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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: s/p coronary artery bypass graft surgery (left internal mammary artery>left anterior descending, saphenous vein graft>obtuse marginal 1, saphenous vein graft > obtuse marginal 2 > obtuse marginal 3, saphenous vein graft > posterior descending artery) cardiac catherization history of present illness: mr. presented to an outside hospital with chest pain from shoveling snow and ruled in for non st elevation myocardial infarction based on troponin 3.84 peak . transferred for cardiac catherization that revealed coronary artery disease. past medical history: cardiac risk factors: + dyslipidemia but osh lab values, diabetes status unknown s/p hand trauma and shoulder trauma social history: former boxer, former truck driver tobacco 1 1/2 packs per every two days for > 20 years family history: mother with cad. no family history of dm, sudden death physical exam: vs: 99.1 147/55 76 20 99%ra gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. no jvd. no carotid bruit. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. pulm: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: bs+, soft, ntnd. no hsm or tenderness. limbs: no c/c/e. no stasis dermatitis, ulcers, scars, or xanthomas. r cath site with no bleeding, hematoma, pain, or bruit. pulses: right: carotid 2+ radial 2+ dp 2+ pt 2+ left: carotid 2+ radial 2+ dp 2+ pt 2+ . pertinent results: 05:40am blood wbc-11.2* rbc-3.36* hgb-10.6* hct-29.6* mcv-88 mch-31.6 mchc-35.8* rdw-13.8 plt ct-329# 02:46pm blood wbc-8.0 rbc-4.49* hgb-14.1 hct-39.0* mcv-87 mch-31.4 mchc-36.1* rdw-13.5 plt ct-233 02:15pm blood neuts-75.8* lymphs-19.6 monos-2.3 eos-2.1 baso-0.3 05:40am blood plt ct-329# 03:14pm blood pt-14.7* ptt-46.0* inr(pt)-1.3* 02:46pm blood plt ct-233 02:46pm blood pt-13.6* ptt-28.9 inr(pt)-1.2* 02:15pm blood fibrino-200 05:40am blood glucose-96 urean-20 creat-1.1 na-138 k-4.9 cl-101 hco3-28 angap-14 02:46pm blood glucose-156* urean-10 creat-0.6 na-139 k-3.7 cl-106 hco3-25 angap-12 06:08am blood ck-mb-5 ctropnt-0.62* 02:46pm blood alt-23 ast-30 alkphos-76 amylase-45 totbili-0.7 06:30am blood ck(cpk)-56 06:08am blood %hba1c-6.8* 02:46pm blood vitb12-347 06:08am blood triglyc-138 hdl-32 chol/hd-4.9 ldlcalc-97 , a m 51 radiology report chest (portable ap) study date of 1:08 pm , csurg csru sched chest (portable ap) clip # reason: r/o ptx, cts removed medical condition: 51 year old man with s/p cabg reason for this examination: r/o ptx, cts removed provisional findings impression: lcpc 7:02 pm lung volumes are lower with increased bibasilar atelectasis. the stomach is more distended. questionable left apical pneumothorax would be very tiny, should be followed on subsequent imaging. final report chest, portable ap reason for exam: 51-year-old man, status post cabg, chest tube removed, rule out pneumothorax. all tubes and catheters were removed except right internal jugular catheter ending in expected position in this patient post-recent cabg. lung volumes are lower with increased bibasilar atelectasis. bilateral small pleural effusions remain small. there is a questionable minimal left apical pneumothorax, could be only an artifact, should be followed closely on further imaging. there is no other overall change. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 9:16 am echocardiography report , (complete) done at 12:31:00 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 51 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 440.0 test information date/time: at 12:31 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw3-: machine: aw2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.6 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: 2.5 cm <= 3.4 cm aorta - arch: 2.3 cm <= 3.0 cm aorta - descending thoracic: 2.0 cm <= 2.5 cm aortic valve - peak gradient: 9 mm hg < 20 mm hg aortic valve - lvot diam: 1.9 cm findings left atrium: no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: a prominent chiari network is present (normal variant). no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv systolic function. aorta: focal calcifications in aortic root. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. no pr. 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre bypass no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the right ventricle displays normal free wall contractility. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. dr. was notified in person of the results in the operating room at the time of the study. post bypass normal biventricular systolic function. thoracic aorta appears intact. no significant changes from the pre-bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:25 brief hospital course: trnasfered in from outside hospital after ruling in for non st elevation myocardial infarction with peak troponin 3.8 on . underwent cardiac catherization that revealed coronary artery disease and was referred for surgical evaluation. he was brought to the operating room on where he underwent coronary artery bypass graft surgery. he received vancomycin for perioperative antibiotics because he was in the hospital prior to surgery. see operative report for further details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for observation and invasive monitoring. by pod 1 the patient was extubated, alert and oriented and breathing comfortably. vasoactive drips had been weaned, chest tubes discontinued and the patient was transferred to the telemetry floor. he made excellent post-operative progress. he did develop some bradycardia with a heart rate into the 40s on pod 3. beta blockers were adjusted accordingly and pacing wires were discontinued on pod 4. he was ready for discharge home in good condition on pod 4 with appropriate follow up instructions, including smoking cessation. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 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:*0* 5. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* 6. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 6 weeks: then taper down - you will need to follow up with your dr for continued management of smoking cessation. disp:*42 patch 24 hr(s)* refills:*0* discharge disposition: home discharge diagnosis: coronary artery disease s/p cabg non st elevation myocardial infarction (troponin 3.84 - ) elevated cholesterol hand and shoulder trauma discharge condition: good discharge instructions: please stop smoking. information was given to you on admission regarding smoking cessation, you have been started on nicoderm patch to assist in quiting smoking please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments dr. in 4 weeks () dr. in 1 week dr. in weeks wound check appointment 6 as instructed by nurse () md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries perioperative autologous transfusion of whole blood or blood components diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified other and unspecified hyperlipidemia other specified cardiac dysrhythmias surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to