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: adhesive tape attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization thrombin injection of right groin pseudoaneurysm three vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending, with vein grafts to obtuse marginal and posterior descending artery cardioversion history of present illness: this is an 85 yr old male with cri (baseline creat 1.8-2.3) who was admitted to hosp with a nstemi last month (medically managed) and was then readmitted to hosp with chest pain on . he had squeezing sub-sternal cp intermittently for 2 weeks (both at rest and with exertion). the cp was associated with sob. he ruled in again for mi with trop reportedly 0.15, ck??????s were negative. ett reportedly revealed a reversible inferior posterior defect. he is on coumadin for hx of dvt, which has been on hold, and inr on was 1.5. he was pain free at rest but has had chest pain when getting oob to the br, which has resolved with ntg sl and oxygen at hosp. creatinine was up to 2.3. he was hydrated just prior to transfer to the for cardiac catheterization and further management of his coronary artery disease. on admission, he was pain free. past medical history: coronary artery disease with recent mi chronic renal insuffiency history of deep vein thrombosis atrial fibrillation hypertension hyperlipidemia social history: significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: brother in 50's with cad. physical exam: vs: t 97.8 bp 119/73 hr 73 rr 18 o2 96% ra gen: wdwn 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. neck: supple with jvp of 6cm. cv: pmi located in 5th intercostal space, midclavicular line. very distant heart sounds, irregular. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi anteriorly. abd: soft,nt, obse, +bs. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 01:56pm blood wbc-7.4 rbc-4.16* hgb-13.9* hct-40.4 mcv-97 mch-33.4* mchc-34.4 rdw-13.7 plt ct-149* 01:56pm blood pt-16.4* inr(pt)-1.5* 01:18pm blood fibrino-332 01:56pm blood glucose-141* urean-30* creat-1.6* na-136 k-4.4 cl-104 hco3-25 angap-11 01:56pm blood alt-17 ast-21 alkphos-46 totbili-0.7 01:56pm blood %hba1c-5.8 06:50am blood ck-mb-3 cardiac catheterization: selective coronary angiography of this right dominant system revealed three vessel disease. the lmca had a distal 30% lesion. the lad was moderately calcified with a 30% ostial stenosis and an 80% lesion in the mid-vessel just after the take off of a major d2 branch, which had diffuse plaquing. the d1 branch had a proximal 80% stenosis. the lcx had a 90% lesion in the proximal av groove and a 40% lesion distally. the was a major om3 branch with a proximal 70% stenosis. the rca was diffusely diseased throughout with a 50% mid-vessel stenosis and 60-70% stenosis in the pda. there was a major am branch with a 60% lesion. moderate diastolic left ventricular dysfunction. tte: preserved global left ventricular systolic function(lvef approximately 55%). right ventricular cavity enlargement but with good free wall function. no ai. trivial mr. . carotid ultrasound: less than 40% stenosis involving the internal carotid arteries bilaterally. groin ultrasound: right groin pseudoaneurysm measuring up to 2.8 cm at site of previous right femoral puncture. abdominal ct scan: findings consistent with colonic ileus. short segment of narrowed ileum with mild wall thickening. the appearance raises concern for a neoplastic process, for which further evaluation is recommended. multiple bilateral cystic lesions in the kidneys, not fully characterized here. although these most likely represents simple cysts, this appearance could be evaluated by ultrasound if clinically indicated. brief hospital course: on admission, mr. cardiac catheterization which revealed severe three vessel coronary artery disease. he was pretreated with plavix. given his chronic renal insufficiency, lv gram was deferred and echocardiogram was obtained which showed preserved global left ventricular systolic function. in anticipation for cardiac surgical intervention, plavix was discontinued. additional workup included cartoid ultrasond which found minimal disease of the internal carotid arteries. cardiac catheterization was complicated by a right common femoral artery pseudoaneurysm which was successfully treated with thrombin injection on . he otherwise remained pain free on medical therapy. he had bouts of paroxsymal atrial fibrillation preoperatively for which he was maintained on amiodarone and heparin. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he continued to experience periods of atrial fibrillation/flutter which was initially treated with beta blockade and amiodarone. given persistent atrial arrhythmias associated with hypotension, the ep service was consulted. amiodarone was continued while metoprolol was temporarily discontinued in hopes to improve hemodynamics. warfarin was also resumed with a temporary heparin bridge. successful cardioversion was performed on , but he returned to atrial fibillation within several days. a second electrical cardioversion was attempted, but was also unsuccessful. it was recommended that he remain on amiodarone at discharge with anticoagulation indefinitely. his renal function declined in the early postoperative period. his creatinine peaked to 3.8 on postoperative day ten. he did not experience oliguria. the renal service was consulted and attributed his acute on chronic renal failure to acute tubular necrosis secondary to hypotension. despite significant rise in creatinine, there was no indication for dialysis. over the remaineder of his hospital stay, his renal function slowly improved. he also experienced some hypernatremia which was treated with free water. his postoperative course was also complicated by an ileus/colonic pseudobstruction. he was temporarily made npo and required placement of nasogastric and rectal tubes. with the above measures and aggressive bowel regimen, his pseudobstruction gradually resolved. his diet was slowly advanced and by discharge, he was tolerating a regular diet. he was also noted to have a sternal click associated with sternal drainage. he was placed on strict sternal precautions with close observation of his sternal incision. at discharge, his sternal drainage had resolved although he continued to have a click. by post-operative day seventeen he was ready for discharge to a rehabilitation facility. medications on admission: current medications (on transfer): asa 81mg qd ntg paste 1 inch imdur 60mg qd lopressor 100mg protonix 40mg qd lipitor 5mg qd mvi qd glucosamine 2000mg qd hctz 12.5mg qd, recently held due to rising creatinine ambien 5mg qhs prn meds (home, doses): hctz metoprolol coumadin glucosamine discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 10. lasix 40 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: extended care facility: center - discharge diagnosis: coronary artery disease - s/p cabg acute mi postop colonic pseudo-obstruction(olgilvie's syndrome) postop sternal drainage postop acute on chronic renal insuffiency right groin pseudoaneurysm - s/p thrombin injection history of deep vein thrombosis atrial fibrillation/flutter - s/p cardioversion hypertension hyperlipidemia discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. warfarin should be monitored closely and adjusted for goal inr between 2.0 - 3.0. pre-admission his coumadin was followed by his cardiologist, in , mass (. followup instructions: dr. in weeks, call for appt ( dr. in weeks, call for appt ( dr. in weeks, call for appt ( dr. from electrophysiology in 1 month, call for an appointment ( procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization injection or infusion of other therapeutic or prophylactic substance atrial cardioversion continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other specified intestinal obstruction atrial flutter other and unspecified hyperlipidemia peripheral vascular complications, not elsewhere classified unspecified disorder of kidney and ureter personal history of venous thrombosis and embolism hyperosmolality and/or hypernatremia subendocardial infarction, subsequent episode of care aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to