141, potassium 4.2, chloride 104, co2 25, bun 15, creatinine 0.8, glucose 121. white count 10, hematocrit 44, platelets 343, inr 1.1, ck 92, troponin less then 0.3. electrocardiogram 65 beats per minute sinus rhythm, normal axis. no st segment changes or t wave inversions. chest x-ray retrocardiac opacity. no pleural effusion. no pulmonary vascular congestion. no pneumothorax. the patient underwent exercise tolerance testing, which was positive with 1. depressions and reversible wall defect on imaging corresponding to his left anterior descending coronary artery distribution. hospital course: he then was brought to the cardiac catheterization laboratory. please see catheterization report for full details. in summary his catheterization showed 80% left main extending into the origins of the left anterior descending coronary artery and the left circumflex, left anterior descending coronary artery normal other then the above, left circumflex normal other then at the origin of the right coronary artery with 70% lesion. cardiothoracic surgery was consulted and the patient was accepted for coronary artery bypass graft the following day. the patient was brought to the operating room. please see operating room report for full details. in summary, the patient had an emergent coronary artery bypass grafting times three along with the insertion of an intraaortic balloon pump with saphenous vein graft to the left anterior descending coronary artery, saphenous vein graft to obtuse marginal and saphenous vein graft to the posterior descending coronary artery. of note, the patient had preop defibrillation arrest requiring emergent replacement on cardiopulmonary bypass. following the operation the patient was transferred to the cardiothoracic intensive care unit. at the time of transfer the patient had an intraaortic balloon pump at 1 to 1, and epinephrine infusion of 0.25 mics per kilogram per minute, levophed at 5 mics per kilogram per minute and propofol at 20 mics per kilogram per minute. the patient's mean arterial pressure was 96, his cvp was 22, pad 16, he was in normal sinus rhythm at 105 beats per minute. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated. shortly after his arrival in the cardiothoracic intensive care unit over the next several hours the patient was weaned from his levophed and epinephrine drips. his anterior balloon pump was left at 1 to 1 on the day of his surgery. on postoperative day one the patient continued to be hemodynamically stable. his intraaortic balloon pump was weaned and removed. in the evening of postoperative day one despite vigorous chest physical therapy the patient was noted to have an increasing oxygen requiring and became increasingly dyspneic, therefore he was electively reintubated late in the evening of postoperative day one. following his reintubation the patient was fully cultured and started on levaquin for presumed aspiration pneumonia. the patient remained intubated with pressure support ventilation over the next several days with his respiratory status gradually improving on a day by day basis. on postoperative day eight the patient was deemed stable and ready to be extubated and he was successfully extubated at that time. following extubation the patient remained in the cardiothoracic intensive care unit for an additional two days during which he underwent vigorous pulmonary toilet, low progression of his activity level. on postoperative day he was deemed stable and ready to be transferred to far 2 for continuing postoperative care and cardiac rehabilitation. the patient only stayed on the floor for two days at which time he was deemed stable and ready for discharge to home. at the time of discharge the patient's physical examination, temperature 97.5, heart rate 73 sinus rhythm, blood pressure 114/67, respiratory rate 18, o2 sat 97% on room air. weight preoperatively 77.5 kilograms and at discharge 74.4 kilograms. laboratory data, white blood cell count 14.6, hematocrit 33.4, platelets 712, sodium 141, potassium 3.6, chloride 106, co2 24, bun 19, creatinine 0.7, glucose 105. alert and oriented times three. moves all extremities, follows commands. respirations clear to auscultation bilaterally. heart sounds regular rate and rhythm. s1 and s2. no murmur. abdomen soft, slightly distended. normoactive bowel sounds. sternum was stable. incision with steri-strips open to air clean and dry. extremities are warm and well perfuse with no edema. saphenous vein graft harvest site with steri-strips open to air clean and dry. discharge medications: aspirin 325 mg q.d., metoprolol 50 mg b.i.d., lasix 20 mg q.d., times seven days, potassium chloride 20 milliequivalents q.d. times seven days, flovent four puffs b.i.d. and percocet one to two tabs q 4 hours prn. condition on discharge: stable. he is to follow up with dr. in four to six weeks and follow up in the wound clinic in two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pneumonitis due to inhalation of food or vomitus 

Answer: The patient is high likely exposed to