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: codeine attending: chief complaint: syncope major surgical or invasive procedure: aortic valve replacement (25mm mosaic) coronary artery bypass graft x1 (saphenous vein graft > left posterior descending artery) history of present illness: 73 year old male who had a syncopal episode in . he underwent workup that revealed aortic stenosis. past medical history: aortic stenosis s/p avr coronary artery disease s/p cabg hypertension elevated cholesterol peripheral vascular disease carotid disease diastolic heart failure chronic cerebral vascular accident diabetes mellitus type 2 skin cancer obesity osteoarthritis benigh prostatic hypertrophy venous stasis ulcer social history: social history is significant for 80 pack year history, quit 17 years ago. there is history of alcohol use of 2 beers/night. lives with family in an in law apartment family history: the pt's father had problem and died of mi at 76 yo. physical exam: general nad obese skin facial ca with multiple darkened areas throughout heent perrla eomi ? cataract formation anicteric poor dentition neck supple full rom chest right cta, basilar crackles left heart rrr, sem precordium > carotids abdomen soft, nt, nd ventral hernia extremeties warm well perfused no edema varicosoties none neuro grossly intact mae nonfocal pertinent results: 06:30am blood wbc-13.2* rbc-3.13* hgb-10.1* hct-29.9* mcv-96 mch-32.2* mchc-33.7 rdw-13.7 plt ct-181 02:10pm blood wbc-11.3* rbc-4.94 hgb-15.2 hct-44.3 mcv-90 mch-30.8 mchc-34.4 rdw-13.6 plt ct-328 02:10pm blood neuts-73.1* lymphs-21.0 monos-4.4 eos-1.2 baso-0.3 06:30am blood plt ct-181 09:45am blood pt-12.4 ptt-25.9 inr(pt)-1.1 02:10pm blood plt ct-328 02:10pm blood pt-11.5 ptt-23.7 inr(pt)-1.0 12:04pm blood fibrino-195 02:10pm blood glucose-172* urean-24* creat-1.2 na-135 k-4.0 cl-94* hco3-29 angap-16 02:10pm blood alt-31 ast-22 alkphos-86 amylase-71 totbili-0.4 06:30am blood calcium-9.6 phos-3.1 mg-2.4 02:10pm blood %hba1c-6.7* radiology final report chest (pa & lat) 11:58 am chest (pa & lat) reason: post ct removal / pneumo medical condition: 73 year old man with severe as/cad reason for this examination: post ct removal / pneumo chest, pa and lateral history: aortic stenosis, coronary artery disease, chest tube removal. two views. comparison with the previous study done . a left chest tube, endotracheal tube, nasogastric tube, mediastinal drain, and pulmonary arterial line have been withdrawn. there is interval improvement in streaky density at the left base, which probably represents subsegmental atelectasis. there is interval development of increased density at the right base, also consistent with subsegmental atelectasis. a small area of consolidation at the bases cannot be excluded. there are small bilateral pleural effusions, new or increased since the previous study. the patient is status post median sternotomy. widening of the superior mediastinum consistent with postsurgical change, has improved. impression: streaky density at the lung bases consistent with subsegmental atelectasis. small area of consolidation at the lung bases cannot be excluded. small bilateral pleural effusions due to postsurgical change from the mediastinum. dr. approved: sun 6:03 pm echocardiography report , (complete) done at 10:17:43 am final referring physician information , , status: inpatient dob: age (years): 73 m hgt (in): 64 bp (mm hg): / wgt (lb): 218 hr (bpm): bsa (m2): 2.03 m2 indication: intraoperative tee for avr and cabg icd-9 codes: 440.0, 424.1, 424.0 test information date/time: at 10:17 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 #: 2007aw1-: machine: 1 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.5 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 45% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 0.2 cm <= 3.0 cm aorta - ascending: *3.7 cm <= 3.4 cm aorta - descending thoracic: *2.6 cm <= 2.5 cm aortic valve - peak velocity: *4.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: *64 mm hg < 20 mm hg aortic valve - mean gradient: 25 mm hg aortic valve - valve area: *0.7 cm2 >= 3.0 cm2 findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mildly depressed lvef. right ventricle: mildly dilated rv cavity. borderline normal rv systolic function. aorta: normal aortic diameter at the sinus level. simple atheroma in aortic root. mildly dilated ascending aorta. simple atheroma in ascending aorta. simple atheroma in aortic arch. mildly dilated descending aorta. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. severely thickened/deformed aortic valve leaflets. severe as (aova <0.8cm2). no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. moderate to severe (3+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. 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. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). there is hypokinesis of the inferior segments. 3, the right ventricular cavity is mildly dilated. right ventricular systolic function is borderline normal. 4. there are simple atheroma in the aortic root. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (area <0.8cm2). no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. post-bypass: patient removed from cardiopulmonary bypass on phenylephrine drip and av paced. 1. mechanical prosthetic valve is noted in the aortic valve position. the valve is well seated without evidence of paravalvular leak or regurgitation. mean gradient across the valve is 7mmhg and peak gradient is 17mmhg. 2. biventricular function is maintained. 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician cardiology report ecg study date of 2:49:40 pm sinus rhythm. right bundle-branch block. compared to tracing of there is no significant diagnostic change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 75 0 140 398/424 0 91 10 brief hospital course: he admitted and went to the operating room for coronary artery bypass graft x 1 and aortic valve replacement. please see operative report for surgical details. he tolerated the procedure well and was transferred to the cvicu for invasive monitoring in stable condition. later that day he was weaned from sedation, awoke neurologically intact and was extubated. on post-op day one he was transferred to the floor starting beta blockers and lasix for gentle diuresis. he was gently diuresed towards his pre-op weight. physical therapy followed patient during post-op course for strength and mobility. he continued to make steady process without any post-op complications and was discharged to rehab on post op day 4. medications on admission: univasc metoprolol thiazide lipitor asa mvi discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. furosemide 40 mg tablet sig: one (1) tablet po once a day. 5. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 9. insulin ss please see page 2 for scale 10. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: of discharge diagnosis: aortic stenosis s/p avr coronary artery disease s/p cabg hypertension elevated cholesterol peripheral vascular disease carotid disease diastolic heart failure chronic cerebral vascular accident diabetes mellitus type 2 skin cancer obesity osteoarthritis benigh prostatic hypertrophy venous stasis ulcer discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 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 no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule all appointments dr in 4 weeks () please call for appointment dr after discharge from rehab dr after discharge from rehab procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery cardioplegia open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders peripheral vascular disease, unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute systolic heart failure 

Answer: The patient is high likely exposed to