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: lisinopril attending: chief complaint: afib major surgical or invasive procedure: bilateral mini-maze, ligation of left atrial appendage and vats/wedge resection of right upper and middle lobes history of present illness: 62 yo male caucasian male with diagnosis of afib in . has been well-controlled on amiodarone. scheduled for pulm. vein isolation on but workup revealed rul nodules. consultation with thoracic surgery determined need for simultaneous thoracoscopic wedge resection to be done at same time as mini-maze procedure. cath showed normal coronaries. echo showed ef 60%, intraatrial septal 8mm thickening, mild pulm. htn. referred to dr. for surgical treatment. past medical history: afib rul nodule x1 year htn anxiety social history: real estate attorney lives with wife 2 children with ex-wife no etoh occasional pipe last dental exam 2 months ago family history: mother with cva at 78 father died of cancer physical exam: hr 56 rr 16 124/74 5'9" 177# alert and oriented x3, wd, wn, slightly heavy-set skin/heeny unremarkable, neck supple, no carotid bruits ctab rrr, no murmur abd soft, nt, nd, +bs extrems warm, well-perfused, no edema or varicosities neuro grossly intact 2+ bilat fem/dp/pt/radials pertinent results: procedure date: indications for catheterization: preop. final diagnosis: 1. coronary arteries are angiographically normal. comments: 1. selective coronary arteriography of this right dominant system revealed no angiographic evidence of significant coronary artery disease. the lad and lcx had separate ostia and mild luminal irregularities without flow limitations. the rca had mild luminal irregularities throughout. 2. 5f sheath was successfully pulled at the end of the case with excellent hemostasis. technical factors: total time (lidocaine to test complete) = 18 minutes. arterial time = 16 minutes. fluoro time = 2.2 minutes. contrast: non-ionic low osmolar (isovue, optiray...), vol 50 ml premedications: asa 325 mg p.o. anesthesia: 1% lidocaine subq. cardiac cath supplies used: - mallincrodt, optiray 150cc - allegiance, custom sterile pack no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. resected at end of procedure. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician history: wedge resection. pa and lateral radiographs of the chest demonstrate normal cardiomediastinal silhouette, unchanged when compared to . surgical staples are again seen to project over the right lower lung. the right costophrenic angle is excluded from the imaged field of view. no left-sided effusion. the trachea is midline. no consolidation is evident. small right apical pneumothorax persists. impression: persistent small right apical pneumothorax. no significant interval change. dr. approved: 7:59 am procedure date: 06:35am blood wbc-9.4 rbc-3.79* hgb-12.5* hct-35.1* mcv-93 mch-33.1* mchc-35.7* rdw-12.8 plt ct-181 06:10am blood hct-40.4 06:10am blood pt-17.8* ptt-92.3* inr(pt)-1.7* 06:35am blood glucose-128* urean-15 creat-1.2 na-140 k-5.0 cl-103 hco3-28 angap-14 06:10am blood k-4.1 07:32am blood ck(cpk)-1625* 07:32am blood ck-mb-13* mb indx-0.8 ctropnt-0.53* 02:55pm blood mg-2.2 brief hospital course: admitted and underwent bilat.mini-thoracotomies for maze procedure/ right vats wedge resections / ligation left atrial appendage with drs. and . transferred to the csru in stable condition on a propofol drip. extubated overnight and c/o chest tightness in the am. cardiac enzymes were negative after brief episode of junctional rhythm and st elevations on ekg. on an insulin drip and amiodarone/coumadin restarted with heparin drip until therapeutic. chest tubes to water seal as cxr showed no ptx or effusion. transferred to the floor to begin increasing his activity level.right chest tube removed on pod #2 with small residual ptx post-pull. gentle diuresis and steroid taper continued. left chest tube removed. ep consulted for continued management of afib, but converted to sr on pod #2.propranolol started per ep recs for beta blockade. pain pump removed pod #4 and propranolol changed to lopressor. inr 1.7 on discharge on pod #5. pt. is to folllow up with providers per discharge instructions. coumadin dosing /inr follow up with dr. . first blood draw to be done on . medications on admission: amiodarone 200 mg qhs coumadin 5mg/2.5 mg alternating qd cozaar 50 mg daily celexa 10 mg daily 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. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks. disp:*42 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:*100 tablet, delayed release (e.c.)(s)* refills:*0* 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed. disp:*30 tablet(s)* refills:*0* 7. warfarin 5 mg tablet sig: tablet po qpm: please alternate tablet(2.5mg) and 1 tablet(5mg) every other day. . disp:*60 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 10. methylprednisolone 2 mg tablet sig: two (2) tablet po daily () for 1 doses: . disp:*1 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 12. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 5 days. disp:*10 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: paroxsymal atrial fibrillation and right upper lobe lung nodule - s/p bilateral mini-maze, ligation of left atrial appendage and vats/wedge resection of right upper and middle lobes, hypertension, anxiety discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. monitor wounds for signs of infection. please call with any concerns or questions. have inr checked on at dr. office. followup instructions: dr. in weeks - call for appt dr. - call office for f/u appt dr. in weeks - call for appt dr. - call for appt and for coumadin follow up. procedure: other bronchoscopy excision or destruction of other lesion or tissue of heart, open approach transpleural thoracoscopy other local excision or destruction of lesion or tissue of lung injection of anesthetic into peripheral nerve for analgesia proctostomy diagnoses: atrial fibrillation other specified alveolar and parietoalveolar pneumonopathies 

Answer: The patient is high likely exposed to