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: cabgx4 history of present illness: 79yom admitted to outside hospital complaing of chest pain. ruled out for mi then had +ett followed by cardiac catheterization which revealed 3 vessel disease with preserved ef. he was then transferred to for coronary artery bypass. past medical history: htn ^chol bph cva s/p rt cea rt hip replacement social history: lives with wife denies etoh denies tobacco family history: no cad physical exam: admission: vs 98 69 104/82 20 gen: nad nuero: grossly intact pchest cta bilat cv rrr, no mrg abdm: soft, nt/nd/nabs ext warm, well perfused, no varicosities discharge vs t 99 hr 86sr bp 110/66 rr 20 o2sat 92% ra gen: nad neuro: a&ox3, nonfocal exam cv: rrr, sternum stable incision cdi pulm: cta bilat abdm: soft, nt/+bs ext: warm, well perfused. 1+ pedal edema bilat. pertinent results: 11:44pm glucose-99 urea n-21* creat-1.3* sodium-141 potassium-3.7 chloride-104 total co2-27 anion gap-14 11:44pm alt(sgpt)-13 ast(sgot)-16 ld(ldh)-188 alk phos-64 tot bili-0.5 11:44pm %hba1c-6.1* 11:44pm wbc-6.9 rbc-3.65* hgb-10.7* hct-32.1* mcv-88 mch-29.3 mchc-33.3 rdw-14.4 11:44pm plt count-381 11:44pm pt-12.2 ptt-30.5 inr(pt)-1.0 04:35am blood wbc-7.3 rbc-3.15* hgb-9.5* hct-27.4* mcv-87 mch-30.1 mchc-34.7 rdw-14.7 plt ct-268 04:35am blood plt ct-268 04:35am blood urean-21* creat-1.2 k-3.9 radiology final report chest (pa & lat) 3:49 pm chest (pa & lat) reason: eval ptx s/p ct d/c medical condition: 79 year old man with 2vd for cabg reason for this examination: eval ptx s/p ct d/c indication: evaluate for pneumothorax after chest tube removal, history of cabg. comparison: and . pa and lateral views of the chest: there has been interval removal of two chest tubes without pneumothorax. there are bilateral pleural effusions, decreased in size from the prior exam. there is persistent left lower lobe atelectasis. the mediastinum is widened, consistent with recent cabg. there is rightward deviation of the trachea consistent with a wide aorta, stable since the preoperative study. impression: no pneumothorax following chest tube removal. persistent left lower lobe atelectasis. appropriate postoperative changes. the study and the report were reviewed by the staff radiologist. dr. cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: intraoperative 2d and 3d tee for cabg height: (in) 67 weight (lb): 151 bsa (m2): 1.80 m2 bp (mm hg): 130/70 hr (bpm): 48 status: inpatient date/time: at 13:50 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw3-: test location: anesthesia west or cardiac technical quality: suboptimal referring doctor: dr. r. measurements: left ventricle - ejection fraction: 55% to 60% (nl >=55%) aorta - valve level: 3.3 cm (nl <= 3.6 cm) aorta - ascending: *4.1 cm (nl <= 3.4 cm) aorta - descending thoracic: *3.1 cm (nl <= 2.5 cm) mitral valve - pressure half time: 92 ms mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 0.89 mitral valve - e wave deceleration time: 254 msec interpretation: findings: 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: suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. moderately dilated ascending aorta. simple atheroma in aortic arch. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. suboptimal image quality. the patient appears to be in sinus the patient. radiology final report carotid series complete 8:10 am carotid series complete reason: left carotid stenosis medical condition: 79 year old man with 3vd for surgery, right carotid endarterectomy, left side bruit reason for this examination: left carotid stenosis indication of exam: this is a 78-year-old man with three-vessel disease status post right carotid endarterectomy, and left carotid bruit. radiologists: exam was read by drs. and . technique and findings: extracranial evaluation of bilateral carotids was performed using b mode, color and spectral doppler ultrasound modes. on the right peak systolic velocities are 261, 71 and 79 cm/sec in the internal, common and external carotid arteries respectively. the right ica/cca ratio is 3.68. on the left peak systolic velocities are 51, 89 and 42 cm/sec in the internal, common and external carotid arteries respectively. the left ica/cca ratio is 0.57. both vertebral arteries present with antegrade flow. comparison: 1. there is 70-79% stenosis within the right internal carotid artery. 2. there is less than 40% stenosis within the left internal carotid artery. the study and the report were reviewed by the staff radiologist. dr. dr. conclusions: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the ascending aorta is moderately dilated. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. trace aortic regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. post-bypass: 1. preserved biventricular function. 2. aortic contours are intact post-decanulation. physician: dr. brief hospital course: pt transferred from outside hospital on after cardiac cath revealed 3 vessel disease. he was brought to the operating room on for coronary artery bypass grafting- please see or report for details. in summary he had cabgx4 with lima-lad, svg-diag, svg-om, svg-pda, he tolerated the operation well and was transferred from the or to icu in good condition. he did well in the immediate post-op period, his anesthesia was reversed, he was weaned from ventilator and extubated. on pod he was transferred from the icu to the step down floor. over the next several days on the step down floor his activity was advanced, his chest tubes and epicardial wires were removed and on pod 5 it was decided he was stable and ready to be discharged to rehabilitation at in , nh. medications on admission: toprol xl 50 qd colace 100 hctz 12.5 qd flomax 0.4 qhs zocor 10 qd lisinopril 20bid asa 325 qd discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 9. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). discharge disposition: extended care facility: network discharge diagnosis: s/p cabgx4(lima-lad,svg-pda,svg-diag,svg-om pmh: htn, ^chol, bph, cva, s/p rt cea, s/p rt hip replacement discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds. 10 pound lifting restriction x6 weeks followup instructions: dr weks after discharge from rehab dr 2-3 weeks after discharge dr in 4 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) late effects of cerebrovascular disease, other speech and language deficits hip joint replacement 

Answer: The patient is high likely exposed to