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: coronary artery bypass graft x 3 (left internal mamary artery to left anterior descending artery, saphenous vein graft to ramus, saphenous vein graft to obtuse marginal) cardiac cath history of present illness: 69 yo m with pmh significant for hypertension, hyperlipidemia, iddm, and family history of cad who presented to with chest pain. the patient states that he has been experiencing substernal chest pressure with exertion, such as walking up stairs, for 2 months. ekg showed t-wave inversions, but enzymes were negative. he was transferred to for cardiac cath which showed lm and 2vd. past medical history: hypertension hyperlipidemia insulin dependent diabetes mellitus (?non-adherence to medical regime per chart) retinopathy erectile dysfunction low back pain s/p epidural steroid injections l4-l5 (last inj. ) vitamin d deficiency torn right rotator cuff-unrepaired torn posterior medial meniscus left knee-unrepaired chronic insomnia ?obstructive sleep apnea social history: race:african american last dental exam:many years ago, full denture on top, bottom teeth are his own lives with:wife occupation:recently retired from the court system tobacco:+cigars, chews on them only etoh:denies rec drugs: denies family history: father died age 53 cad physical exam: pulse:61 resp:21 o2 sat: 99%ra b/p right:161/79 left:154/80 height:5'7" weight:210 lbs 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 pulses: femoral right: +2 left: +2 dp right: +1 left: +1 pt : +1 left: +1 radial right: cath site left: +2 carotid bruit right: 0 left: 0 pertinent results: cath: 1. selective coronary angiography in this left-dominant system demonstrated left main and 2-vessel disease. the lmca had 60-70% distal stenosis. the lad had 90% stenosis at the origin. the im had 70% stenosis at the origin. the distal lcx had 30% stenosis. the rca was non-dominant. 2. resting hemodynamics reveals moderate to severe systemic arterial systolic hypertension with an sbp of 177 mmhg. 3. left ventriculography revealed an estimated ef of 55% with no apparent mitral regurgitation. echo: prebypass: the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular free wall contractility is normal. the ascending aorta is borderline mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is mild aortic valve stenosis (valve area 1.6cm2) with peak/mean gradients of mmhg. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. postbypass: the patient is in sinus rhythm and is not on any infusions. left ventricular function continues to be normal (lvef>55%). trace mitral regurgitation, trace aortic regurgitation, and mild tricuspid regurgitation persist. normal thoracic aorta. pre operative 02:13pm pt-13.9* ptt-99.7* inr(pt)-1.2* 02:13pm plt count-202 02:13pm wbc-5.6 rbc-4.01* hgb-11.6* hct-33.9* mcv-85 mch-28.9 mchc-34.2 rdw-13.7 02:13pm triglycer-99 hdl chol-48 chol/hdl-4.6 ldl(calc)-151* 02:13pm %hba1c-10.9* eag-266* 02:13pm albumin-1.9* cholest-219* 02:13pm alt(sgpt)-4 ast(sgot)-8 ck(cpk)-56 alk phos-74 amylase-7 tot bili-0.4 02:13pm glucose-191* urea n-7 creat-0.3* sodium-127* potassium-3.3 chloride-97 total co2-22 anion gap-11 10:30pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-tr bilirubin-neg urobilngn-neg ph-6.5 leuk-neg discharge 05:50am blood wbc-10.2 rbc-3.42* hgb-9.9* hct-29.8* mcv-87 mch-29.0 mchc-33.4 rdw-13.9 plt ct-264# 05:50am blood plt ct-264# 12:44pm blood pt-14.3* ptt-27.5 inr(pt)-1.2* 05:20am blood glucose-87 urean-16 creat-0.9 na-138 k-3.7 cl-101 hco3-27 angap-14 04:17am blood alt-34 ast-49* alkphos-96 amylase-32 totbili-0.9 radiology report chest (pa & lat) study date of 10:07 am medical condition: 69 year old man with s/p cabg final report pa and lateral views of the chest reason for exam: status post cabg evaluate for pleural effusion. moderate cardiomegaly is stable. small bilateral effusion left greater than right are associated with minimal adjacent atelectasis. there is no pneumothorax. sternal wires are aligned. moderate degenerative changes in the thoracic spine. dr. , l m 69 radiology report abdomen u.s. study date of medical condition: 69 year old man with rt upper and lower quadrant tenderness after cabg reason for this examination: assess for cholecystitis final report findings: the liver is mildly echogenic consistent with mild fatty infiltration. no focal liver lesion is identified. no biliary dilatation is seen and the common duct measures 0.5 cm. the gallbladder is normal. the pancreas and midline structures are obscured from view by overlying bowel. the spleen is unremarkable and measures 10.3 cm. no hydronephrosis is seen. the right kidney measures 11.3 cm and the left kidney measures 10.8 cm. a left pleural effusion is seen. impression: 1. normal gallbladder. 2. echogenic liver consistent with fatty infiltration. other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. 3. left pleural effusion. , rdms dr. radiology report ct head w/o contrast study date of 1:02 pm medical condition: 69 year old man s/p cabg x3,change in ms final report history: 69-year-old man, status post cabg x 3. now with acute change of mental status. assess for acute ischemic events. findings/impression: 1. no acute intracranial process. if clinical concern for acute ischemic event persists, mri is more sensitive. 2. small air-fluid level in the right sphenoid sinus. dr. /dr. brief hospital course: as mentioned in the hpi, mr. was transferred from an outside hospital to for cardiac cath. cath revealed left main and two vessel coronary artery disease. he was appropriately worked-up for bypass surgery and received medical care until surgery. on he was brought to the operating room where he underwent a coronary artery bypass grafting. please see operative report for surgical details. in summary he had: coronary artery bypass grafting x3 with left internal mammary to left anterior descending coronary; reverse saphenous vein single graft from aorta to ramus intermedius coronary artery; reverse saphenous vein single graft from aorta to first obtuse marginal coronary artery. endoscopic left greater saphenous vein harvesting. epiaortic duplex scanning. his cardiopulmonary bypass time was 71 minutes, with a crossclamp time of 56 minutes. he tolerated the operation well and was transferred from the operating room to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one beta-blockers and diuretics were started and he was diuresed towards his pre-op weight. chest tubes and epicardial pacing wires were removed per protocol. had brief mental status change with gaze preference to right. head ct was negative. narcotics were stopped and this continued to slowly improve. he complained of right upper quadrant abdominal pain, liver function tests were in normal ranges and an abdominal us showed normal gallbladder without cholestasis. on post-op day 4 he was transferred to the telemetry floor for further recovery from surgery. he progressed slowly and on pod #6 was discharged to rehabilitation at in . pt is to follow up as per discharge instructions. medications on admission: medications at home: asa 81mg po daily lantus vitamin d 1000units daily benicar 40/12.5mg po daily meds on transfer: lipitor 80mg po daily plavix 75mg po daily lantus 20 units q hs metoprolol 25mg po daily asa 325mg po daily nph 40 units po qam plavix - last dose: 75 mg , 300mg 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. 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. losartan 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily): stop when lasix d/c'd. 8. furosemide 20 mg tablet sig: two (2) tablet po once a day: until at preop weight (210 lbs). 9. insulin glargine 100 unit/ml cartridge sig: twenty eight (28) units subcutaneous q am. 10. insulin lispro 100 unit/ml cartridge sig: one (1) subcutaneous achs: per ss. discharge disposition: extended care facility: commons residence at orchard - (a.k.a. ) discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: hypertension hyperlipidemia insulin dependent diabetes mellitus (?non-adherence to medical regime per chart) retinopathy erectile dysfunction low back pain s/p epidural steroid injections l4-l5 (last inj. ) vitamin d deficiency torn right rotator cuff-unrepaired torn posterior medial meniscus left knee-unrepaired chronic insomnia ?obstructive sleep apnea discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol incisions: sternal - healing well, no erythema or drainage leg- left - healing well, no erythema or drainage. edema-none discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon:dr. on tuesday @ 2:15 pm 2a cardiologist dr. @ 1:45 pm please call to schedule appointments with your: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 angiocardiography of left heart structures left heart cardiac catheterization diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension acute posthemorrhagic anemia hyposmolality and/or hyponatremia other opiates and related narcotics causing adverse effects in therapeutic use other and unspecified hyperlipidemia long-term (current) use of insulin personal history of noncompliance with medical treatment, presenting hazards to health encephalopathy, unspecified lumbago background diabetic retinopathy insomnia, unspecified unspecified vitamin d deficiency abdominal pain, right upper quadrant impotence of organic origin diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled inadequate material resources 

Answer: The patient is high likely exposed to