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: avelox attending: chief complaint: shortness of breath major surgical or invasive procedure: urgent coronary artery bypass graft x4, left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal obtuse marginal and posterior left ventricular branch. biopsy of right atrial mass in the free wall, suspected lipoma aicd history of present illness: 76 yo m with hyperlipidemia s/p nstemi after initial presentation to hospital on . he initially noted sob, and after a troponin >2.0 and cpk 300, he underwent cardiac catheterization which revealed 3 vessel cad (ulcerated 90% mid lad and 80% d1, 70% prox om1, 40% mid rca)and an ef of 35%. he had been given plavix and was awaiting a "washout" pre-operatively, but was then noted to have progressively longer runs of ventricular tachycardia. by report, he had an episode of mmvt 6 minutes in duration at osh. he was started on amiodarone and lidocaine and transferred to for surgical management. he also reportedly had no hemodynamic or neurologic compromise at the time. past medical history: coronary artery disease st elevation myocardial infarction depression dilated aortic root hematuria copd on bipap at night parkinson's s/p aaa repair s/p cataract repair social history: last dental exam: edentulous lives with: wife and daughter occupation: : quit 10 yrs. ago etoh: denies family history: non-contrib. physical exam: pulse: 83 vent. ectopy resp: 12 o2 sat: 99% 2l b/p right: 133/67 left: height: 6'1" weight: 111.4kg general: nad skin: dry intact heent: perrla eomi left pupil blown (cataracts) neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + well healed mid-line scar of open aaa repair extremities: warm , well-perfused edema - none varicosities: none venous stasis changes bilateral lower extremities to knees cyanosis and clubbing of fingernails neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: np left: 1+ pt : np left: np radial right: 1+ left: 2+ carotid bruit right: left: no bruits appreciated pertinent results: carotid u/s: right ica stenosis <40%. left ica stenosis <40% echo: prebypass: a mass is seen in the wall of the right atrium. it appears to arise from the anterolateral wall of the right atrium and measures 4.5 cms. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. there is moderate regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and mid portions of the inferior and inferoseptal walls. overall left ventricular systolic function is moderately depressed (lvef= 35 %). the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the aortic root is mildly dilated at the sinus level. the ascending aorta is moderately dilated. 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 to moderate (+) mitral regurgitation is seen. dr. was notified in person of the results on at 900am. post bypass: patient is v paced and receiving an infusion of norepinephrine, epinephrine and milrinone. lvef= 35%. mild mitral regurgitation persists. aorta is intact post decannulation. the mass in the wall of the right atrium is still present pathology examination name birthdate age sex pathology # , c 76 male report to: dr. . gross description by: dr. . wenson/mtd specimen submitted: right atrial mass. procedure date tissue received report date diagnosed by dr. /vf previous biopsies: aaa contents. diagnosis: right atrial mass: mature adipose tissue with entrapped cardiac myocytes consistent with lipoma. clinical: cad gross: the specimen is received fresh in one part in a container labeled " ", the medical record number and "right atrial mass". it consists of two fragments of yellow-white somewhat myxoid soft tissue measuring 0.8 and 0.3 cm, respectively. the specimen is entirely submitted in cassette a. 04:30am blood wbc-7.1 rbc-3.19* hgb-9.7* hct-28.7* mcv-90 mch-30.4 mchc-33.7 rdw-14.8 plt ct-268 04:30am blood pt-13.7* ptt-34.9 inr(pt)-1.2* 04:30am blood glucose-100 urean-25* creat-1.0 na-131* k-4.2 cl-96 hco3-28 angap-11 brief hospital course: mr. was transferred to after stemi (found to have 3 vessel coronary artery disease) with numerous episodes of nsvt progressing to sustained v-tach. he was admitted to the cvicu on for monitoring on amiodarone/lidocaine drip for vtach suppression. ep was consulted and made recommendations. he had a chest ct with contrast to evaluate dilated aortic root. he underwent plavix washout over the next few days and subsequently went into acute renal failure over the wkd. nephrology consulted. felt most likely contrast induced nephropathy. this would resolve, and creatinine would return to normal levels. carotid ultrasound revealed <40% stenosis bilaterally. wound care was consulted for intergluteal cleft ulcer. recommendations were made, wound healed and there were no further complications of this. the patient received a picc on . the patient developed hematuria, urology was consulted and heparin discontinued. urology re-placed foley. he developed a phlebitis which was treated with ancef. bactrim was given for pre-op klebsiella uti. sleep medicine was consulted for sleep apnea/cpap recommendations. the patient did go to the or with dr. on for cabg x 4 and biopsy of left atrial mass (which would prove to be lipoma on pathology). he was transferred to the cvicu on epinephrine, milrinone and levophed. on the morning of pod 1 he developed pulseless vt requiring cardioversion. ep was re-consulted and the patient did receive an aicd on . the right lower extremity was found to be swollen and cool with dopplerable pulses. dvt was ruled out by ultrasound. the patient made progress and was transferred to the telemetry floor for further physical therapy and recovery. chest tubes and pacing wires were discontinued without complication. icd was interrogated after picc was discontinued on . the patient was discharged to rehab on with appropriate follow-up instructions. medications on admission: lidocaine gtt, amiodarone 1mg/min gtt, asa 325 daily, lipitor 80mg daily, protonix 40mg daily, colace 100mg daily, atrovent neb q6h, fluoxetine 10mg daily, meclizine 12.5mg tid, carbidopa/levodopa 50/200 q6h, ropinirole 0.5mg q6h, lisinopril 5mg daily, coreg 3.125mg , eplerenone 25mg daily, lasix 20mg daily, sl ntg prn, morphine 2mg prn, tylenol prn, percocet prn, ativan 0.5-1mg q6h prn anxiety, amio gtt, lido gtt plavix - last dose: discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 6. ropinirole 0.25 mg tablet sig: one (1) tablet po q6h (every 6 hours). 7. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po q6h (every 6 hours). 8. atorvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). 9. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 13. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours). 14. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 15. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). 16. cephalexin 500 mg capsule sig: one (1) capsule po four times a day for 2 days. 17. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week, then 200mb x 1 week, then 200mg daily until further instructed. discharge disposition: extended care facility: - discharge diagnosis: coronary artery s/p coronary artery bypass graft x 4 acute renal failure past medical history: st elevation myocardial infarction depression dilated aortic root hematuria copd on bipap at night parkinson's past surgical history s/p aaa repair s/p cataract repair discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 2+ bilateral lower extremities discharge instructions: no shower for 5 days for aicd please wash daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. **shower daily after aicd shower restriction has passed** 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 **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. () at 1:00pm please call to schedule appointments with your device clinic 1 month primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] biopsy of heart diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery urinary tract infection, site not specified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified lipoma of other specified sites paroxysmal ventricular tachycardia other and unspecified hyperlipidemia paralysis agitans subendocardial infarction, subsequent episode of care hematuria, unspecified long-term (current) use of aspirin 

Answer: The patient is high likely exposed to