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: unstable angina major surgical or invasive procedure: coronary artery bypass grafting times three(left internal mammary artery to left anterior descending, saphenous vein graft to right circumflex artery) left heart catheterization, coronary angiogram history of present illness: this 78 year old male presented with new onset of angina with minimal activity and at rest. an echocardiogram on revealed hypokinesis as well as lateral anterior and inferoposterior wall hypokinesis. the ef was reduced to 30%. he also was noted to have q wave. catheterization revealed oteal left main, occluded lad and a right stenosis of hemodynamic significance. he was referred for operation. past medical history: noninsulin dependent diabetes mellitus hyperlipidemia s/p open reduction/internal fixation of right humerus fracture s/p cholecystectomy . s/p incisional hernia repair. s/p appendectomy . s/p right melanoma on right forehead removed in , thought to be early stage. social history: race:caucasian last dental exam: lives with: wife contact: phone #( occupation:retired pulmonologist cigarettes: smoked no yes last cigarette _____ hx: other tobacco use:cigar a couple times a year for many years etoh: < 1 drink/week drinks/week >8 drinks/week denies illicit drug use family history: family history:non-contributory physical exam: physical exam pulse:81 resp:20 o2 sat: 97%ra b/p 127/76 height:5'" weight:98.1 kgs 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 _____ varicosities: none neuro: grossly intact pulses: femoral right: 1+ left:1+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: - left: - pertinent results: 04:27am blood wbc-10.1 rbc-3.06* hgb-9.6* hct-27.8* mcv-91 mch-31.3 mchc-34.4 rdw-13.0 plt ct-152 03:09am blood wbc-8.8 rbc-3.37* hgb-10.7* hct-29.6* mcv-88 mch-31.6 mchc-36.0* rdw-13.2 plt ct-136* 08:35am blood pt-15.8* ptt-28.4 inr(pt)-1.4* 05:32am blood pt-14.6* inr(pt)-1.3* 01:12pm blood pt-14.5* ptt-43.8* inr(pt)-1.2* 11:56am blood pt-14.5* ptt-34.1 inr(pt)-1.3* 08:35am blood urean-28* creat-1.4* na-135 k-4.7 cl-97 05:32am blood glucose-130* urean-24* creat-1.3* na-137 k-4.0 cl-99 hco3-30 angap-12 04:27am blood glucose-139* urean-19 creat-1.2 na-135 k-4.3 cl-100 hco3-28 angap-11 intra-op tee conclusions pre-cpb: mild spontaneous echo contrast is present in the left atrial appendage. overall left ventricular systolic function is severely depressed (lvef= 25 - 30 %), with mild spontaneous echo contrast in the lv. there is moderate global free wall hypokinesis. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is av-paced, on low dose epinephrine. improved biventricular systolic fxn. ef now 40 - 45%. no more spontaneous contrast in lv. the apex remains akinetic and the distal walls are hypokinetic. trace mr. . aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:52 brief hospital course: he remained stable and pain free after admission. preoperative workup was carried out and he went to the operating room on where revascularization was accomplished as noted. he tolerated the procedure well and weaned from bypass on epinephrine, neo synephrine and propofol. he remained stable, weaned from pressors and the ventilator uneventfully. of note, intra-op tee revealed a "haze" suggestive of potential left atrial appendage thrombus. the patient will be anti-coagulated for this. beta blockade was begun and he was gently diuresed to his preoperative weight. physical therapy was consulted for strength and mobility. chest tubes and pacing wires were removed uneventfully. he experienced transient diploplia and floaters postoperatively and ophthalmology and neurology consults were obtained. he will follow up as an outpatient as these were transient and likely of no consequence. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna services in good condition with appropriate follow up instructions. medications on admission: medications - prescription betamethasone valerate - (0.1% cream as directed ) - dosage uncertain glucometer - (as directed ) - dosage uncertain precision strip - (qid) - dosage uncertain medications - otc aspirin - (otc) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth daily blood sugar diagnostic - strip - test one or twice a day geriatric multivit w/iron-min - (prescribed by other provider) - tablet - 1 tablet(s) by mouth once daily glucosamine-chondroit-vit c-mn - (otc) - 500 mg-400 mg capsule - 2 capsule(s) by mouth daily lancets misc. - ( xd) - dosage uncertain discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 3. outpatient lab work labs: pt/inr for laa thromus goal 2-2.5 first draw results to phone dr. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 10. warfarin 1 mg tablet sig: one (1) tablet po once (once): dr. to manage for goal inr 2-2.5. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: unstable angina coronary artery disease prior mnyocardial infarction s/p coronary artery bypass noninsulin dependent diabetes mellitus obesity s/p open reduction/internal fixation of right humeral fracture s/p cholecystectomy s/p appendectomyh/o melano resection s/p herniorrhaphy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg - healing well, no erythema or drainage. edema trace 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. () on 1:45 cardiologist: dr office will call you with an appt. please call to schedule appointments with: primary care; dr. () in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for laa thromus goal 2-2.5 first draw results to phone dr. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia old myocardial infarction long-term (current) use of anticoagulants obesity, unspecified other specified visual disturbances personal history of malignant melanoma of skin cyst of kidney, acquired dysplasia of prostate personal history of other specified diseases 

Answer: The patient is high likely exposed to