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: no known drug allergies. medications on admission: included norvasc 10 mg daily, toprol xl 100 mg daily, nexium 20 mg daily, captopril 25 mg t.i.d., glipizide 10 mg q a.m. and lipitor 10 mg q.d. illnesses: included enuresis, status post cystoscopy with cystometrics in . history of coronary artery disease with myocardial infarction x3 with a failed right coronary angioplasty stenting complicated by right coronary dissection requiring intra-aortic balloon support in . peripheral vascular disease. left hip and pelvic fracture secondary to fall in . left upper lobe cancer, status post right upper lobectomy with chest wall resection, mediastinal node dissection. bronchoscopy and mediastinoscopy and scalene node biopsy in . history of hypertension. history of type 2 diabetes mellitus on oral agents. history of chronic obstructive pulmonary disease. history of vre. history of ventral hernia. history of non- hodgkin's lymphoma by scalene node biopsy. history of ventilator-induced pseudomonas pneumonia. history of congestive heart failure, compensated. social history: the patient is married x57 years. lives with his spouse. is retired. he ambulates. he is limited secondary to his foot pain. patient's cardiologist is dr. . the patient admits to tobacco use, 200 pack-years of smoking. he has not smoked since his lung resection in . physical examination: he is alert, oriented, in no acute distress. heent examination: no jugular venous distension. carotids are palpable bilaterally 1+ with bruits bilaterally. lungs are clear to auscultation. heart is regular rate and rhythm without murmur, gallop or rub. abdominal examination is soft, nontender. there are no bruits or masses. no aortic prominence. peripheral vascular examination shows the right first and fifth toe with dry gangrenous changes. the right heel area with a superficial ulceration. the feet are pale bilaterally but warm. the right toes is with ruborous changes. pulse examination: there is a left femoral bruit. the radial arteries are palpable 1+, femoral arteries: on the right dopplerable. on the left 2+ palpable. popliteals are dopplerable bilaterally. the right dorsalis pedis is absent. the right posterior tibialis is a dopplerable signal only. the left dp and pt are dopplerable. neurological exam: he is oriented x3, nonfocal. hospital course: the patient was admitted to the vascular service. he was prepared for a right carotid endarterectomy. he underwent this on . he tolerated the procedure well. he was transferred to the post anesthesia care unit neurologically intact and stable. he required neo- synephrine drip for low urinary output. patient's postoperative hematocrit was 31.7, bun 16, creatinine 0.9. patient continued to do well. postoperative day 1 his neo- synephrine was weaned. his diet was advanced as tolerated. he did have episodes of supraventricular tachycardia but they were nonsustained and his neo-synephrine dose was decreased. he was restarted on his home medications and the neo was weaned. patient remained in the vicu. he was preopped for potential right leg revascularization with a femoral-femoral bypass but developed florid flash pulmonary edema and required admission to the sicu. he was intubated for respiratory insufficiency and his oxygenation improved. he continued on his neo and unasyn for his foot. he was transfused for his hematocrit of 28.5. he remained in the sicu. he was followed by his cardiologist, dr. . patient was aggressively diuresed and metoprolol was used for his supraventricular tachycardia. patient was extubated on postoperative day 3. he continued to do well and he was transferred to the vicu for continued monitoring and care. his hematocrit remained stable post transfusion. his creatinine was remained stable with diuresis. his diet was advanced from clears to as tolerated on postoperative day 4. ambulation was begun on postoperative day 4. neck staples were discontinued on postoperative day 5. patient continued to do well. patient had an episode of nonsustained ventricular tachycardia. he was asymptomatic. he was sleeping in a chair. postoperative day 6 his blood pressure was 70/50 after being placed back in bed but 15 minutes later his blood pressure was 122/50. his o2 saturation was 96% on 2 liters by nasal cannula. an electrocardiogram was obtained which showed no acute changes. he was continued to be monitored. enzymes were sent. those were unremarkable. electrolytes were checked and those were stable and did not require any repletion. because of this episode cardiology was requested to see the patient to determine whether he would be okay to undergo a major surgical procedure given his cardiac status. an echocardiogram was obtained. this demonstrated left atrial enlargement. the left ventricular cavity was mildly dilated. overall left ventricular systolic function was moderately depressed with inferior and lateral akinesis with anterior and septal hypokinesis. the aortic valve was mildly thickened with three leaflets. the mitral valve was mildly thickened. there was mild mitral regurgitation. compared to a previous study done in of this year the left ventricular function had decreased. the patient underwent a stress test in which he had no anginal symptoms or electrocardiographic changes from baseline. a nuclear study demonstrated left ventricular cavity size was mildly enlarged. the resting and stress perfusion images revealed severe fixed inferior and lateral wall defect. there was also a moderate reversible apical defect with a calculated ejection fraction of 25%. these findings were reviewed with his cardiologist. after a long discussion the cardiologist, dr. and the patient determined that he was at very high risk for a perioperative event. the patient elected to proceed to have surgery on his right leg for his ischemic right rest pain, even with significant increased risk. patient underwent on a right common femoral artery endarterectomy with saphenous vein angioplasty, angiogram of the aorta and right iliac arteries. patient tolerated the procedure well and was transferred to the post anesthesia care unit stable with dopplerable dp and pt on the right and the foot was pink with 2 to 3 second capillary refill. postoperatively the patient remained hemodynamically stable and was transferred to the vicu for continued monitoring and care. postoperative day #1 there were no overnight events. the patient's diet was advanced as tolerated. his fluids were hep-locked. he was gently diuresed with lasix and ambulation to a chair was begun. cardiology continued to follow the patient. he continued on his beta blockers. spirolactone was added daily for blood pressure and diuresis. patient's foley was discontinued on . he was continued on augmentin perioperatively. patient continued to progress. he was continued on all his preadmission medications. he was to be evaluated by physical therapy on postoperative day 4 of his right leg bypass to determine whether or not he would be safe to be discharged to home. pending this evaluation patient will be discharged when medically stable either to rehabilitation or to home. discharge medications: captopril 25 mg t.i.d., albuterol proprium aerosol 1 to 2 puffs q 4 hours p.r.n., protonix 40 mg daily, albuterol actuation aerosol inhaler 1 to 2 puffs q 6 hours p.r.n., arvestatin 20 mg daily, aspirin 325 mg daily, colace 100 mg b.i.d., senna tabs 8.6 mg tablets 1 b.i.d. as needed, oxycodone/acetaminophen 5/325 tablets 1 to 2 q 6 hours p.r.n., amoxicillin 500/125 mg tablets q 8 hours for a total of 1 week, lopressor extended release 100 mg daily. discharge instructions: patient should call us if his leg wounds become red, swollen or drain. he may ambulate essential distances and progress if tolerated. he should weigh himself daily and if he gains more than 2 pounds to call his cardiologist. he should limit his salt intake to no added salt to meals or in food preparation. to continue all medications as directed. he should continue his antibiotics until all the pills are gone. no driving until seen in follow up. to continue stool softeners while he is on pain medication. discharge diagnoses: 1. right carotid stenosis. 2. arterial insufficiency with right foot pain. 3. history of coronary artery disease, status post myocardial infarction x3. 4. status post failed angioplasty of the right coronary artery with right coronary artery dissection, intra- aortic balloon support in . 5. history of left hip and pelvic fracture secondary to fall. 6. history of right upper lung cancer, status post right upper lobe resection with chest wall resection, mediastinal node dissection, bronchoscopy, mediastinoscopy and scalene node biopsy. 7. history of postoperative congestive heart failure. 8. compensated history of postoperative blood loss anemia, transfused. patient should follow up with dr. in 2 weeks at . he should call for an appointment at . major surgical procedure: right carotid endarterectomy with dacron patch on . right common femoral endarterectomy with vein patch angioplasty, intraoperative angiogram of the aorta and right iliac arteries on . , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube aortography endarterectomy, other vessels of head and neck arteriography of renal arteries endarterectomy, lower limb arteries excision of deep cervical lymph node procedure on single vessel procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of bronchus and lung paroxysmal ventricular tachycardia occlusion and stenosis of carotid artery without mention of cerebral infarction enlargement of lymph nodes atherosclerosis of native arteries of the extremities with gangrene occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction 

Answer: The patient is high likely exposed to