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: amiodarone / oxycodone hcl/acetaminophen / lisinopril attending: chief complaint: known cad, abnormal stress test-referred for cardaic catheterization which showed native 3vd w/occlude svg-om and lad. patent lima-diag. then referred to cardiac surgery major surgical or invasive procedure: redo sternotomy/mvr-/cabgx3/lft cea cardiac catheterization history of present illness: ms. is a very nice 59 year-old woman with prior mi, cabg+mvrepair , chf with ef 38% history of lung cancer, s/p rulobectomy who had an abnormal outpatient stress test for recurrent angina and occasional rest chest pain. cardaic catheterization which showed native 3vd w/occlude svg-om and lad. patent lima-diag. then referred for cabg. past medical history: lung cancer s/p rul lobectomy chf mitral regurgitation lv thrombus nstemi hypertension hyperlipidemia prior tobacco use: 2ppd x 40 years s/p mechanical fall 6 weeks ago with compression fracture in back and injury to left heel- wearing support boot. atrial fibrillation post operatively social history: social history is significant for the absence of current tobacco use. she quit 3 years ago and has history of 80 pack-year. there is no history of alcohol abuse, but has 1 drink on saturdays. married,lives with husband. retired. family history: there is no family history of premature coronary artery disease or sudden death. mother had cervical cancer and died at age 69. physical exam: admission: vs- t f, hr 74, bp 123/71, rr 18, spo2 98% on ra. height 5'5" wt 104lbs gen: wdwn middle aged woman in nad. neuro:oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 9 cm. bruit in neck in both sides. cv: rrr. no m/r/g. chest: ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: rt: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ discharge: vs 98.2, 97.9, 134/84, 94sr, 18, 100% 2lnc gen nad, cachectic white female neuro grossly intact pulm scatterred rhonchi- clears with cough, otherwise clear cv rrr, audible mechanical valve click, no murmur abd nabs, soft, non-tender, non-distended ext no edema incisions: sternal- c/d/i without erythema or drainage, r evh- c/d/i pertinent results: 05:40am blood wbc-8.3 rbc-3.39* hgb-10.1* hct-29.5* mcv-87 mch-29.9 mchc-34.4 rdw-14.2 plt ct-240 05:40am blood pt-13.3 inr(pt)-1.1 05:40am blood glucose-98 urean-13 creat-0.7 na-139 k-3.9 cl-105 hco3-27 angap-11 01:00pm blood alt-13 ast-16 ld(ldh)-180 ck(cpk)-48 alkphos-182* totbili-0.4 05:40am blood calcium-8.8 phos-3.7 mg-2.0 01:00pm blood albumin-4.1 01:00pm blood %hba1c-6.1* 06:00am blood wbc-10.7 rbc-2.83* hgb-8.8* hct-25.0* mcv-89 mch-31.0 mchc-35.0 rdw-14.0 plt ct-611* 06:00am blood pt-26.6* inr(pt)-2.7* , e. f 59 radiology report chest (pa & lat) study date of 7:23 pm , csurg fa5 sched chest (pa & lat) clip # reason: f/u atx medical condition: 59 year old woman with s/p redo, mvr, cabg, left cea reason for this examination: f/u atx wet read: 8:22 pm bilateral basilar atelectasis is unchanged. 8:20 pm . final report indication: 59-year-old woman status post redo of mitral valve replacement, cabg, and left carotid endarterectomy. follow up atelectasis. comparison: multiple chest radiographs, most recent of , . technique: pa and lateral views of the chest. findings: bibasilar atelectasis has not significantly changed since prior study. bilateral pleural effusions remain, left greater than right, with perhaps small decrease in the size of both. suture material is seen in the right upper lung, most likely corresponding with the prior history of right upper lobectomy. the heart size remains enlarged, unchanged. impression: no significant changes in bibasilar atelectasis. bilateral pleural effusions, right greater than left, slightly decreased since prior study. the study and the report were reviewed by the staff radiologist. dr. . dr. approved: fri 1:53 pm imaging lab 06:00am blood wbc-10.7 rbc-2.83* hgb-8.8* hct-25.0* mcv-89 mch-31.0 mchc-35.0 rdw-14.0 plt ct-611* 05:50am blood pt-29.8* inr(pt)-3.0* 05:50am blood glucose-92 urean-16 creat-0.9 na-135 k-3.9 cl-98 hco3-28 angap-13 05:50am blood mg-2.2 brief hospital course: ms. is a very nice 59 yo woman with extensive vascular history including cad s/p cabg multiple pci attempts, and carotid artery disease with persistent chest pain referred for cardiac catheterization. catheterization revealed native 3vd and occluded om-lad grafts. she was then referred to cardiac surgery. on she was brought to the operating room, please see or report for details. in summary she had mitral valve replacement(mechanical)coronary bypass grafting x3 with saphenous vein graft to left anterior descending with jump obtuse marginal and saphenous vein graft to posterior descending artery and a concomitant left carotid endarterectomy. he tolerated the operation well and was transferred to the cardiac surgery icu in stable condition. the patient was hemodynamically stable in the immediate post-op peroid however several attemts to wake and wean sedation were met with increasing hypertension and agitation, she was therefore resedated and ventilated throughout the operative night. early on pod1 she was weaned from the ventilator and extubated. once extubated she had an uneventful post-operative course however she stayed in the icu for several additional days for hemodynamic, neurologic and pulmonary monitoring. on pod4 she was transferred to the floor for further post-operative care and rehabilitation. her activity level was advanced and medications titrated. physical therapy evaluated and continued to work with mrs. throughout her admission. her pulmonary status remained tenuous requiring nasal cannula oxygen 2-4 liters with desaturations during ambulation. diuresis along with chest physiotherapy tid and inhalers were continued with improvement evident. supplemental oxygen was arranged for home use, as she required it at home preoperatively in the past as well. pod# 11 continued to progress and was discharged to home. all follow up appointments were advised. medications on admission: lipitor 80mg daily plavix 75mg daily fluoxetine 20mg daily protonix 40mg daily metoprolol xl 25mg daily dilaudid 4mg tablet daily at night and prn imdur 30mg daily (started ) xanax 0.5mg qhs aspirin 81mg daily advair disk 1 puff spiriva 2puffs at night ntg prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 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:*2* 3. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 6. 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* 7. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*30 cap(s)* refills:*2* 8. alprazolam 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. 9. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q 3-4 hrs as needed. disp:*50 tablet(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. warfarin 2 mg tablet sig: one (1) tablet po once a day: dose will change for goal inr 2.5-3.5, dr. manage. disp:*30 tablet(s)* refills:*2* 13. furosemide 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*30 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: s/p redo sternotomy mvr(#23 )cabg x3(svg-lad, svg-om, svg-pda) lft cea. cardiac catheterization pmh: htn ^lipids lung ca s/p rulobectomy chf lv thrombus cabg/mvr- post-op afib compression fx back discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: cardiac surgery: clinic()in 2 weeks dr in 4 weeks, call ( to schedule appointment orthopedic: provider: , md phone: date/time: 10:00 cardiology: provider: , md phone: date/time: 3:20 pcp: . , 2 weeks dr. (cardiology) ( for coumadin follow up- have inr drawn on monday, md procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart arterial catheterization open and other replacement of mitral valve aortography endarterectomy, other vessels of head and neck procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft personal history of malignant neoplasm of bronchus and lung personal history of tobacco use occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia mechanical complication due to heart valve prosthesis osteoporosis, unspecified old myocardial infarction other emphysema closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation fall from other slipping, tripping, or stumbling chronic diastolic heart failure chronic total occlusion of coronary artery history of fall 

Answer: The patient is high likely exposed to