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 allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: coronary bypass grafting x4: left internal mammary artery to the left anterior descending artery; and reverse saphenous vein graft to the distal right coronary artery, obtuse marginal artery, and diagonal artery. history of present illness: 81 year old female with a history of hypertension and gerd presented to osh with epigastric pain described as without radiation. she reports this pain began while sitting on the beach, at rest, with associated slight dyspnea. she denies other associated symptoms. paramedics were called and she was taken to . cardiac cath was performed and revealed severe multivessel coronary disease. she was transferred to for evaluation of coronary revascularization. past medical history: coronary artery disease pmh: hypertension gastroesophageal reflux disease psh: right knee replacement x 2 cholecystectomy ~ c/b pancreatitis social history: lives with: son- contact: phone # occupation: cigarettes: smoked no etoh: denies illicit drug use family history: mother with breast cancer otherwise noncontributory physical exam: pulse:66 resp:20 o2 sat: r/a=99% b/p 159/82 height: 5'2" weight:178 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema 1+(r)le _____ varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right: left: pt : left: radial right: left: carotid bruit-none right: 2+ left:2+ pertinent results: intra-op tee prebypass no atrial septal defect is seen by 2d or color doppler. 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 descending thoracic aorta. the aortic valve leaflets are moderately thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results on at 1100 am. post bypass patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. mild mitral regurgitation present. aorta is intact post decannulation. electronically signed by , md, interpreting physician 13:05 pre-op labs: 08:32pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:25pm pt-12.7 ptt-40.0* inr(pt)-1.1 09:25pm plt count-275 09:25pm wbc-7.1 rbc-4.08* hgb-11.6* hct-35.2* mcv-87 mch-28.4 mchc-32.9 rdw-14.4 09:25pm %hba1c-5.9 eag-123 09:25pm albumin-4.2 09:25pm lipase-31 09:25pm alt(sgpt)-14 ast(sgot)-17 ld(ldh)-152 alk phos-50 amylase-28 tot bili-0.4 09:25pm glucose-136* urea n-21* creat-1.2* sodium-142 potassium-4.3 chloride-108 total co2-26 anion gap-12 discharge labs: 05:49am blood wbc-10.5 rbc-3.65* hgb-10.5* hct-30.6* mcv-84 mch-28.8 mchc-34.3 rdw-14.1 plt ct-173 03:58pm blood pt-13.7* ptt-29.5 inr(pt)-1.2* 05:19am blood glucose-99 urean-29* creat-1.3* na-135 k-4.8 cl-98 hco3-31 angap-11 , f 81 radiology report chest (portable ap) study date of 2:55 pm , fa6a 2:55 pm chest (portable ap) clip # reason: r/o ptx medical condition: 81 year old woman s/p cabg and ct removal reason for this examination: r/o ptx final report chest radiograph indication: post cabg with removal of chest tube drains, to look for pneumothorax. findings: comparison was made with prior radiograph with the recent from , . there is no demonstrable pneumothorax. right picc line is seen with the tip in the mid svc. the findings in the bilateral lung including bibasal atelectasis and the right mid lung atelectasis are relatively unchanged. no new consolidation. patient is status post cabg with a stable cardiomediastinal outline. brief hospital course: the patient was admitted to cardiac surgery service with 3 vessel coronary artery disease for surgical evaluation. after the usual preoperative workup she was brought to the operating room on where the patient underwent cabg x4 with dr. . please see the operative report for details, in summary she had: coronary bypass grafting x4: left internal mammary artery to the left anterior descending artery; and reverse saphenous vein graft to the distal right coronary artery, obtuse marginal artery, and diagonal artery. his bypass time was 90 minutes. with a crossclamp time of 75 minutes. she tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition on propofol an neosynephrine infusions, for recovery and invasive monitoring. she remained hemodynamically stable in the immediate post-op period, woke neurologically intact and was extubated on the day of surgery. she remained hemodynamically stable, and weaned from vasopressor support following extubation. on pod 1 beta blocker was initiated and the patient was begun on diuretic therapy. she was transferred to the telemetry floor for further recovery. the remainder of her hospital course was uneventful, all tubes, lines and epicardial pacing wires were discontinued per cardiac surgery protocol and without complication. the patient worked with physical therapy service for assistance with strength and mobility. she continued to make progress and was discharged to rehab at on pod 4. she is to followup with dr on at 1:15pm. medications on admission: lisinopril 10(1),omeprazole 20(2),hctz 25(1) discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 3. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. potassium chloride 20 meq packet sig: one (1) po q12h (every 12 hours) for 7 days. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: coronary artery disease s/p cabg pmh: hypertension gastroesophageal reflux disease psh: right knee replacement x 2 cholecystectomy ~ c/b pancreatitis discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with tramadol sternal incision: healing well, no erythema or drainage left leg incision: healing well, no erythema or drainage edema **** discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. 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** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: check at cardiac surgery office 10:00am surgeon dr. bldg at 1:15pm cardiologist dr. , pls call for appt in 4 weeks. please call to schedule the following: primary care dr. , m. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** provider: care nurse #phone: date/time: at 10am procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension family history of ischemic heart disease other postprocedural status knee joint replacement 

Answer: The patient is high likely exposed to