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 major surgical or invasive procedure: off-pump coronary artery bypass graft x 2 (lima to lad, svg to rca) history of present illness: 60 y/o male with dyspnea and diagnosed with coronary artery disease, ischemic cardiomyopathy, and mitral regurgitation earlier this summer. was started on multiple medications (beta-blockers and ace-inhibitor) and scheduled for surgery. currently denies any symptoms and being admitted prior to surgery for work-up. past medical history: ischemic cardiomyopathy, hyperlipidemia, remote pulm. abscess (after oral surgery) and pleurisy, s/p appendectomy, s/p tonsillectomy social history: married. works as systems analyst. smokes 1/2ppd. denies etoh. family history: father died from chf at age 60. physical exam: admission: gen: wdwn male in nad heent: eomi, perrl, ncat neck: supple, from, -jvd, -bruit chest: ctab, decreased bs throughout heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: bilateral edema, right leg varicosities neuro: a&o x3, mae, non-focal discharge: vs: 98.1 77 90/52 18 94%-ra wt 100.2kg gen: nad neuro: a&ox3, nonfocal exam pulm: cta-bilat cv: rrr, sternum stable- incision cdi abdm: soft, nt/nd/nabs ext: warm + pedal edema bilat pertinent results: echo : pre-bypass: the left atrium is markedly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity is severely dilated. there is severe regional left ventricular systolic dysfunction with akinetic mid anterior/septal/lateral/inferor walls and apex. overall left ventricular systolic function is severely depressed (lvef= 10-15%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post op cabg: no change in -ventricular systolic function. mr is still mild. cxr : there is no pneumothorax or appreciable pleural effusion following removal of midline and pleural drains. slight interval increase in cardiomediastinal diameter is a normal development after tracheal extubation, accompanied by slightly lower lung volumes. right jugular sheath is now sharply kinked in the portion projecting over the left neck, while the tip is at the level of the junction of the brachiocephalic veins. lungs are grossly clear. no appreciable pleural effusion. chest (portable ap) reason: r/o ptx medical condition: 61 year old man s/p cabg and ct removal reason for this examination: r/o ptx ap chest, 6:17 p.m., history: status post cabg. removed chest tube. exclude pneumothorax. impression: ap chest compared to and 15: there is no pneumothorax or appreciable pleural effusion following removal of midline and pleural drains. slight interval increase in cardiomediastinal diameter is a normal development after tracheal extubation, accompanied by slightly lower lung volumes. right jugular sheath is now sharply kinked in the portion projecting over the left neck, while the tip is at the level of the junction of the brachiocephalic veins. lungs are grossly clear. no appreciable pleural effusion. 02:20am blood wbc-8.3 rbc-5.26 hgb-15.7 hct-46.1 mcv-88 mch-29.9 mchc-34.1 rdw-16.3* plt ct-263 06:20am blood wbc-12.1* rbc-3.95* hgb-11.5* hct-35.0* mcv-89 mch-29.2 mchc-33.0 rdw-16.6* plt ct-200 02:20am blood pt-11.8 ptt-25.5 inr(pt)-1.0 03:52am blood pt-12.9 ptt-26.9 inr(pt)-1.1 02:20am blood glucose-103 urean-16 creat-1.0 na-142 k-4.0 cl-104 hco3-26 angap-16 06:20am blood glucose-116* urean-15 creat-1.1 na-140 k-4.3 cl-101 hco3-32 angap-11 brief hospital course: as mentioned in the hpi mr. was admitted prior to surgery for further work-up and cardiology (heart failure) consult. following work-up and being cleared by cardiology he was brought to the operating room where he underwent an off-pump coronary artery bypass graft x 2. echo in or revealed only mild mr and therefore this was not repaired. please see surgical report for details. following surgery he was transferred to the cviicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. he required neo for two days post-op and once weaned beta blockers were started. he was also started on diuretics and gently diuresed towards his pre-op weight. on post-op day one his chest tubes were removed. on post-op day two he was transferred to the sdu for further care. on post-op day three his epicardial pacing wires were removed. by pod 6 mr had met all the pt goals, he remained hemodynamically stable and it was determined he was ready for discharge to home. medications on admission: coreg 6.25mg , lasix 80mg qd, lisinopril 7.5mg qd, aspirin 325mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. 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* 3. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. furosemide 40 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 8. potassium chloride 10 meq tablet sustained release sig: two (2) capsule, sustained release po once a day. disp:*60 capsule, sustained release(s)* refills:*2* 9. lisinopril 5 mg tablet sig: 0.5 tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2(off-pump) pmh: ischemic cardiomyopathy, hyperlipidemia, remote pulm. abscess (after oral surgery) and pleurisy, s/p appendectomy, s/p tonsillectomy discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. in weeks dr. in weeks dr. in 4 weeks md procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia chronic systolic heart failure 

Answer: The patient is high likely exposed to