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: cabg x 4 (lima>lad, svg>om, svg>pda>plv) history of present illness: 68 yo m presented to osh with fever to 104.9, shaking/chills. started on rocephin and zithromax for question of sinus infection. all cultures negative on transfer. noted to have chest pain, stress echo positive, cardiac cath showed 3vd, transferred for surgical evaluation. past medical history: hyperlipidemia, htn, oa b/l knees, chronic sinusitis, b/l tkr, b/l hip replacements social history: quit cigars about 10 years ago rare etoh family history: father deceased from cva at age 56 o/w unknown physical exam: hr 78 rr 18 bp 132/88 temp 98.6 nad lungs ctab heart rrr no n/r/g abdomen soft/nt/nd extrem earm, no edema no varicosities no carotid bruits pertinent results: 05:41am blood wbc-13.2* rbc-3.56* hgb-10.6* hct-29.9* mcv-84 mch-29.7 mchc-35.3* rdw-13.8 plt ct-320 12:28pm blood pt-15.1* ptt-31.1 inr(pt)-1.3* 05:41am blood glucose-110* urean-16 creat-1.1 na-137 k-3.5 cl-97 hco3-32 angap-12 chest (portable ap) 12:27 pm chest (portable ap) reason: ptx medical condition: 68 year old man s/p chest tube removal reason for this examination: ptx single ap portable view of the chest reason for exam: assess for pneumothorax post chest tube removal. comparison is made to prior study performed a day earlier. there is no pneumothorax or sizable pleural effusions. there are low lung volumes. cardiomediastinal silhouette is stable. there has been interval improvement of bibasilar atelectasis greater in the lft side, there is also improvement in fluid overload, mediastinal wires are aligned. echocardiography report , (complete) done at 8:45:46 am final referring physician information , , status: inpatient dob: age (years): 68 m hgt (in): 68 bp (mm hg): 120/80 wgt (lb): 180 hr (bpm): 66 bsa (m2): 1.96 m2 indication: coronary artery disease icd-9 codes: 786.05, 440.0, 424.1 test information date/time: at 08:45 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: adequate tape #: 2008aw02-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: 4.0 cm <= 4.0 cm left atrium - four chamber length: 4.2 cm <= 5.2 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - ascending: *3.7 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. 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: the left atrium is normal in size. 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. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on . post_bypass: preserved biventricular systolic function. lvef 55%. thoracic aortic contour is intact. mild mr. and ai brief hospital course: he was admitted to cardiac surgery. rocephin, zithromax and tylenol were dc'd. he had no fever. he was taken to the operating room on where he underwent a cabg x 4. he was transferred to the icu in stable condition. he was extubated later that same day. he was given 48 hours of vancomycin as he was an inpatient for > 24 hours prior to surgery. he was transferred to the floor on pod #1. he did well postoperatively and was ready for discharge home on pod #3. medications on admission: asa 81', atenolol/chlorthalidone 50/25', crestor 5', doxycycline 100', aleve prn discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(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. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 3 days. disp:*3 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 3 days. disp:*3 tab sust.rel. particle/crystal(s)* refills:*0* 7. crestor 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* discharge disposition: home with service facility: home health discharge diagnosis: cad now s/p cabg hyperlipidemia, htn, oa b/l knees, chronic sinusitis, b/l tkr, b/l hip replacements discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. 6 weeks dr. 4 weeks dr. 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension other and unspecified hyperlipidemia knee joint replacement hip joint replacement unspecified sinusitis (chronic) 

Answer: The patient is high likely exposed to