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: upper back/shoulder discomfort for the last 6-9 months. worsening fatigue. major surgical or invasive procedure: 1. coronary artery bypass grafting times 5: left internal mammary artery to the left anterior descending coronary; reverse saphenous vein single graft from the aorta to the ramus intermedius coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the third obtuse marginal coronary artery; as well as reversed saphenous vein graft from the aorta to the posterior descending coronary artery. 2. endoscopic left greater saphenous vein harvesting. history of present illness: 61 year old gentleman with a history of diabetes who had a recent acute episode of unstable angina with negative enzymes. he underwent a stress test which revealed an inferior wall defect with ekg changes and was subsequently admitted for a cardiac catheterization. this revealed severe three vessel disease. given the severity of his disease, he has been referred for surgical revascularization. past medical history: coronary artery disease hypertension dyslipidemia diabetes mellitus type ii (diagnosed 10 years ago) chronic renal insufficiency gout past surgical history: cholecystectomy appendectomy social history: occupation: currently laid off. sales for 30+ years. last dental exam: every 6 months lives with wife in , ma race: hispanic tobacco: never etoh: social family history: no premature coronary disease. brother died of hemorrhagic stroke at age 56. physical exam: : 65 resp: 18 o2 sat: 100% ra b/p right: 194/88 left: general:wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema- none 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: none left: none pertinent results: 07:39am hgb-11.6* calchct-35 07:39am glucose-222* lactate-0.9 na+-138 k+-4.7 cl--107 12:09pm wbc-8.1 rbc-2.66*# hgb-7.3*# hct-22.1*# mcv-83 mch-27.5 mchc-33.2 rdw-15.3 01:32pm urea n-38* creat-1.6* chloride-119* total co2-21* 10:12pm blood alt-21 ast-45* alkphos-41 amylase-53 totbili-0.3 medical condition: 61 year old man with s/p cabg reason for this examination: evaluate ptx left - please do xray in afternoon preliminary report !! pfi !! 1. left apical pneumothorax, smaller since yesterday's examination. 2. right ij central venous catheter, unchanged. 3. left basilar subsegmental atelectasis with small pleural effusion, as before. dr. pfi entered: 5:44 pm echocardiography report intraoperative tee for cabg echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.9 cm <= 4.0 cm left atrium - four chamber length: *6.4 cm <= 5.2 cm left ventricle - ejection fraction: 60% to 65% >= 55% aorta - ascending: 3.1 cm <= 3.4 cm aorta - descending thoracic: 1.9 cm <= 2.5 cm findings left atrium: moderate la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size. normal rv systolic function. aorta: focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: tricuspid valve not well visualized. physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) 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. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. suboptimal image quality. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre bypass the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size is normal with normal free wall contractility. there are simple atheroma in the aortic arch. there are simple 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. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass normal biventricular systolic function. thoracic aorta intact. no significant change from the pre-bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:36 brief hospital course: mr was a same day admission to the operating room on at which time he had coronary artery bypass grafting. please see or report for details. in summary he had cabg x5 with left internal mammary artery to the left anterior descending coronary; reverse saphenous vein single graft from the aorta to the ramus intermedius coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the third obtuse marginal coronary artery; as well as reversed saphenous vein graft from the aorta to the posterior descending coronary artery. endoscopic left greater saphenous vein harvesting. his bypass time was 115 minutes with a crossclamp of 96 minutes. he tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition. he did well in the immediate post-op course, woke neurologically intact and was extubated on the operative day. he remained hemodynamically stable and was transferred from the icu to the stepdown floor on pod1. all tubes, lines and drains were removed according to cardiac surgery protocols. he was noted to have a transient rise in his serum creatinine from his baseline 2.0 to 2.6 which resolved over the next 36 hours. the remainder of his post-op course was relatively uneventful. over the next several days his activity level was advanced with the assistance of nursing and physical therapy. his medications were titrated to effect and on pod 5 he was discharged home with visiting nurses. medications on admission: simvastatin 40 qd benicar 40 qd aspirin 325 qd atenolol 25 qd allopurinol 100 qd doxazosin 4 qd lantus insulin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 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:*0* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 6. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. doxazosin 1 mg tablet sig: two (2) tablet po hs (at bedtime). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. insulin glargine 100 unit/ml solution sig: one (1) subcutaneous once a day: as per pcp. 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 6 days. disp:*6 tablet(s)* refills:*0* 12. potassium chloride 25 meq packet sig: one (1) po every other day for 3 days. disp:*3 potassium chloride (oral) 25 meq packet* refills:*0* 13. metoprolol tartrate 100 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease s/p cabg post operative atrial fibrillation hyperkalemia hypertension chronic renal insufficiency (2.0-2.2) gout diabetes mellitus type 2 dyslipidemia discharge condition: good discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming monitor wounds for infection and report any redness, warmth, swelling, tenderness or drainage please take temperature each evening and report any fever 100.5 or greater report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions 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 followup instructions: please call to schedule appointments surgeon dr in 4 weeks primary care dr in weeks cardiologist: dr in weeks wound check appointment - 6 () - your nurse will schedule procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation chronic kidney disease, unspecified pulmonary collapse other and unspecified hyperlipidemia iatrogenic pneumothorax 

Answer: The patient is high likely exposed to