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: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass graft times three (lima to lad, svg to ramus, svg to pda) history of present illness: mr. is a 51 year old male who presented to outside hospital with exertional chest discomfort for the last six months. ekg was notable for previous anterior wall myocardial infarction(patient denies any history of previous mi), and echocardiogram was consistent with mild ischemic cardiomyopathy. subsequent cardiac catheterization revealed severe multivessel coronary artery disease including a left main lesion. based upon the above results, he was referred for surgical revascularization. past medical history: past medical history: coronary artery disease prior myocardial infarction type ii diabetes mellitus - newly diagnosed dyslipidemia past surgical history: left leg vein stripping multiple knee surgeries neck surgery - anterior fusion social history: occupation: senior medical device company lives with: wife : caucasian tobacco: quit yesterday, 35 pack year history etoh: social family history: mr. father had a myocardial infarction at age 55. physical exam: pulse: 88 resp:14 o2 sat: 99% ra b/p right: left: 127/87 height: 74 in weight: 97.7 k general: wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none , left leg stripping neuro: grossly intact pertinent results: 06:50am blood wbc-11.5* rbc-3.43* hgb-11.4* hct-33.1* mcv-97 mch-33.3* mchc-34.5 rdw-12.5 plt ct-123* 11:35am blood wbc-22.2*# rbc-3.59* hgb-12.0*# hct-35.3*# mcv-98 mch-33.4* mchc-34.0 rdw-12.5 plt ct-147* 12:51pm blood pt-14.3* ptt-30.9 inr(pt)-1.2* 11:35am blood pt-14.6* ptt-27.2 inr(pt)-1.3* 06:25am blood wbc-9.3 rbc-3.49* hgb-11.7* hct-34.5* mcv-99* mch-33.6* mchc-34.0 rdw-12.2 plt ct-177 06:25am blood plt ct-177 12:51pm blood pt-14.3* ptt-30.9 inr(pt)-1.2* 06:25am blood glucose-135* urean-12 creat-0.7 na-142 k-4.7 cl-106 hco3-24 angap-17 ======================================================= echocardiography report , (complete) done at 8:42:50 am final referring physician information , c. , status: inpatient dob: age (years): 51 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. chest pain. coronary artery disease. hypertension. left ventricular function. mitral valve disease. icd-9 codes: 402.90, 786.51, 440.0, 424.0 test information date/time: at 08:42 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *6.0 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 50% >= 55% aorta - sinus level: *3.8 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm findings left atrium: moderate la enlargement. no spontaneous echo contrast in the body of the laa. good (>20 cm/s) laa ejection velocity. cannot exclude laa thrombus. right atrium/interatrial septum: normal ra size. no thrombus in the raa. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. moderately dilated lv cavity. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. normal rv wall thickness. normal rv chamber size. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (?#). no as. no ar. mitral valve: moderately thickened mitral valve leaflets. no mass or vegetation on mitral valve. mild mitral annular calcification. calcified tips of papillary muscles. no ms. moderate (2+) mr. to the eccentric mr jet, its severity may be underestimated (coanda effect). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is moderately dilated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a left atrial appendage thrombus cannot be excluded. 2. no thrombus is seen in the right atrial appendage no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). 4. right ventricular chamber size and free wall motion are normal. right ventricular chamber size is normal. 5. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened . there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are moderately thickened. no mass or vegetation is seen on the mitral valve. there is posterior leaflet restriction and dilation of the annulus. moderate (2+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. sinus rhythm. improved biventricular systolic function after cabg. lvef is now 50%. there is improvement of the anterior and anteroseptal walls. the mr is now mild. the aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:16 ============================================= radiology report chest (pa & lat) study date of 7:00 pm , fa6a 7:00 pm chest (pa & lat) clip # reason: eval for pneumothorax s/p chest tube removal medical condition: 51 year old man s/p avr preliminary report !! wet read !! no change since recent comparison. dr. wet read entered: sun 7:18 pm brief hospital course: mr was a same day admission for coronary bypass grafting. on mr. a coronary artery bypass graft times three (left internal mammary to left anterior descending artery, saphenous vein graft to ramus, saphenous vein graft to posterior descending artery). cross clamp time was 67 minutes, bypass time was 90minutes. please refer to dr operative note for further details. he tolerated the operation well and was transferred in critical but stable condition to the surgical intensive care unit. he did well in the immediate post-operative period and was quickly extubated and weaned from his pressors. by the following day he was ready for transfer to the surgical step down floor for further monitoring. all lines and drains were discontinued according to cardiac surgery protocols. he was gently diuresed toward his pre-operative weight. he was given beta blockers and an ace-i as tolerated. physical therapy saw him in consultation. the remainder of his postoperative course was uneventful. he continued to progress and was ready for discharge to home on pod#4 with vna. all follow up appointments were advised. medications on admission: medications at home: aspirin 325 qd metformin 750 qam lisinopril 10 qd metoprolol 12.5 qd simvastatin 40 qd nitro prn discharge medications: 1. 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:*2* 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metformin 750 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. 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* 5. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 8. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day for 7 days. disp:*14 tablet sustained release(s)* refills:*0* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. discharge disposition: home with service facility: tba discharge diagnosis: coronary artery disease, s/p coronary bypass grafting x3 pmh: diabetes mellitus, dyslipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr (cardiac surgery) in 4 weeks () please call for appointment dr (pcp) in weeks () please call for appointment wound check appointment 6 as instructed by nurse () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to