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: exertional angina major surgical or invasive procedure: cabg x4/rca endarterectomy (lima to lad, svg to om1 and om2, svg to pda) history of present illness: 56 yo male with several months of recurrent chest discomfort. myoview showed large areas of lateral ischemia, small area of scar, and anteroapical ischemia. cath revealed lm 30%, lad 90%, diag 1 100%, diag 2 100%, cx 70-90%, om1 70%, om 2 80%, om 3 100%, rca 30-50% pda 90%, ef 50-55%, trace mr, lvedp 21. referred for cabg. past medical history: htn elev. chol. remote fractured sternum inguinal hernia carpal tunnel syndrome psh: t&a social history: iron worker lives with wife smoked 2ppd for 20 years, quit 15 years ago 10-15 beers/week family history: brother with cabg at 39, mother with valvular problem physical exam: hr 78 rr 12 right 122/78 left 120/80 5'9" 220# nad, wdwn male no lesions eomi, perrl, nc/at, op benign neck supple, no jvd, full rom ctab rrr no m/r/g soft, nt, nd, + bs with large right inguinal hernia warm, well-perfused, no edema no varicosities neuro grossly intact, alert and oriented x 3, mae, non-focal bil. dp/pt/radials 2+ 1+ right fem, 2+ left fem. no carotid bruits appreciated pertinent results: 06:10am blood wbc-6.5 rbc-3.27* hgb-10.6* hct-30.0* mcv-92 mch-32.3* mchc-35.3* rdw-14.0 plt ct-272# 06:10am blood plt ct-272# 06:10am blood pt-14.3* ptt-25.5 inr(pt)-1.3* 06:10am blood glucose-110* urean-16 creat-0.8 na-138 k-4.5 cl-100 hco3-31 angap-12 cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: intra-op tee for cabg height: (in) 69 weight (lb): 220 bsa (m2): 2.15 m2 bp (mm hg): 123/64 hr (bpm): 56 status: inpatient date/time: at 10:34 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw05-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left ventricle - septal wall thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.3 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.3 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 4.1 cm left ventricle - fractional shortening: *0.23 (nl >= 0.29) left ventricle - ejection fraction: 35% to 40% (nl >=55%) interpretation: findings: left atrium: all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: dynamic interatrial septum. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild symmetric lvh. normal lv cavity size. moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size. mild global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. focal calcifications in aortic arch. mildly dilated descending aorta. focal calcifications in descending aorta. aortic valve: three aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. no ms. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally post-bypass data conclusions: pre-bypass: 1. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with inferior, infero-septal, infero-lateral hypokinesis. overall left ventricular systolic function is moderately depressed. lvef is around 35- 40 %. 3. right ventricular chamber size is normal. there is mild global right ventricular free wall hypokinesis. 4. there are focal calcifications in the aortic arch. the descending thoracic aorta is mildly dilated. 5. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post-bypass: pt is a paced and on an infusion of phenylephrine 1. biventricular systolic function is improved. 2. aorta is intact post decannulation. 3. other findings are unchanged physician: () radiology final report chest (portable ap) 11:23 am chest (portable ap) reason: r/o ptx medical condition: 56 year old man with cad s/p cabg. and ct removal. reason for this examination: r/o ptx indication: 56-year-old man with coronary artery disease, status post cabg and chest tube removal, evaluate for pneumothorax. comparison: . portable ap chest radiograph: scattered bibasilar subsegmental atelectasis. there is left retrocardiac opacity which may represent atelectasis and/or consolidation. median sternotomy wires are stable. there has been interval removal of an et and ng tubes. a right-sided swan-ganz catheter is seen with the tip in the main pulmonary artery pointing to the right. no pneumothorax or definite pleural effusions are seen. impression: no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 11:04 pm brief hospital course: admitted and underwent cabg x4/rca endart. with dr. . aneurysmal coronaries were noted with plan made for three months of coumadin therapy. transferred to the csru in stable condition on propofol and phenylephrine drips.extubated that evening, and chest tubes removed on pod #1. transferred to the floor to begin increasing his activity level. pacing wires removed on pod #3.made good progress and was cleared for discharge to home with vna services on #4. coumadin dosing /inr to be followed by dr. coumadin clinic. first blood draw mon. . target inr is 2.0-2.5. pt. to make all follow-up appts. as per discharge instructions. medications on admission: asa 325 mg daily lisinopril 20 mg daily atenolol 25 mg daily zocor 40 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 3. 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* 4. coumadin 2.5 mg tablet sig: two (2) tablet po once a day for 3 days: friday, sat, sunday only, then all further dosing by dr. clinic; first blood draw monday . disp:*60 tablet(s)* refills:*1* 5. 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* 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 5 days. disp:*5 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: gentiva discharge diagnosis: s/p cabg x4/rca endareterectomy cad aneurysmal coronary arteries htn elev. chol. remote sternal fracture inguinal hernia carpal tunnel syndrome discharge condition: stable discharge instructions: may shower over incision and pat dry no lotions, creams, or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness or drainage followup instructions: first blood draw monday with results to be called to dr. coumadin clinic or fax see dr. in weeks see dr. in weeks see dr. in 4 weeks 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 pure hypercholesterolemia unspecified essential hypertension other and unspecified angina pectoris 

Answer: The patient is high likely exposed to