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: lipitor / nembutal sodium / zocor / lescol / midazolam attending: chief complaint: exertional angina major surgical or invasive procedure: coronary artery bypass grafting x4: 1. left internal mammary artery grafted to the left anterior descending artery. 2. reverse saphenous vein graft to the posterior descending artery of the right. 3. reverse saphenous vein graft to the first obtuse marginal branch of the circumflex. 4. reverse saphenous vein graft to the first diagonal branch of the left anterior descending. history of present illness: 83 year old male with prior negative exercise stress test in , now presents with one month history of increasing exertional angina, relieved by rest. had positive exercise stress test in and underwent cardiac catherization that revealed coronary artery disease. past medical history: hypertension dyslipidemia anxiety gastroesophageal reflux disease benign prostatic hypertrophy osteoarthritis history of renal calculi history of concussion secondary to motor vehicle accident in s/p tonsillectomy social history: retired etoh no in last 10years tobacco denies widow, lives with son family history: father deceased at 82 myocardial infarction physical exam: hr 64, 144/82, 63.5kg general no acute distress, thin skin multiple nevi/moles throughout chest and back heent perrla, eomi, anicteric sclera, oral pharynx unremarkable neck supple full range of motion chest clear to ausculation bilaterally heart regular no murmur abdomen soft, non tender, nondistended, + bowel sounds, no heptamegaly extremities warm well perfused no edema bilateral lower extremity spider veins neurological grossly intact moves all extremities, 5/5 strength non focal exam pulses femoral +2, dp +2, pt +2, radial +2 no carotid bruits pertinent results: 06:35am blood wbc-13.6* rbc-3.35* hgb-10.5* hct-30.5* mcv-91 mch-31.4 mchc-34.5 rdw-13.4 plt ct-133* 01:21pm blood wbc-9.4 rbc-3.05*# hgb-9.2*# hct-27.8*# mcv-91 mch-30.3 mchc-33.3 rdw-13.1 plt ct-131* 06:35am blood plt ct-133* 02:39pm blood pt-15.4* ptt-33.3 inr(pt)-1.4* 06:35am blood urean-20 creat-1.2 k-3.8 02:39pm blood urean-14 creat-0.8 cl-109* hco3-25 pa and lateral views of the chest reason for exam: sp cabg. comparison is made to prior study performed on . small left hydropneumothorax is still present. there is mild right pleural effusion. mild basilar atelectasis has minimally improved and greater on the right side. moderate degenerative changes are in the thoracic spine. sternal wires are aligned. there is no pulmonary edema. ekg sinus bradycardia. indeterminate qrs axis. low voltage in the limb leads. probable inferior wall myocardial infarction of indeterminate age. right bundle-branch block. there is slight qtc interval prolongation. compared to the previous tracing of a right bundle-branch block morphology is now present with associated qrs widening and qrs voltage is also slightly lower. intervals axes rate pr qrs qt/qtc p qrs t 58 154 116 446/442 20 0 3 , (complete) done at 11:44:40 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 83 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 745.5, 440.0, 424.0, 424.3, 424.2 test information date/time: at 11:44 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 #: 2009aw4-: machine: aw1 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.9 cm <= 4.0 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.9 cm <= 5.6 cm left ventricle - ejection fraction: 70% >= 55% aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.9 cm <= 3.0 cm aorta - ascending: 3.3 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - lvot diam: 1.9 cm mitral valve - mean gradient: 1 mm hg findings left atrium: moderate la enlargement. no spontaneous echo contrast in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: mild spontaneous echo contrast in the body of the ra. no spontaneous echo contrast or thrombus in the body of the ra or raa. a catheter or pacing wire is seen in the ra and extending into the rv. aneurysmal interatrial septum. pfo is present. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness, cavity size, and global systolic function (lvef>55%). right ventricle: dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. 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. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. mild to moderate +] tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. significant 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. 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 is seen in the body of the left atrium or left atrial appendage. mild spontaneous echo contrast is seen in the body of the right atrium. no thrombus is seen in the body of the right atrium or the right atrial appendage. the interatrial septum is aneurysmal. a patent foramen ovale is likely present. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). the right ventricular cavity is dilated 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. mild (1+) mitral regurgitation is seen. mild to moderate pulmonic 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. mitral regurgitation may be slightly worse. likely pfo remains. thoracic aorta appears intact. no other changes from pre-bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. brief hospital course: admitted same day and went to operating room for coronary artery bypass graft surgery. please see operative report for further details. he received cefazolin for perioperative antibiotics. he was transferred to the intensive care unit for hemodynamic management. in the first 24 hours he required vasoactive medications and fluids for hemodynamic management. he was also weaned from sedation, awoke neurologically intact and was extubated without complications. on post operative day one he was started on lasix and betablockers. he was transfered to the post op floor the remainder of his stay. physical therapy worked with him on strength and mobility. on post operative day two he had short episode of atrial fibrillation which he converted back to sinus rhythm without intervention, but betablockers were increased for heart rate control. he was ready for discharge home on post operative day four with services. started on crestor and to follow up with dr . medications on admission: aspirin 81 mg daily atenolol 25 mg daily ntg sl prn norvasc 5 mg daily xanax 0.125 mg prn protonix prn tylenol es prn 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:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 4. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. lopressor 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 3 days. disp:*3 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 3 days. disp:*3 tab sust.rel. particle/crystal(s)* refills:*0* 8. crestor 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 9. xanax 0.25 mg tablet sig: 0.5 tablet po at bedtime as needed for anxiety . disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg post operative atrial fibrillation hypertension dyslipidemia anxiety gastroesophageal reflux disease benign prostatic hypertrophy osteoarthritis history of renal calculi history of concussion secondary to motor vehicle accident in s/p tonsillectomy 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: dr in weeks at heart center please call to schedule appointment dr please call for appointment dr in weeks () please call for appointment procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery cardioplegia diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia anxiety state, unspecified other and unspecified angina pectoris unspecified procedure as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure osteoarthrosis, generalized, site unspecified 

Answer: The patient is high likely exposed to