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: keflex attending: chief complaint: exertional chest pain major surgical or invasive procedure: :emergency coronary artery bypass graft times 3, left internal mammary artery to left anterior ascending artery and saphenous vein grafts to ramus and obtuse marginal arteries. history of present illness: 78 year old male with two week history of exertional chest pain. he was seen by pcp who prescribed nitroglycerin and referred him to a cardiologist. he continued to develop substernal chest pain with short walks and awakes him at night time. he was walking and took nitroglycerin that resolved the pain for 15 minutes and then it returned and took an additonal nitroglycerin and aspirin, then called ems. he was transferred to emergency room, ruled out at and underwent cardiac catheterization that revealed significant coronary artery disease, iabp was placed and he was transferred for surgical evaluation. past medical history: myelodysplastic syndrome (on weekly procrit inj) palpitations x 7 yrs hypothyroidism prostate cancer s/p xrt tongue ca s/p chemo/xrt gerd social history: occupation: retired construction foreman tobacco: quit 30 years ago etoh: glass of wine nightly family history: family history: mother died of bladder cancer father died of "heart dz" at 69yo physical exam: physical exam pulse: resp: o2 sat: b/p right: left: height: weight: general: no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anterior heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , edema none neuro: alert and oriented x3 moves all extremities - on bedrest with iabp pulses: femoral right: iabp left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right: bruit left: no bruit pertinent results: admission labs: 10:00am blood hct-27.3*# 03:22am blood wbc-5.3 rbc-2.26* hgb-7.6* hct-21.4* mcv-95 mch-33.4* mchc-35.3* rdw-24.6* plt ct-120* 06:18pm blood wbc-5.1 rbc-3.11*# hgb-10.8* hct-31.6* mcv-101* mch-34.7* mchc-34.2 rdw-25.2* plt ct-302 12:52am blood pt-13.9* ptt-37.1* inr(pt)-1.2* 06:18pm blood pt-12.3 ptt-62.0* inr(pt)-1.0 03:22am blood glucose-118* urean-21* creat-1.0 na-137 k-4.0 cl-104 hco3-29 angap-8 06:18pm blood glucose-109* urean-15 creat-0.9 na-144 k-3.9 cl-107 hco3-26 angap-15 discharge labs: 08:35am blood wbc-7.4 rbc-3.59* hgb-11.5* hct-34.7* mcv-97 mch-32.0 mchc-33.0 rdw-21.6* plt ct-401# 08:35am blood plt ct-401# 08:35am blood pt-12.7 inr(pt)-1.1 08:35am blood glucose-146* urean-24* creat-1.1 na-140 k-4.4 cl-100 hco3-31 angap-13 echocardiographic measurements results measurements normal range left ventricle - diastolic dimension: 5.4 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 50% >= 55% aorta - ascending: 3.1 cm <= 3.4 cm findings left atrium: normal la size. no spontaneous echo contrast is seen in the laa. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. top normal/borderline dilated lv cavity size. 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. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. 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. 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. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is normal in size. no spontaneous echo contrast is seen in the left atrial appendage. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. lvef = 40%. 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic arch. the iabp tip is visible 2 cm below the lsca. 6. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. a-pacing for slow sinus rhythm. improved left ventricular systolic function post cpb. lvef is now 60%. there is improved inferior wall motion. mr remains 1+. ai remains 1+. the aortic contour is normal post decannulation. the iabp remains in good position. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 22:40 radiology report chest (pa & lat) study date of 4:56 pm preliminary report small left pleural effusion, decreased in size c/w . s/p cabg. lungs clear, no ptx. dr. dr. wet read entered: wed 6:00 pm brief hospital course: transferred in from outside hospital with intra aortic balloon pump taken emergently to the operating room and underwent coronary artery bypass graft surgery. see operative report for further details. he was transferred to the intensive care unit for post operative management. in the first twenty four hours his intra aortic balloon pump was weaned and removed. then he was weaned from sedation, awoke neurologically intact, and was extubated without complications. he was transfused for post operative anemia. he remained in the intensive care unit for hypotension that required neosynephrine, which was weaned off on post operative day three. physical therapy worked with him on strength and mobility. he was transferred to the floor on post operative day four. he continued to progress but had persisent pleural effusion that was tapped with no complications. he then had rapid atrial fibrillation the am that was treated with beta blockers and amiodarone following which he converted to sinus rhythm. the remainder of his post-operative course was uneventful. his was discharged on pod9, he is to follow up with dr on monday 1:30 medications on admission: atenolol 25mg daily prilosec 20mg daily synthroid 50mcg daily ntg prn procrit inj weekly ibuprofen prn->arthritis discharge medications: 1. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. 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:*1* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. epoetin alfa 4,000 unit/ml solution sig: 4000 (4000) units injection qmowefr (monday -wednesday-friday). disp:*30 4000 units/ml* refills:*1* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* 8. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x4 days then 400mg qd x1 week then 200mg qd. disp:*60 tablet(s)* refills:*1* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass grafting postop a fib secondary: myelodysplastic syndrome (on weekly procrit inj) palpitations x 7 yrs hypothyroidism prostate cancer s/p xrt tongue ca s/p chemo/xrt gerd 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 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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. date/time:monday 1:30 cardiologist:dr. medical will call you with appointment should be scheduled for 3 weeks from discharge please call to schedule appointments with your primary care dr. in 1-2 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries thoracentesis diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified pleural effusion unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate myelodysplastic syndrome, unspecified hypotension, unspecified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution personal history of malignant neoplasm of tongue 

Answer: The patient is high likely exposed to