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: chest pain major surgical or invasive procedure: cabgx1(lima->lad)replacement of ascending aorta(32mm gelweave graft) r ct placed for tension ptx history of present illness: 66 yo m who presented to pcps office with chest pain, sent to ed at osh, ruled in for nstemi and transferred to for cardiac cath which showed cad as well as ascending aorta aneurysm. returns for surgery. past medical history: asc. aortic aneurysm, htn, cad, ^chol., s/p r knee ., s/p l foot amp. after mva, s/p plastic surgery of face after mva, emphysema social history: retired from and tobacco 1 ppd x 30 years, quit 6 months ago denies etoh family history: brother s/p cabg age 60 physical exam: hr 62 rr 20 bp 142/101 nad lungs ctab heart rrr abdomen benign extrem warm, no edema pertinent results: 06:50am blood hct-30.7* 07:45am blood wbc-9.7 rbc-3.72* hgb-10.5* hct-32.2* mcv-87 mch-28.1 mchc-32.4 rdw-14.0 plt ct-299 02:59am blood pt-13.2 ptt-26.2 inr(pt)-1.1 07:45am blood glucose-100 urean-22* creat-1.1 na-139 k-4.1 cl-104 hco3-25 angap-14 medical condition: please perform at 5pm - 66 year old man s/p cabgx1(lima->lad)replacement of ascending aorta(32mm gelweave graft) , r ct placed for ptx reason for this examination: please perform at 5pm - ct now clamped - ? interval change chest, single view on history: chest tube clamped, question interval change. the right lateral lung and chest wall are off the film. again seen is subcutaneous emphysema, more marked on the right than on the left. no pneumothorax is identified. compared to the prior study, there is no significant interval change. dr. , (complete) done at 2:06:22 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 66 m hgt (in): 67 bp (mm hg): 110/70 wgt (lb): 200 hr (bpm): 64 bsa (m2): 2.02 m2 indication: coronary artery disease, ascending aortic aneurysm icd-9 codes: 441.2 test information date/time: at 14:06 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 #: 2008aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.9 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - ascending: *5.0 cm <= 3.4 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec aortic valve - peak gradient: 10 mm hg < 20 mm hg aortic valve - mean gradient: 6 mm hg findings left atrium: no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. markedly dilated ascending aorta. normal aortic arch diameter. mildly dilated descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. 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. no tee related complications. suboptimal image quality - poor echo windows. the patient appears to be in sinus the patient. conclusions pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the ascending aorta is markedly dilated the descending thoracic aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results in the operating room before the surgical incision. post_bypass: patient has mild rv global dysfunction. (on epinephrine 0.03 mcg/kg/ infusion) ascending aortic graft is intact. trace ar. mild mr. mild to moderate tr. lvef 50%. (mild global hypokinesis). brief hospital course: he was taken to the operating room on where he underwent a cabg x 1 and replacement of ascending aorta. he was transferred to the icu in stable condition on epinephrine, neo and propofol. he was found to be hypotensive and hypoxic with absent breath sounds on the right. cxr confirmed a large right sided pneumothorax and a chest tube was placed. he progressed on the usual post-op course, diuresed, beta blockers started and increased. he remained with a prolonged air leak, which eventually resolved on pod # 5. on (pod # 5), his right pleural tube was clamped, a cxr revealed no pneumothorax, and the tube was removed. subsequent cxr showed no ptx, and he is ready to be discharged home with vna. medications on admission: toprol xl 100' asa 325' lipitor 80' lisinopril 10' labetalol 600" 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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*1 * refills:*2* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 * refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 4 days: then decrease to 400mg (2 tabs) daily for 1 week, then 200 mg (1 tab)daily until discontinued by cardiologist. disp:*60 tablet(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: one (1) tablet po every four (4) hours as needed. disp:*40 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 10. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 11. toprol xl 100 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* discharge disposition: home with service facility: vna assoc. of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 1 asc. aortic aneurysm s/p replacement of ascending aorta pmh: hypertension, hypercholesterolemia, s/p r knee surgery, s/p l foot amp. after mva, s/p plastic surgery of face after mva, emphysema 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 for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. 2 weeks cardiologist 2 weeks dr. 4 weeks procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart resection of vessel with replacement, thoracic vessels diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension thoracic aneurysm without mention of rupture iatrogenic pneumothorax other emphysema 

Answer: The patient is high likely exposed to