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: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass graft x 1 (svg to om), mitral valve repair w/ 32mm ce annuloplasty band history of present illness: delightful 67 y/o male with a known heart murmur for many years followed by serial echocardiograms. most recent echo in showed worsening mitral regurgitation with an ef of 55%. a cardiac cath also showed a 60% ostial lcx lesion. he was seen as an outpatient and admitted for elective cardiac surgery. past medical history: hypertension hypercholesterolemia chronic obstructive pulmonary disease interstitial lung disease/pulmonary fibrosis osteoarthritis s/p right inguinal hernia repair social history: retired firefighter. quit smoking greater than 30 years ago. quit drinking approximately than 13 years ago. family history: father died at 64 s/p cabg physical exam: vs: 85 14 161/81 71" 210# general: wdwn male in nad skin: warm, dry -lesions heent: eomi, perrl, nc/at chest: ctab -w/r/r heart: rrr, +s1s2, holosystolic murmur at llsb abd: soft, nt/nd, +bs ext: war, well-perfused, -edema or varicosities neuro: a&o x 3, non-focal, mae pulses: bfa 2+, bdp/bpt 1+ pertinent results: 12:57pm blood wbc-20.2*# rbc-2.73*# hgb-8.9*# hct-26.0*# mcv-95 mch-32.8* mchc-34.3 rdw-13.5 plt ct-96* 08:00am blood wbc-18.9* rbc-3.33* hgb-10.8* hct-30.3* mcv-91 mch-32.3* mchc-35.5* rdw-14.8 plt ct-391 08:00am blood pt-13.8* inr(pt)-1.3 08:00am blood glucose-104 urean-15 creat-0.9 na-134 k-4.9 cl-99 hco3-22 angap-18 echo : the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is mildly/borderline depressed. the right ventricular cavity is dilated. right ventricular systolic function appears depressed. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic root is moderately dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. a mitral valve annuloplasty ring is present. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. the end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension. there is a small to moderate sized pericardial effusion. there are no echocardiographic signs of tamponade. echocardiographic signs of tamponade may be absent in the presence of elevated right sided pressures. cxr : patient is status post cabg and median sternotomy wires are again seen. cardiomediastinal silhouette is stable. the patient has severe emphysema and pulmonary fibrosis, which have been described. accounting for differences in technique, there is no change in the diffuse opacity which spares the left upper lung zone most likely representing suerimposed congestive heart failure. no pneumothorax is identified. ct : 1. acute asymmetric interstitial pneumonitis superimposed upon a background of severe emphysema and pulmonary fibrosis. in the setting of recent cabg and mitral valve repair, diagnostic considerations include drug toxicity, asymmetric pulmonary edema, unilateral lung injury, and less likely infection. 2. moderate pericardial effusion and small right pleural effusion. 3. likely reactive mediastinal lymph node enlargement. 4. low attenuation lesions within the liver that are too small to characterize. brief hospital course: as mentioned in the hpi patient was seen as an outpatient and was a same day admit. he was brought directly to the operating room where he underwent a coronary artery bypass graft x 1 and mitral valve repair. please see op note for surgical details. patient tolerated the procedure well and was transferred to the csru in stable condition on neo-synephrine and propofol. later on op day pt was weaned from mechanical ventilation and sedation and was extubated. he was neurologically intact. on post op day one, inotropes were weaned off and he was in stable condition and was transferred to telemetry floor. diuretics and b blockers were started per protocol. post op day two he had a low hct (24.6) and was transfused one unit of blood. also received 1 unit on post op day seven. at time of discharge hct was 30.3. on post operative day three his chest tubes and epicardial pacing wires were removed. over the remaining hospital course patient continued to make a slow recovery secondary to pulmonary issues (prior lung dz/pulm. effusion). he continued to require oxygen via nasal cannula and had repeated oxygen desaturation with ambulation despite is, nebs, c&db, and diuretics (discharge weight was approxiamtely 3 kg over admit weight). pulmonary team was consulted. he also had transient episodes of atrial fibrillation starting on post op day six which were intitally converted with lopressor. he was eventually started on coumadin with a goal inr 1.5-2. on post op day eight patient had an echo, cxr, and ct. please see pertinent results. despite continued efforts to improve pulmonary status, the patient's family requested transfer to for ongoing care. dr. has accepted him for icu care at . ongoing issues were discussed with him by pa. will need coumadin dosing today after transfer. medications on admission: spiriva diovan 80mg qd lipitor 10mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 11. furosemide 20 mg iv bid 12. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours). 13. coumadin 2 mg tablet sig: 1-2 tablets po once a day: check inr and titrate for a goal inr of 1.5-2. dosing per team. discharge disposition: extended care discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 1 mitral regurgitation s/p mitral valve repair hypertension hypercholesterolemia chronic obstructive pulmonary disease interstitial lung disease/pulmonary fibrosis discharge condition: stable discharge instructions: do not lift greater than 10 pounds for 2 months. make follow-up appointments. if you notice any redness or drainage from incisions, or develop fever greater than 101 please contact office. take shower. wash incisions with water and gentle soap and pat dry. no baths. do not apply lotions, creams, ointments or powders to incisions. do not drive for 1 month. p instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation postinflammatory pulmonary fibrosis other emphysema 

Answer: The patient is high likely exposed to