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: history of present illness: briefly, this is a 74-year-old male with a history of diabetes, and hypertension, and high cholesterol who presented to an outside hospital with shortness of breath. he was worked up at the outside hospital for the acute shortness of breath and was found to be in respiratory distress. his heart rate was elevated and has had runs of v-tach, and his blood pressure was also elevated. he had positive jugular venous distention, crackles, and pulmonary edema. arterial blood gas at that time was found to be ph 7.21, bicarb of 65, and po2 of 105. he was given o2, lasix, morphine, combivent, and metoprolol. the patient is admitted for myocardial infarction and was consistent with an elevation in his troponin and elevation in his cardiac enzymes. echocardiogram was done which showed hypokinesis. on hospital day four, his creatinine had elevated to 1.5 and they stopped his diuresis. then mucomyst was planned for cardiac catheterization and he was transferred to the for that. past medical history: patient's past medical history is significant for diabetes type 2, hypertension, high cholesterol, emphysema, glaucoma, metastatic prostate cancer status post radiation. medications: his medications on admission were lipitor 10 mg po q day, accupril 20 mg po q day, dyazide po q day prn, prandin 2 mg tid ac, metformin 500 po bid, and eyedrops for his glaucoma. physical examination: he was afebrile and his vital signs were stable at that time. on physical exam, his neck had no jugular venous distention. at time of presentation, his neck was supple with good carotid, no bruits. his heart was regular, rate, and rhythm with no murmurs, rubs, or gallops. his lungs had decreased breath sounds bilaterally and they were distant with no crackles. his abdomen is soft, nontender, nondistended and bowel sounds are present. he is obese. extremities: there is no clubbing, cyanosis, 2+ edema bilaterally, and his distal pulses were 1+. laboratories on admission: his white count was 11.3, hematocrit 35.7, and platelet count of 283. sodium 137, potassium 4.0, chloride of 97, bicarb of 27, bun of 55, creatinine of 1.0, blood sugar 151. patient was admitted to the hospital and cardiac catheterization was done along with ep study. the patient was found to have multi-vessel disease. cardiothoracic surgery was consulted at that time. prior to the operating room, the patient had pulmonary function tests in order to assess his pulmonary status. it was felt at that time that his pulmonary status is capable of handling the operation. the patient was taken to the operating room on , where a cabg x3 was performed: lima to left anterior descending artery, saphenous vein graft to om-3, saphenous vein graft to diagonal. the patient was transferred to the csiu postoperatively. patient was attempted to be weaned, however, had some difficulty. it was felt at this time due to his pulmonary status, it is important to wean his ventilator quickly. on secondary attempts, the patient was able to be weaned and extubated from the ventilator. he was started on beta blockers and diuresis with lasix. he continued to diurese well. his laboratories were stable and he is out of bed and walking around in the intensive care unit, and he was transferred to the floor. patient's chest tubes were removed for low output as well his foley was removed. physical therapy was consulted while in the intensive care unit to assess ambulation and mobility. they felt he would be able to progress to such a point that he can be discharged home safely. patient was transferred to the floor and continued to improve on . at that time on postoperative day #4, he continued to improve, however, his heart rate and blood pressure continued to be elevated, though his beta blocker was increased and he continued to have aggressive pulmonary toilet with nebulizer treatments, chest pt, and diuresis. physical therapy continued to follow along and he continued to do well, however, he was found to have desaturations while ambulating. he was able to be weaned off of his oxygen on postoperative day #5, however, required oxygen while ambulating. at that time, it was felt that with continued diuresis, he could improve and be discharged home. on , it was found that he was able to walk around and ambulate without requiring o2 and patient was discharged home. medications upon discharge: lopressor 50 mg po bid, ipratropium nebulizer one nebulizer q6 hours prn, albuterol one nebulizer q4h prn, leukine glutamate 250 po bid, dipivefrin 0.1% one drop q8 hours to the left eye, lasix 20 mg po bid, zantac 150 po bid, pilocarpine 0.5% one drop to infected eye q6h, glucophage 500 mg po bid, repaglinide 2 mg po tid ac, percocet 1-2 tablets po q4h prn, 20 meq po bid, ec-asa 325 po q day. the patient's discharging diagnoses are coronary artery disease, status post coronary artery bypass graft x3, diabetes type 2, hypertension, high cholesterol, emphysema, glaucoma, and metastatic prostate cancer status post radiation. the patient is discharged home in stable condition. instructed to followup with dr. in four weeks and his primary care physician weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified paroxysmal ventricular tachycardia other emphysema 

Answer: The patient is high likely exposed to