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 / beta-blockers (beta-adrenergic blocking agts) / percocet attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass grafting x3, with the left internal mammary artery to the left anterior descending coronary artery, reversed saphenous vein single graft from the aorta to the second obtuse marginal coronary artery, as well as reversed saphenous vein single graft from the aorta to the third obtuse marginal coronary artery. endoscopic left greater saphenous vein harvesting. history of present illness: 63 year old female with substernal chest pain at rest, was sleeping and awoke with 2/10 chest pain with shortness of breath. radiating to elbows and wrist - throbbing pain. pain persisted for few hours and then she called 911. transferred to outside hospital and ruled in for myocardial infarction troponin 1. elevation. past medical history: osteoporosis diabetes mellitus type 2 diabetic neuropathy hypertension hypercholesterolemia left arm fracture ~ 10 years ago social history: lives with: spouse occupation: sales tobacco: social smoker quit in etoh: occassional on holidays family history: non contributory physical exam: pulse: 66 resp: 15 o2 sat: 99 2 l nc b/p right: 185/88 left: 183/82 height: 5'7" weight: 145 lb general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anterior heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: femoral sheath left: +2 dp right: +1 left: +1 pt : +1 left: +1 radial right: +2 left: +2 carotid bruit right: no bruit left: no bruit pertinent results: echocardiography report , (complete) done at 8:39:21 am final referring physician information , c. , status: inpatient dob: age (years): 63 f hgt (in): 67 bp (mm hg): 190/90 wgt (lb): 145 hr (bpm): 50 bsa (m2): 1.77 m2 indication: coronary artery disease for cabg icd-9 codes: 402.90 test information date/time: at 08:39 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 #: 2010aw01-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.8 cm <= 4.0 cm left atrium - four chamber length: 5.1 cm <= 5.2 cm left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.2 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - sinus level: 2.9 cm <= 3.6 cm aorta - ascending: 2.6 cm <= 3.4 cm aorta - arch: 2.6 cm <= 3.0 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec findings left atrium: dilated la. 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: mild symmetric lvh with normal cavity size and regional/global systolic function (lvef>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in 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: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial 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. the patient appears to be in sinus rhythm. resting bradycardia (hr<60bpm). results conclusions pre-bypass: the left atrium is dilated. 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. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on before cpb post_bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aorta. minimal mr and no ai. brief hospital course: transferred in from outside hospital after ruling in for non st elevation myocardial infarction and cardiac catheterization. underwent preoperative evaluation including endocrine consult due to hypertension and elevated hgba1c, and infectious disease consult due to fevers. operation delayed due to community acquired viral pneumonia, and medications adjusted for blood pressure and blood glucose management. on she was taking to the operating room and underwent coronary artery bypass graft surgery. see operative report for further details. she received vancomycin for perioperative antibiotics. she was transferred to the intensive care unit for hemodynamic management. her sedation was weaned off, she awoke neurologically intact and was extubated without complications. on post operative day one she was started on betablocker, lasix for diuresis, and ace inhibitor for blood pressure management. she continued to progress and was transferred to the floor. physical therapy worked with her on strength and mobility. by post-operative day four he was cleared for discharge by dr. to a rehab facility. medications on admission: aspirin 325 mg daily captopril 50 mg tid glyburide 5 mg actos 45 mg daily zocor 40 mg daily januvia 100 mg daily metamucil 2 x week 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. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. captopril 25 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 5. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*14 tablet(s)* refills:*2* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*2* 8. insulin glargine 100 unit/ml solution sig: thirty (30) units subcutaneous daily at breakfast: titrate as necessary. disp:*qs units* refills:*2* 9. insulin aspart 100 unit/ml solution sig: per attached sliding scale subcutaneous four times a day: per sliding scale: 80-120 5 units, 121-160 7 units, 161-200 8 units, 201-240 9 units. disp:*qs * refills:*2* 10. hydralazine 10 mg tablet sig: one (1) tablet po twice a day: titrate as necessary for sbp goal of <140. disp:*60 tablet(s)* refills:*2* 11. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: extended care facility: rehab and nursing center discharge diagnosis: coronary artery disease s/p cabg non st elevation myocardial infarction community acquired viral pneumonia diabetes mellitus type 2 hypertension osteoporosis diabetic neuropathy hypercholesterolemia discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with dilaudid prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments primary care dr. in 6 weeks cardiologist dr. ( in 4 weeks provider: , md phone: date/time: 1:00 please see an endocrinologist as soon as possible for diabetes management. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified polyneuropathy in diabetes osteoporosis, unspecified malignant essential hypertension diabetes with neurological manifestations, type ii or unspecified type, uncontrolled viral pneumonia, unspecified 

Answer: The patient is high likely exposed to