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: penicillins / tylenol / aspirin attending: chief complaint: angina major surgical or invasive procedure: coronary artery bypass grafts x2 (lima to lad, svg to om) history of present illness: this 54 year old male has been experiencing chest discomfort for the past few months. he describes pain in his chest and dyspnea occurring with activity such as shoveling snow, carrying packages short distances or walking quickly. he denies any symptoms occurring at rest. he had a positive stress test in . at that time patient was symptom free and a decision was made to treat him medically. symptoms have reoccurred with activity this past week and the patient was scheduled for elective cardiac catherization which showed left main disease. past medical history: coronary artery disease s/p coronary artery bypass grafts hypertension hypothyroidism gout hyperlipidemia gastroesophageal reflux disease s/p bilateral hernia repair s/p right rotator cuff repair s/p right knee surgery for meniscus tear social history: lives with: wife, occupation: electrician, owns bar in , shamrock pub tobacco: denies etoh: 4 drinks per weekend family history: mother- hypertension, father had cabg in his 50s physical exam: admisssion: pulse:52 sr resp: 18 o2 sat: 98% room air b/p right: 134/85 left: 137/91 height: 6 feet 3 inches weight: 242 lbs general: 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 + x extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:+2 left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right: +2 left:+2 carotid bruit right: left: pertinent results: intra-op echo prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with borderline normal free wall function. there are simple atheroma in the aortic arch. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. postbypass biventricular systolic function is preserved. the study is otherwise unchanged from prebypass. 08:40am blood wbc-14.3* rbc-3.51* hgb-12.1* hct-34.8* mcv-99* mch-34.5* mchc-34.7 rdw-14.5 plt ct-356# 04:07am blood pt-13.7* ptt-28.0 inr(pt)-1.2* 05:50am blood glucose-144* urean-24* creat-1.0 na-132* k-4.1 cl-96 hco3-24 angap-16 , g m 54 radiology report chest (pa & lat) study date of 9:41 am , fa6a 9:41 am chest (pa & lat) clip # reason: eval for effusion medical condition: 54 year old man s/p cabg reason for this examination: eval for effusion provisional findings impression: kkgc mon 12:38 pm 1. no pneumothorax or significant pleural effusions are identified. 2. unchanged right basilar atelectasis, with minimal interval improvement in the left lower lobe atelectasis. brief hospital course: he was admitted on after elective cardiac catheterization with significant left main disease. pre-operative work up was completed and he underwent surgery with dr. on . zsee operative note for details. he weaned from bypass easily, requiring no pressors. he weaned from the ventilator easily and was extubated. he transferred to the floor on pod #2 to begin increasing his activity level. he was gently diuresed toward his preoperative weight. physical therapy worked with him for mobility. at discharge on pod 4 wounds were clean and healing well, cts and pacing wires had been removed according to protocols. a pa and lateral cxr were clear. discharge instruction, medications and follow up were discussed with him. statins were not given due to his baseline liver function abnormalities. medications on admission: allopurinol - 300 mg tablet - 1 tablet(s) by mouth once a day atenolol - 25 mg tablet - 1 tablet(s) by mouth once a day cimetidine - (prescribed by other provider) - 400 mg tablet - 1 tablet(s) by mouth once a day only takes as needed levothyroxine - 137 mcg tablet - 1 tablet(s) by mouth once a day set other thyroid medications aside and take this slightly higer dose of levothyroxine. lisinopril - (prescribed by other provider) - 5 mg tablet - 0.5 (one half) tablet(s) by mouth once a day nitroglycerin - 0.4 mg/dose spray, non-aerosol - 1 sublingually and repeat in 5 minutes x 2 once a day aspirin - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day plavix - last dose: 600mg discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 3. levothyroxine 137 mcg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*1* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. enteric coated aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for fever, pain. 8. fluconazole 100 mg tablet sig: one (1) tablet po daily (daily) for 2 days. disp:*2 tablet(s)* refills:*0* 9. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts hypertension hypothyroidism gout hyperlipidemia gastroesophageal reflux disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage 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 until follow up with surgeon 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 wed., at 1:00 pm please call to schedule appointments with: primary care: dr. () in weeks cardiologist: dr. () in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism gout, unspecified other and unspecified hyperlipidemia other and unspecified angina pectoris nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to