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: left arm pain, nausea major surgical or invasive procedure: s/p coronary artery bypass grafting x4: left internal mammary artery graft to left anterior descending, reverse vein graft to the first marginal, second marginal and third marginal branches of the circumflex history of present illness: 77 year old male presented to outside hospital with left arm, axilla, and flank pain, additionally diaphoresis and nausea. he was transferred to for cardiac evaluation past medical history: coronary artery disease s/p pci (2 stents to om1) gout hypertension hypercholesterolemia osteoarthritis skin cancer social history: occupation: retired from trucking business lives with: wife : denies etoh: denies family history: brothers with cad, s/p cabg physical exam: pulse: 67 resp: 16 o2 sat: 98% ra b/p right: 157/81 left: height: weight: 94.9kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact x pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: 06:25am blood hct-26.1* 06:55am blood wbc-14.3* rbc-2.53* hgb-8.6* hct-25.0* mcv-99* mch-34.1* mchc-34.5 rdw-13.3 plt ct-159 04:40am blood wbc-10.7 rbc-3.74* hgb-12.5* hct-36.3* mcv-97 mch-33.4* mchc-34.4 rdw-13.5 plt ct-187 06:55am blood plt ct-159 01:43am blood plt ct-189 04:40am blood pt-12.1 ptt-25.2 inr(pt)-1.0 06:25am blood urean-23* creat-1.0 k-4.8 01:43am blood glucose-197* urean-16 creat-0.9 na-136 k-4.3 cl-103 hco3-23 angap-14 05:59am blood alt-14 ast-15 ld(ldh)-155 alkphos-76 totbili-0.7 04:40am blood ck-mb-notdone ctropnt-<0.01 05:59am blood %hba1c-7.7* pa and lateral chest on at 15:39 indication: cabg. comparison: . findings: basilar atelectasis is seen bilaterally with a right effusion. the latter appears a little more prominent than the prior study. there is a patchy opacity in the left lower lobe, which could be atelectasis or pneumonia. clinical correlation is needed. no definite pneumothorax is seen. cardiomegaly is stable and the pulmonary vascular markings are within normal limits. impression: slight increase in right pleural fluid. somewhat improved aeration of the previously seen retrocardiac density, but pneumonia cannot be ruled out. dr. approved: sat 9:17 pm cardiology report ecg study date of 8:48:06 pm sinus rhythm. prior inferior myocardial infarction. incomplete right bundle-branch block. since the previous tracing of incomplete right bundle-branch block pattern is now present. read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 92 192 110 382/438 47 -42 66 echocardiography report , (complete) done at 3:02:23 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 77 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 427.89, 440.0, 424.1, 424.0 test information date/time: at 15:02 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: suboptimal tape #: 2009aw4-: machine: aw2 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.8 cm <= 4.0 cm left ventricle - diastolic dimension: 5.5 cm <= 5.6 cm left ventricle - ejection fraction: 35% to 40% >= 55% aorta - ascending: 3.3 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - lvot diam: 2.4 cm findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. good (>20 cm/s) laa ejection velocity. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. top normal/borderline dilated lv cavity size. mild-moderate regional lv systolic dysfunction. right ventricle: normal rv chamber size and free wall motion. aorta: focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: tricuspid valve not well visualized. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) 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. suboptimal image quality. the patient appears to be in sinus rhythm. frequent ventricular premature beats. results were personally reviewed with the md caring for the patient. conclusions pre bypass the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is top normal/borderline dilated. there is mild to moderate regional left ventricular systolic dysfunction with severe inferior and inferolateral hypokinesis/akinesis and mild global hypokinesis of the remaining myocardial segments. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is receiving epinephrine by infusion. there is normal right ventricular systolic function. the left ventricle displays continued severe inferior and inferolateral wall hypokinesis/akinesis but all other segments now show improved and near normal function. left ventricular ejection fraction is in the 45% range. valvular function is unchanged and the thoracic aorta appears intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:25 brief hospital course: transferred from outside hospital for cardiac evaluation, he was ruled out for myocardial infarction, troponin < 0.01, and underwent cardiac catherization which revealed coronary artery disease. he was referred for surgical evaluation. he underwent preoperative work up and on was brought to the operating room and underwent coronary artery bypass graft surgery. see operative report for details. he received vancomycin for perioperative antibiotics as he was in the hospital preoperatively. he was transferred to the intensive care unit for hemodynamic management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact, and was extubated without complications. on post operative day one he was started on beta blockers and diuretics, and transferred to the post operative floor for the remainder of his care. physical therapy worked with him on strength and mobility. he had issues with back pain that was limiting activity, his medications were adjusted with good response and improved mobility. he was ready for discharge home with services on post operative day five. medications on admission: plavix 75 mg daily zocor 80 mg daily allopurinol 300 md 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. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. zocor 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg hypertension hyperlipidemia osteoarthritis skin cancer discharge condition: good discharge instructions: 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 as instructed by 6 nurse () procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin osteoarthrosis, unspecified whether generalized or localized, site unspecified other symptoms referable to back other abnormal glucose 

Answer: The patient is high likely exposed to