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: coronary artery bypass graft x 5 (lima to lad, svg to om, svg to om, svg to diag, svg to drca) history of present illness: 64 y/o male with new onset exertional chest discomfort while traveling in europe. underwent cardiac cath at outside hospital which revealed severe three vessel coronary artery disease. transferred to for surgical care. past medical history: hypertension, hypothyroidism social history: denies tobacco use. admits to occ. etoh use. family history: non-contributory physical exam: vs: 68 120/68 5'" 199# gen: weel-appearing male in nad, appears younger than stated age. skin: unremarkable heent: eomi, perrl, ncat neck: supple, from, -jvd, -bruits chest: ctab heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused -edema neuro: grossly intact pertinent results: 09:00am blood wbc-12.6* rbc-3.70* hgb-11.1* hct-31.9* mcv-86 mch-30.0 mchc-34.7 rdw-13.4 plt ct-288 09:00am blood plt ct-288 02:13pm blood pt-13.6* ptt-50.5* inr(pt)-1.2* 09:00am blood glucose-119* urean-16 creat-0.9 na-139 k-3.9 cl-100 hco3-27 angap-16 echo: pre bypass: there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. an epiaortic scan reveals scattered simple atheroma in the ascending aorta; cannulation, cross calmp and proximal vein graft sites were interrgated and selected in areas of minimal luminal irregularity. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. calcultated aortic valve area averages 2.0 cm 2 (1.8-2.2), which is consistent with plainemetry measurements. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened with calcification of the anterior leaflet tip. no mitral regurgitation or stenosis is seen. post bypass: patient is av paced (later a paced) on phenylepherine infusion. preserved biventricular function, lvef >55%. valvular function unchanged. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. cxr: the endotracheal tube, swan-ganz catheter, ng tube, and left chest tube have been removed. there is a small left pleural effusion and retrocardiac opacity consistent with volume loss/infiltrate. otherwise, the lungs are clear. the patient is status post cabg with sternal wires and mediastinal clips. brief hospital course: as mentioned in the hpi, mr. was transferred from osh for surgical revascularization. on he was brought to the operating room where he underwent a coronary artery bypass graft x 5. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. beta blockers and diuretics were started on post-op day one and he gently diuresed towards his pre-op weight. on post-op day two his chest tubes were removed and he was transferred to the telemetry floor for further care. on post-op day three his epicardial pacing wires were removed. he worked with physical therapy during his post-op course for strength and mobility. on post-op day four he appeared to be doing well and was discharged to home with vna services and the appropriate follow-up appointments. medications on admission: levoxyl 75mcg daily, folic acid, lisinopril 5mg qd, lopressor 50mg daily, aspirin 81mg daily, lipitor 20mg daily, fish oil, mvi, vit c, vit d, saw 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. 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. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 5. 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* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*30 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 5 days. disp:*30 tab sust.rel. particle/crystal(s)* refills:*0* 9. lipitor 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospital vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 pmh: hypertension, hypothyroidism 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. in 2 weeks dr. in 4 weeks dr. in 6 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion unspecified essential hypertension unspecified acquired hypothyroidism 

Answer: The patient is high likely exposed to