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: cabgx5(lima->lad, svg->diag, ramus, om, plv) history of present illness: 56 yo f presented to mwmc wiht chest pain and underwent cardiac cath which showed 3vd. referred for cabg. past medical history: dm, htn, hchol, doe/angina, (l ica) gerd ccy , tah, csxn x 2 family history: nc physical exam: aaox3 rrr no m/r/g, 2/6 sem ctab abdomen soft, minimally tender in ruq (recent ccy) no cce pertinent results: 06:15am blood wbc-11.3* rbc-2.98* hgb-9.0* hct-25.9* mcv-87 mch-30.2 mchc-34.7 rdw-15.1 plt ct-227 03:21am blood wbc-11.4* rbc-2.88* hgb-8.7* hct-25.2* mcv-88 mch-30.3 mchc-34.6 rdw-15.2 plt ct-173# 06:15am blood plt ct-227 02:16am blood pt-13.0 ptt-33.5 inr(pt)-1.1 06:15am blood urean-15 creat-0.7 k-3.4 03:21am blood glucose-58* urean-22* creat-0.8 na-141 k-3.4 cl-104 hco3-27 angap-13 chest (portable ap) 12:03 pm chest (portable ap) reason: ? pneumothorax post ct removal medical condition: 56 year old woman s/p bilateral pectoral flap reason for this examination: ? pneumothorax post ct removal single ap portable view of the chest reason for exam: assess for pneumothorax. patient is post bilateral pectoral flap. comparison is made with prior study performed a day earlier. right ij line remains in place with tip in the lower svc. no clear pneumothorax is identified. bibasilar opacities obscuring the hemidiaphragms consistent with atelectasis are new on the right and slightly increased on the left. there has been interval increase in now mild-to-moderate pulmonary edema. small bilateral pleural effusions. patient is post median sternotomy and cabg. carotid series complete 1:44 pm carotid series complete reason: assees for stenosis medical condition: 56 year old woman s/p cabg w neuro changes reason for this examination: assees for stenosis carotid study. history: neurologic changes after cardiac bypass. findings: no significant plaque or wall thickening involving the right carotid system. some predominantly hyperechoic left ica and cca and eca wall thickening. the peak systolic velocities on the left are 131, 108, 94, 73 and 112 cm/sec for the proximal, mid and distal ica and cca and eca respectively. there is antegrade flow involving the left vertebral artery. the right vertebral artery was not visualized, presumed hypoplastic or occluded. the ica/cca ratio is 0.89 on the right and 1.7 on the left. impression: findings as stated above which indicate: 1. normal right carotid system. 2. 40-59% left ica stenosis. 3. non-visualized right vertebral artery, presumed hypoplastic or occluded. ct head w/o contrast 11:02 am ct head w/o contrast reason: r/o cva medical condition: 56 year old woman s/p cabg(pod3)now with neuro changes reason for this examination: r/o cva contraindications for iv contrast: none. indication: status post cabg, now with neural changes. rule out cva. comparison: none. technique: mdct acquired images of the head obtained without iv contrast. ct head without contrast: there is a hypodensity in the right frontal lobe white matter as well as hypodensity in the region of the left basal ganglia and adjacent to the left lateral ventricle within the white matter consistent with chronic ischemic change/infarction. no evidence of acute intra- or extra-axial hemorrhage. there is no shift of normally midline structures. there is no sulcal effacement. -white matter differentiation appears preserved. there is minimal bilateral maxillary sinus opacification. there appears to be a skin thickening in the left frontal region. impression: 1. evidence of chronic infarction. 2. left frontal skin thickening. correlate clinically. echocardiography report , (complete) done at 11:34:03 am preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 56 f hgt (in): 64 bp (mm hg): / wgt (lb): 163 hr (bpm): bsa (m2): 1.79 m2 indication: intraoperative tee for cabg icd-9 codes: 410.91, 440.0, 424.1, 424.0, 424.2 test information date/time: at 11:34 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw4-: machine: 4 echocardiographic measurements results measurements normal range left atrium - peak pulm vein s: 0.3 m/s left atrium - peak pulm vein d: 0.3 m/s left atrium - peak pulm vein a: 0.1 m/s < 0.4 m/s left ventricle - ejection fraction: 55% to 60% >= 55% left ventricle - lateral peak e': *0.05 m/s > 0.08 m/s left ventricle - ratio e/e': *20 < 15 aorta - annulus: 2.0 cm <= 3.0 cm aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.6 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: 2.4 cm <= 2.5 cm mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 2.00 findings multiplanar reconstructions were generated and confirmed on an independent workstation. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). trace ar. mitral valve: myxomatous mitral valve leaflets. moderate mitral annular calcification. calcified tips of papillary muscles. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic 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: 1. no atrial septal defect is seen by 2d or color doppler. 2. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. 6. the mitral valve leaflets are myxomatous. trivial mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. post-bypass: pt removed from cpb on phenylephrine infusion and epinephrine infusion and av paced. 1. initially post-bypass, mitral and tricuspid regurgitation increased to moderate and resolved soon thereafter. 2. biventricular function is maintained, lvef>55%. 3. aortic contours are intact post-decannulation. brief hospital course: she underwent preop work up and was taken to the operating room on where she underwent a cabg x 5. she was transferred to the icu in critical but stable condition. she was given 48 hours of perioperative prophylactic vancomycin as she was in the hospital preoperatively. she was extubated on pod #1, her epinephrine was weaned and she was started on milrinone. she was started on amiodarone for vtach postop. on pod #3 she was found to have right hemiparesis and neurology was consulted, head ct was negative and the weakness improved. her milrinone was weaned and she was transferred to the floor on pod #4. bedside swallow was performed, she tolerated thin liquids and ground solids. she was ready for discharge to rehab on pod # 6. medications on admission: zocor 80', zetia 10', toprol xl 50', enalapril 20", asa 81', plavix 75' (cath), hctz 25', reglan 10', humulin 70 qam, riss 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. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. 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:*0* 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. enalapril maleate 10 mg tablet sig: two (2) tablet po bid (2 times a day). 7. insulin nph human recomb 100 unit/ml suspension sig: thirty five (35) units subcutaneous once a day. 8. insulin regular human 300 unit/3 ml insulin pen sig: sliding scale subcutaneous four times a day. 9. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). tablet(s) 10. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily) for 3 days: 400 daily x 3 days then decrease to 200 daily ongoing until dc'd by cardiologist . tablet(s) 11. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po q12h (every 12 hours) for 2 weeks. discharge disposition: extended care facility: - discharge diagnosis: s/p cabgx5 pmh: dm,htn,^,(l ica stenosis),gerd psh: ccy,tah, c-section x2 discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications asprescribed. call for any fever, redness or drainage from wounds. no heavy lifting or driving followup instructions: 6 for wound check 2 weeks dr 4 weeks dr 2 weeks md procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled paroxysmal ventricular tachycardia other and unspecified angina pectoris hereditary hemolytic anemia, unspecified 

Answer: The patient is high likely exposed to