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: percocet attending: chief complaint: increasing dyspnea on exertion x6 months major surgical or invasive procedure: coronary artery bypass grafts x 3(lima-lad,svg-dg,svg-om) history of present illness: this 77 year old man with increasing dyspnea on exertion for several weeks, had a positive stress test and underwent cardiac cath at which showed multivessel disease. he was transferred to for surgical evaluation. past medical history: noninsulin dependent diabetes mellitus h/o nephrolithiasis h/o bladder stones gout hypercholesterolemia prostate ca diverticulosis s/p right knee replacement s/p right hip replacement s/p nerve sparing prostatectomy obstructive sleep apnea social history: last dental exam:friday for cleaning-has upper plate lives with: wife(has four children) occupation: retired engineer/currently works for as driver tobacco: none etoh: none family history: maternal grandmother mi @76yo physical exam: admission physical exam pulse:75 resp: 14 o2 sat:96% on ra b/p right:140/75 left: height: weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally , 2.5 cm soft, well circumscribed, soft mass on r upper anterior chest-?lipoma heart: rrr irregular no murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema/varicosities: none neuro: grossly intact pulses: femoral right:2+-cath site-no hematoma/bruit left:2+ dp right:1+ left:2+ pt :1+ left:2+ radial right: 2+ left:2+ carotid bruit right: none left: none pertinent results: 01:58am blood wbc-18.6* rbc-4.34* hgb-13.4* hct-37.3* mcv-86 mch-31.0 mchc-36.0* rdw-14.6 plt ct-188 09:25pm blood wbc-8.3 rbc-4.37* hgb-13.5* hct-38.0* mcv-87 mch-30.9 mchc-35.5* rdw-14.5 plt ct-223 01:57pm blood pt-14.4* ptt-29.3 inr(pt)-1.2* 09:25pm blood pt-13.8* ptt-24.7 inr(pt)-1.2* 01:58am blood urean-14 creat-0.8 na-133 k-4.4 cl-100 hco3-22 angap-15 09:25pm blood glucose-111* urean-14 creat-0.9 na-143 k-3.7 cl-106 hco3-25 angap-16 09:25pm blood alt-13 ast-21 alkphos-61 amylase-80 totbili-0.8 echocardiography report inpatient dob: bp (mm hg): 132/60 wgt (lb): 212 hr (bpm): 71 bsa (m2): 2.19 m2 indication: coronary artery disease going for cabg; pre-operative evaluation of vavular function icd-9 codes: 786.05 test information date/time: at 12:11 interpret md: , md test type: portable tte (complete) son: doppler: full doppler and color doppler test location: west inpatient floor contrast: none tech quality: adequate tape #: 2010w000-0:00 machine: vivid q-1 echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.0 cm <= 4.0 cm left atrium - four chamber length: 4.6 cm <= 5.2 cm left atrium - peak pulm vein s: 0.6 m/s left atrium - peak pulm vein d: 0.4 m/s left atrium - peak pulm vein a: 0.3 m/s < 0.4 m/s right atrium - four chamber length: 4.5 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.2 cm <= 5.6 cm left ventricle - systolic dimension: 2.3 cm left ventricle - fractional shortening: 0.45 >= 0.29 left ventricle - ejection fraction: 55% to 60% >= 55% left ventricle - lateral peak e': *0.08 m/s > 0.08 m/s left ventricle - septal peak e': *0.08 m/s > 0.08 m/s left ventricle - ratio e/e': 9 < 15 aorta - sinus level: 3.4 cm <= 3.6 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - arch: 2.1 cm <= 3.0 cm aortic valve - peak velocity: 1.1 m/sec <= 2.0 m/sec aortic valve - lvot vti: 18 mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 0.78 mitral valve - e wave deceleration time: 169 ms 140-250 ms tricuspid valve - peak velocity: 1.7 m/sec tr gradient (+ ra = pasp): 18 mm hg <= 25 mm hg findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). no resting lvot gradient. no vsd. right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild thickening of mitral valve chordae. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. no ts. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. conclusions the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. 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. the estimated pulmonary artery systolic pressure is normal. there is an anterior space which most likely represents a prominent fat pad. electronically signed by , md, interpreting physician 13:07 brief hospital course: preoperative testing included a sleep consult for presumed obstructive sleep apnea. a sleep study was performed and pulmonary recommended the use of autoset cpap at night. a machine was arranged for at home at the time of discharge. on mr. was taken to the operating room and underwent coronary artery bypass graft x3,(left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch and diagonal branch) with dr.. please refer to the operative report for further details. he tolerated the procedure well and was transferred to the cvicu intubated and sedated in critical but stable condition. he awoke neurologically intact and was weaned and extubated without difficulty. all lines and drains were discontinued in a timely fashion. beta-blocker/aspirin/statin and diuresis was initiated. pod#1 he was transferred to the step down unit for further monitoring. physical therapy evaluated for stregnth and mobility. the remainder of his postoperative course was essentially uneventful, except for some nocturnal confusion which cleared easily. all narcotics were discontinued and he did well. on pod#4 he was ready for discharge. all follow up appointments were advised. medications on admission: aspirin 81' atenolol 25' glucotrol xl 10' colchicine 0.6' metformin 500" allopurinol 300' lipitor 20' discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for fever or pain. 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 3. atorvastatin 20 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 6. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 7. glipizide 10 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 8. metformin 500 mg tablet sig: one (1) tablet po twice a day. 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 12. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 13. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 14. cpap autoset cpap machine at hs discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts s/p right knee replacement s/p right hip replacement s/p prostatectomy hypercholesterolemia gout h/o nephrolithiasis noninsulin dependent diabetes mellitus obstructive sleep apnea 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 right/left - healing well, no erythema or drainage. edema 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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. () at (on thursday, at 9am cardiologist: dr. () in weeks office will call with this please call to schedule appointments with: primary care 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 (aorto)coronary bypass of two coronary arteries diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified personal history of malignant neoplasm of prostate other and unspecified angina pectoris knee joint replacement hip joint replacement 

Answer: The patient is high likely exposed to